Growing up as a young girl in south-eastern Nigeria, Josephine Elechi, wife of the Governor of Ebonyi State, noticed many women being ostracized by their communities because they suffered from obstetric fistula. She remembers promising herself that she would do something to reduce the needless deaths of women during childbirth and the discrimination against women affected by fistula. Fistula is the result of prolonged labor without prompt medical intervention, resulting in damage to the woman’s birth canal, causing chronic incontinence and in many cases, death of the baby.