Well-being is not just the absence of illness and injury.

The United States Agency for International Development has said it needs more money to tackle the fistula problem in Nigeria.

Project Manager for the group Iyeme Efem said the Ogoja centre in Cross River State has treated 129 patients so far, but there are many women waiting for aid and as a result the centre is now overstretched.

A total of 60 million Nigeria dollars (£236,000) is spent maintaining the Vesico Vaginal Fistula (VVF) Centre, but he wants local and state authorities to fund an expansion, as well as basic improvements.

Women with obstetric and vaginal fistula face a painful and shameful existence in Rwanda, as they find it hard to access the medical expertise they need.

Dr Jeanne d'Arc Kabagema, Senior Medical Associate working with EngenderHealth stated that there are only two doctors in the whole of the country with the skills necessary to perform corrective surgery.

Approximately 200,000 Ugandan women are currently suffering from obstetric fistula, an official has confirmed.

According to health minister Dr Christine Ondoa, the problem has arisen because many females do not receive suitable care when they are giving birth, UG Pulse reports.

She has therefore confirmed efforts are being launched to improve healthcare provision for expectant mothers in Uganda.

Dr Ondoa said this will include an awareness campaign across the country that will focus on safe motherhood.

Many women in developing nations are suffering with obstetric fistula because they are poor, the UN Population Fund has warned.

According to Edwige Ravaomanana, spokeswoman for the body, females in less affluent countries such as Madagascar often cannot afford to have the operation to correct the problem.

Speaking to AFP, she said the fact women often do not live close to healthcare facilities can also stop them obtaining the treatment they need.

FIGO is the only global organisation representing gynecologists and obstetricians, with Member Societies in 130 countries/territories. Its vision is for women of the world to achieve the highest possible standards of physical, mental, reproductive and sexual health and wellbeing throughout their lives. It is committed to working for the benefit of all women, especially those who suffer from highly distressing - yet largely treatable - conditions such as fistula.