Obstetric fistula is a devastating child birth injury that has been severely neglected, despite the traumatizing impact it has on the lives of affected women and girls. This Need Assessment Report, conducted by the Government of Nepal, UNFPA and WOREC, estimates that there are 200 to 400 new cases of obstetric fistula in Nepal each year, leading to some 4,300 cases. This figure is, however, only the tip of the iceberg, as most cases are unreported due the stigma associated with the condition and lack of knowledge about treatment. 
Obstetric fistula was not officially recognized in Nepal until UNFPA's Campaign to End Fistula was launched in 2010. As part of the campaign, UNFPA works with the government and other stakeholders to support prevention and treatment by building the capacity of health institutions and service providers. BPKIHS has recently been designated an obstetric fistula training center.