Addis Abeba Fistula Hospital

The Doctors Hamlin In the late 1950s, two young doctors, Reginald and Catherine Hamlin, were dedicated obstetricians living and working in Catherine's native Australia. Early in their careers, the couple practiced gynecology in Sydney, but they were eager to seek out and aid the women who needed them most. They got their chance in 1959, when they were called upon to come to Ethiopia and set up practice in a hospital in the capital city of Addis Ababa. When they arrived, Reginald and Catherine discovered a very poor country with almost no resources for expectant mothers. The Hamlins planned to open a midwifery school at the Princess Tshai Memorial Hospital and to stay for three years. Pioneering fistula treatment On the evening of their arrival, the Hamlins were doing their best to settle into their new home, when a fellow gynecologist came to visit. That doctor described obstetric fistula to the Hamlins, neither of whom had ever seen an obstetric fistula before. "To us they were an academic rarity," Catherine recalls in her book, The Hospital by the River. Before the Hamlins came to Addis Ababa, there was no treatment available for fistula victims anywhere in the world. Most such injured women – and there were thousands – had suffered in silence for years. Reginald and Catherine quickly began to learn everything they could about obstetric fistula, a condition that had all but disappeared in the United States in 1895, when the first fistula hospital closed its doors in New York. The Hamlins perfected a surgical technique to mend the injuries, while continuing to treat a broad range of obstetric cases. In their first year in Ethiopia, the Hamlins treated 30 fistula patients. The founding of a hospital Through first hand experience, the Hamlins quickly became aware of the suffering endured by women with fistulas. Fistula victims are usually shunned so severely due to their odor that even other patients refuse to be near them. Reginald and Catherine knew the fistula women deserved a hospital of their own. The Hamlins worked for more than a decade to establish a fistula hospital, even through a military coup when most foreigners fled Ethiopia. Finally, in 1974, the Hamlins opened the doors of Addis Ababa Fistula Hospital. It remains the only medical center in the world dedicated exclusively to fistula repair. "Saint Catherine" Reginald Hamlin worked diligently at Fistula Hospital until his death in 1993. Catherine Hamlin, now 84 years old, has been nominated for a Nobel Peace Prize, and the list of her humanitarian awards is impressive. She continues to oversee the work of the hospital and can frequently be found in the operating room performing the delicate fistula repair surgery she pioneered more than 40 years ago.

Catherine Hamlin’s pioneering work and perseverance are a textbook example of how vision is transformed into action and action into excellence.

~Robert Segal, radio host