“[My patient] had waited 41 years for treatment. It took me just 20 minutes and 1 stitch to give back her dignity.”

Dr Shershah Syed

Tackling the lack of adequate healthcare for poor women

After studying infertility medicine in Ireland and the UK, Shershah was drawn back to Pakistan by a strong sense of social responsibility for the country that had subsidised his medical education.  Back in Pakistan, a world away from infertility treatment, Shershah’s shock by the lack of urgency with which maternal health was dealt with changed the direction of his career: 3-4 women a week arrived at his clinic dead due to obstetric emergencies (difficulties in pregnancy). “I had never seen that in Ireland. I couldn’t believe that this wasn’t a major concern for the hospital.” He abandoned infertility treatment and started working to improve healthcare for Pakistan’s women.

Women living in rural, underprivileged areas of Pakistan often have to travel many miles to access healthcare, which they have to pay for. Many leave education at a young age when they get married and start to have children. As a result women often suffer from long, difficult labour and childbirth and can develop obstetric fistulas, where a permanent passageway is made between the vagina, bladder and sometimes the large intestine resulting in constant leaking of urine and faeces. Young girls are particularly prone to fistula as their bodies aren’t mature enough to go through labour. These women often become social outcasts, causing them extreme hardship and psychological trauma.

“One 19 year old girl I met at a clinic had waited 7 years to be treated for fistula. She had endured a long and difficult birth as a 12 year old because her pelvis was too small. Her baby was still born and she developed an obstetric fistula. It’s terrible that she had to wait such a long time and suffer so enormously when the treatment is so simple and cheap,” says Shershah.

A small investment can lead to great change

Shershah speaks about a recent patient he treated at a NGO clinic in Mithi, rural Pakistan.

Shershah’s drive, vision and conviction that women in Pakistan deserved better healthcare led him to work with colleagues, family and friends to set up the Koohi Goth Women’s Hospital in the slum area of Karachi to carry out emergency obstetric procedures. Drawing on national and international networks Shershah has raised enough money to ensure his hospital can offer these life-changing operations for free, and even offer midwifery and nursing training in specialist schools on site.

Women and young girls hearing about the clinics through mass media campaign sometimes travel for miles to receive treatment for fistulae. “One woman had suffered for 41 years with fistula. She heard about the free clinic in Karachi, South Pakistan, through the radio and travelled many miles from Swat, Northernmost Pakistan to get treated. After years of social outcast and it took me 20 minutes, 1 stitch and 350 rupees [$6.5, £4] in materials…to fix and she was all right”.

Since the hospital opened in 2004-2005 with small out patient department facilities. Since then more than 3000 patients have been treated with fistula in Pakistan, not just at the hospital but all over the country through the campaign to end fistula, supported by UNFPA.

Positive influences and the importance of education

Shershah first saw the effect providing healthcare can have on a person when accompanying his mother, also a doctor, on her visits to families, often late at night. “I used to get irritated going at 2am to carry her [doctor’s] bag but she was always so happy after seeing her patient,” says Shershah. “Now when I work, I [also] feel good.”

IDEAS interviews Dr Shershah Syed, an obstetrician-gynaecologist and leading campaigner for women’s rights, girl’s education and safe motherhood in Pakistan.

His mother certainly had a profound effect on Shershah: “Education changed my family’s lives.” Despite being illiterate when she married, Shershah’s mother, with her husband’s encouragement, trained to become a doctor. Without both their support, they would not have had the money for him to get a good education and study medicine.

His mother’s story has resulted in Shershah’s recent campaigning for education as a way to improve maternal and newborn health (he recently published a book about his parents’ story entitled ‘Vision, not just a dream). “Twenty years ago I would have said we need more and better healthcare for women [to improve maternal health], now I know what is really needed is education,” says Shershah.

An inspiration to learn from

Shershah’s continuous drive, determination and humility have made him a champion for women’s rights in Pakistan. With a fantastic network of supportive family, friends and colleagues, often all working without salary, he is building a strong community striving to improve healthcare for women in Pakistan.