Inter Press Service examines the challenges that non-governmental organizations (NGOs) and the government face in trying to prevent fistula among women in the Democratic Republic of Congo, where an estimated 12,000 cases are recorded annually because of sexual violence, early marriage and complications in childbirth, according to the Ministry of Public Health. Poverty, early pregnancy and marriage, sexual violence, and a lack of education and knowledge about the condition contribute to its prevalence, IPS reports (Chaco, 9/27).