countries across Africa, Asia, and the Arab region, the Campaign has four main goals: the prevention of fistula cases, treatment of existing fistula cases, social reintegration and follow up for fistula survivors, and advocacy for ending fistula. (12) In order to meet these goals, The Campaign supports and participates in the emerging safe surgery community of practice that strengthens surgical ecosystems in low- and middle-income countries (LMIC) towards better access to essential and life-saving surgeries, which includes improved training, equipment, supplies, infrastructure and health worker density for timely access to Caesarean section and for environments that optimize outcomes of fistula surgery. (13) Since 2003, UNFPA has directly supported more than 85,000 fistula repairs, with additional repairs supported by Campaign partners. (14) USAID, in accordance with the United States Government’s commitment to ending preventable maternal and newborn deaths and disabilities, currently supports fistula treatment services in 137 sites in six countries. USAID addresses prevention in those sites and thirty-six more. Since 2004, more than 39,000 women have received fistula repairs with USAID support. (15) The United States has committed to joining multilateral efforts involving the United Nations and others to make progress toward achieving the Sustainable Development Goals (SDGs), including through the Global Strategy for Women’s, Children’s and Adolescents’ Health (2016–2030). Eliminating obstetric fistula is key to achieving the SDGs’ vision of leaving no one behind. . (16) In his 2016 statement on the International Day to End Obstetric Fistula, United Nations Secretary General Ban Ki-Moon boldly laid forth a new global vision and goal of ending obstetric fistula within a generation, saying that, The persistence of fistula in some countries and regions is an indicator of very poor access to quality maternal health services. To end it, we must strengthen health systems and address broader development and human