The other day I visted the fistula clinic at the National Hospital. Fistula injuries occur during protracted, obstructed childbirth. They result in incontinence, which in turn results in the affected women being shunned by their families. The injury is simple to repair, but requires some time to heal; currently there are only 6 doctors in Niger who perform the surgery. Fistulas would be simple to prevent if there were access to emergency medical services. The women undergoing the procedures often need more than one procedure and rather than travel back and forth to their villages, end up living in the courtyard at the clinic for months as they heal from their surgeries
Some ladies who currently are in residence make things to sell to make money. I'm sporting their handiwork on both arms as I write -- beaded bracelets. The money they earned will go directly to the women themselves, providing them with a bit of income to spend as they like, and by this I mean daily necessities like fabric and soap.