This advocacy booklet, produced by UNFPA and Family Care International (FCI), highlights social, cultural, and economic dimensions of obstetric fistula by presenting key findings of country-level needs assessments conducted in 29 countries in Africa, Asia, and the Arab States from 2003 to 2006. The publication, which is interspersed with compelling quotations, also provides guidance for policymakers, programmers, and researchers to strengthen fistula prevention and treatment programmes. FCI and UNFPA will also produce an advocacy and programme toolkit to provide guidance on how to strategically use the publication’s findings in media-based awareness campaigns, with parliamentarians, decision makers, and service providers.