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 rights issues affecting women and girls: poverty, gender inequality, early marriage, early childbearing, and lack of education. Let us use the momentum of the Sustainable Development Goals together with strong political leadership, accelerated investment and action, and passionate and committed champions, to achieve this historic and transformative goal. . 3. Prevention and treatment of obstetric fistula (a) Authorization The President is authorized, in accordance with this section and section 4, to provide assistance, including through international organizations, national governments, and international and local nongovernmental organizations, to— (1) address the social, structural, health, and human rights issues that lead to obstetric fistula