Health action with informed and engaged societies
After nearly 28 years, The Communication Initiative (The CI) Global is entering a new chapter. Following a period of transition, the global website has been transferred to the University of the Witwatersrand (Wits) in South Africa, where it will be administered by the Social and Behaviour Change Communication Division. Wits' commitment to social change and justice makes it a trusted steward for The CI's legacy and future.
 
Co-founder Victoria Martin is pleased to see this work continue under Wits' leadership. Victoria knows that co-founder Warren Feek (1953–2024) would have felt deep pride in The CI Global's Africa-led direction.
 
We honour the team and partners who sustained The CI for decades. Meanwhile, La Iniciativa de Comunicación (CILA) continues independently at lainiciativadecomunicacion.com and is linked with The CI Global site.
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Learn from My Story

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In August 2007, the ACQUIRE Project of EngenderHealth partnered with the Silence Speaks Project of the Center for Digital Storytelling (CDS) and St. Joseph's Hospital in Uganda to coordinate a workshop for Ugandan women who have experienced obstetric fistula. During the workshop, the women shared their stories about the experience for use as part of ongoing training about fistula treatment and care.
Communication Strategies

The project was conducted in a participatory way via a series of workshops and training sessions with women affected by fistula in Uganda. At an orientation session held one month prior to the workshop, participants were given disposable cameras, taught how to use them, and asked to take photos of their homes and villages. During a subsequent 4-day workshop, they shared their stories with one another in a group process, recorded narration, and drew pictures to illustrate their lives. A team of trainers combined the photos with the drawn images, as well as a video filmed on location. While editing was underway, participants visited the hospital where they had been treated and offered advice and support to women awaiting repair. The workshop ended with a screening of the stories and testimonies by participants about their increased sense of self-worth and desire to speak out in their villages about fistula repair and prevention.

The stories were produced both in participants' first languages with English subtitles and in English, and are featured on a compilation DVD with additional short video excerpts from interviews with fistula counsellors and providers. Together, these tools are being used as part of ongoing training about fistula treatment and care. The programme is also exploring ways to share the stories in local settings and as radio spots, in order to educate rural villagers about prevention and to support women in seeking fistula care.

Organisers hope that viewers will come away with greater compassion, as well as an understanding of what causes fistula, how women can be repaired, and why community members, the health sector, and policymakers all have critical roles to play in prevention.

For more information:

  • Click here to visit the Fistula Care website.
  • Click here to read the "Obstetric Fistula Digital Stories" facilitator's guide in PDF format. Click here to read the facilitator's guide in French [PDF format].
  • Click here for more information about Silence Speaks' digital storytelling.
  • Click here to read "Participatory Media Help Ugandan Women Who Have Experienced Obstetric Fistula Tell Their Stories", by Amy Hill, Mazi 21, June 2010.
  • Click here to view a summary of some of the stories on the ACQUIRE website [PDF format].
Development Issues

Women, Reproductive Health

Key Points

The ACQUIRE Project, of which EngenderHealth was the managing partner, worked globally to advance and support the availability, quality, and use of facility-based reproductive health and family planning services at every level of the health care system. In many African and Asian countries, the ACQUIRE Project sought to improve local capacity to treat and prevent obstetric fistula, as well as to support fistula patients through reintegration programmes. EngenderHealth continues that work today through the Fistula Care project.

Partners

EngenderHealth, Silence Speaks

Sources

EngenderHealth website and Silence Speaks website - both accessed on February 11 2009 and April 12 2010; emails from Amy Hill to The Communication Initiative on April 12 2010 and October 15 2010; email from Tor de Vries to The Communication Initiative on May 3 2010; "Participatory Media Help Ugandan Women Who Have Experienced Obstetric Fistula Tell Their Stories" by Amy Hill, Mazi 21, June 2010 - accessed on October 18 2010; and the Fistula Care Project website on March 8 2012; email from Carrie Ngongo to The Communication Initiative on May 28 2012. Image: Drawing by a participant, featured in her story; video: A workshop participant shares her experience.

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