(A) culturally appropriate childbirth edu-
cation, preparation, and planning; and 
(B) access to obstetrician-gynecologists 
(OB–GYNs), urogynecology care, or midwifery 
care. 
(7) Expansion of training centers and partner-
ships with institutions of higher learning for medical 
students and residents. 
(8) Priorities for the distribution of resources 
based on factors such as the size and demographics 
of the population suffering from childbirth-related 
injuries, the needs of that population, and the exist-
ing infrastructure or funding levels that may exist to 
treat and prevent childbirth-related injuries, includ-
ing obstetric fistula. 
(9) A plan for institutional capacity-building of 
partnerships to strengthen universities, research cen-
ters, health-profession training programs, and gov-
ernment institutes to build the in-country capacity 
needed to eradicate childbirth-related injuries in 
least developed countries. 
(c) REPORT.—Not later than 2 years after the date 
of the enactment of this Act, the President shall submit 
to Congress a report that contains the strategy required 
under this section. 
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SEC. 5. REPORT. 
(a) IN GENERAL.—The President, acting through the 
Director of the John E. Fogarty International Center for 
Advanced Study in the Health Sciences, shall submit to 
Congress, on an annual basis, a report on the implementa-
tion of this Act for the preceding year. 
(b) MATTERS TO BE INCLUDED.—The report re-
quired under subsection (a) shall include an evaluation of 
the effectiveness and performance of the International 
OB/GYN and Urogynecology Promotion Program estab-
lished under section 3 and all related community outreach 
and medical programs. 
SEC. 6. DEFINITIONS. 
In this Act: 
(1) 
CHILDBIRTH-RELATED
INJURIES.—The 
term ‘‘childbirth-related injuries’’ means injuries as-
sociated with obstructed labor, including— 
(A) pelvic organ prolapse; 
(B) a displacement of pelvic organs such 
as the uterus, bladder, or bowel; and 
(C) obstetric fistula. 
(2) LOW-INCOME COUNTRY.—The term ‘‘low-in-
come country’’ means a country with a per capita 
gross national income of $1,035 or less. 
(3) LEAST DEVELOPED COUNTRY.—The term 
‘‘least developed country’’ means a country that— 
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(A) is a low-income country; and 
(B) according to the United Nations Eco-
nomic Analysis and Policy Division, is con-
fronting severe structural impediments to sus-
tainable development. 
(4) RELEVANT
EXECUTIVE
BRANCH
AGEN-
CIES.—The term ‘‘relevant executive branch agen-
cies’’ means the Department of State, the United 
States Agency for International Development, and 
any other department or agency of the United States 
that participates in international health and humani-
tarian activities pursuant to the authorities of such 
department or agency or the Foreign Assistance Act 
of 1961. 
Æ 
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