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Updated 12 June 2019

The Hospital By The River

THE HOSPITAL BY THE RIVER exceeded all my expectations. I have always admired Dr Catherine Hamlin as an Australian heroine. What she has achieved in her lifetime, is a superhuman feat.

In her book, Dr Catherine Hamlin begins by writing about the family histories and medical backgrounds of both her and her husband, Dr Reg Hamlin, in Australia, New Zealand, and later in the UK. Both came from privileged backgrounds. Intertwined with the Hamlins’ wonderful work saving the lives of hundreds of mothers and their babies in Ethiopia, are expressions of their deep Christian faith, and the comfort it brings them. Even though I am not a religious person, I can fully understand how their faith kept them going through some very difficult and challenging times, not least of all, a dangerous war. The couple sacrificed a great deal in order to build their hospital and bring healing to hundreds of poor Ethiopian mothers and their babies. However, I felt that in following their God’s mission, their only son Richard, also paid a heavy price.

Dr Hamlin goes on to detail the travelling and begging the couple had to engage in to bring in funds to keep their dream, and the hospital they had built, afloat. She documents the perfection of surgical techniques used in the repair of fistulae to restore quality of life to their frail, and sometimes, dying patients. Many babies were born dead, sometimes jammed in the birth canal for days, because of protracted labours. Cultural practices mean mothers are made to squat for days during labour causing terrible injuries to their bladders, bowels, and vaginas. Some mothers’ uteri burst with devastating consequences. These injuries leave afflicted mothers with a life lived in misery, unable to control their bladders or bowels. They are abandoned by their husbands and families, left to fend for themselves in filth, and near starvation.

The hospital the Hamlins built in Ethiopia, with the help of worldwide financial donations, and the support of powerful Ethiopians, has given hope to thousands of women; more than 90% are fully cured. Those who cannot be cured, perhaps left with minor wounds, are able to live in adjacent hostels within the hospital compound.  Some of those who are cured, stay on to be trained as nurses and midwives. Others progress to operating assistants and surgeons.

The compelling stories of the lives of long suffering patients are truly heart rending, and yet uplifting, due to the vibrant spirit of Ethiopian women. These brave, often under-nourished women, walk for days, months or years, to get to the Hamlin hospital of hope, where they can have life saving surgery.  Be that as it may, I could not but help see the great irony within the pages of this book: The Hamlins, as Anglican Missionaries, worked tirelessly, operating on these poor, rejected mothers with horrific rectovaginal fistulae, mostly caused by giving birth too young, or by being raped. The majority of women they performed surgery on, were of a Christian Orthodox religion which culturally supports child marriages, often girls as young as eight. As an Orthodox priest remarked: “otherwise they will fall into sin like Western women who don’t have children until they are 30”!!  So here we have Christian missionary surgeons repairing horrific injuries which another Christian sect, in essence, fully condones!  No blame whatsoever attached to husbands or rapists.

At the end of the book, I couldn’t help but wonder, in an ideal world, would it not have been wiser and more efficacious for the Christian World to unite, and spend those millions travelling around Ethiopia, educating the men and empowering the women? But then the hallmark of religion has always been more about tradition than visionary reform.

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Dr Catherine Hamlin celebrates 60 years in

Ethiopia in 2019.

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© To Anne Frandi-Coory All Rights Reserved 14 May 2015

Updated 2 May 2019 …

I felt I had to write about this remarkable Australian doctor who has devoted her life’s work to treating women suffering from obstetric fistula, in Ethiopia.

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Dr Catherine Hamlin

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Dr Catherine HamlinAC, MBBS, FRCS, FRANZCOG, FRCOG, is an Australian obstetrician and gynaecologist who, with her late husband Dr Reg Hamlin, co-founded the Addis Ababa Fistula Hospital, the world’s only medical centre dedicated exclusively to providing free obstetric fistula repair surgery.

Dr Hamlin has been recognised by the United Nations agency UNFPA as a pioneer in fistula surgery, for which she developed specialist techniques and procedures. She, her husband, (a New Zealander) and the hospital’s medical staff, have treated more than 34,000 women.

Read my review of Dr Catherine Hamlin’s book about her remarkable work here: The Hospital By The River    

The Hospital By The River

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Dr Hamlin, now in her late eighties, heads the Addis Ababa Fistula Hospital in Ethiopia. The surgical technique developed by the Dr Hamlin has a 93% cure rate for obstetric fistula cases. The Addis Ababa Fistula Hospital has established a purpose-built village called Desta Mender (Village of Joy) to provide long-term care for women whose condition is caused by giving birth at a very young age, and some sexual practises. The hospital is dedicated to improving health, reducing infant mortality and empowering women.

The Hamlin College of Midwives, set up by Dr Catherine Hamlin and Dr Reg Hamlin, trains young women as midwives to work in the Ethiopian countryside where there is presently no access to medical assistance during pregnancy and labour. The College’s mission is to have a midwife in every Ethiopian village.

The Hamlins’ long association with the College of Midwives began in 1958 when they answered an advertisement in the Lancet Medical Journal for an obstetrician and gynaecologist to establish a Midwifery School at the Princess Tsehay Hospital in Addis Ababa. They arrived in 1959 on a three-year contract with the Ethiopian Government but only about 10 midwives had been trained when the Government closed the midwifery school. The Hamlins went on to establish the College and fifteen years later they founded Addis Ababa Fistula Hospital.

Catherine Hamlin lives in her cottage on the grounds of the Addis Ababa Fistula Hospital as she has done for over thirty-five years. She is still very active in the work of the Hospital and operates every Thursday morning as well as running a clinic. Her son, Richard Hamlin is involved in the activities of the Hospital and sits on its Board of Trustees.

There is currently a dispute between three members of the Board of Trustees including the chair, and Dr Catherine Hamlin, regarding the direction the hospital is taking. Dr Hamlin has withdrawn support for her Australian fundraising trust over the religious dispute that threatens her charitable medical work in Ethiopia.  The board had moved to take a hardline Christian approach. As a result of the dispute, the board has halted all fund-raising in Australia.  Dr Hamlin believes the board was attempting to take control of the management of the hospital against her will.

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Bernadette Lack

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Bernadette Lack is a young Australian midwife who is running the Great Ocean Road marathon from Lorne to Apollo Bay; a gruelling 45km.  She is raising funds for the Hamlin College of Midwives, an organisation she is passionate about.  The College and Hospital rely heavily on funding from overseas.  When Ms Lack was informed that Hamlin Fistula Australia wouldn’t  accept her donation because the board was in disarray, she contacted Lucy Perry, official spokesperson for Dr Hamlin in Australia. Ms Lack has been assured by Ms Perry that the funds she raises in the marathon will be sent directly to Ethiopia.

Both Dr Hamlin and her hospital are the recipients of numerous awards. Dr Hamlin, known for her dedication and humility, says of the plaudits she has received ‘I’m doing what I love doing and it’s not a hardship for me to be working in Ethiopia with these women’.

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