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Jane Mulewa Mwale, 89, is a proud mother of 10 and a grandmother to many. For the last 42 years, her life has been marred with shame and isolation, as a result of living with obstetric fistula, a hole between the birth canal and bladder and/or rectum. “I delivered all my babies at home, and following the birth of my tenth child, I realized that I could not hold my stool or urine. That is when my life took a turn for the worst,” says Jane.