Juliet Dixon in front of the home she shares with her sister in Kroo Bay. Juliet was made pregnant by a 24 year old man when she was 12. As soon as she became pregnant the man left. Juliet did not have access to a midwife so she labourered for three days before making her way to a health centre. From there she was taken to a government hospital. Her child was delivered by ceasarean section but died 4 months later from an infection. After giving birth, Juliet developed fistula. Fistulae are caused by birth complications and/or trauma sustained from rape where a hole (fistula) develops between the vagina and the rectum or the vagina and the bladder, causing chronic incontinence. According to the World Health Organisation, between 2 and 4 million women in Africa are affected by obstetric fistula with around 80% of them developing the condition before they turn 15.