; and (B) access to obstetrician-gynecologists (OB–GYNs), urogynecology care, or midwifery care. (7) Expansion of training centers and partnerships with institutions of higher learning for medical students and residents. (8) Priorities for the distribution of resources based on factors such as the size and demographics of the population suffering from childbirth-related injuries, the needs of that population, and the existing infrastructure or funding levels that may exist to treat and prevent childbirth-related injuries, including obstetric fistula. (9) A plan for institutional capacity-building of partnerships to strengthen universities, research centers, health-profession training programs, and government institutes to build the in-country capacity needed to eradicate childbirth-related injuries in least developed countries. (c) Report Not later than 2 years after the date of the enactment of this Act, the President shall submit to Congress a report that contains the strategy required under this section. 5. Report (a) In general The President, acting through the Director of the John E. Fogarty International Center for Advanced Study in the Health Sciences, shall submit to Congress, on an annual basis, a report on the implementation of this Act for the preceding year. (b) Matters To be included The report required under subsection (a) shall include an evaluation of the effectiveness and performance of the International OB/GYN and Urogynecology Promotion Program established under section 3 and all related community outreach and medical programs. 6. Definitions In this Act: (1) Childbirth-related injuries The term childbirth-related injuries means injuries associated with obstructed labor, including— (A) pelvic organ prolapse; (B) a displacement of pelvic organs such as the uterus, bladder, or bowel