PIEAPCD Prevention and Response to obste This present project  Prevention and Response to obstetric fistula by system transportation improved is implemented by PIEAPCD for 24 months in Segou sanitary district.
In Mali, the sanitary situation is characterized by morbidity and mortality raised. This situation has several consequences (impact) in women, teenagers, and young.
The obstetric fistula (FO) is a public health problem and affects a more marginalized and discriminated   groups particular young Girls, women.  This group often illiterate (unschooled) living in rural and are exposed to several violence and social discrimination
Several studies permitted to understand reasons, social perceptions and the needs to approach this problematic. Although the size is not exactly known, it has beenestimated that 600 new cases appear every year.
Facing the obstetric fistula (FO) it is important to develop, better approach to reach women victims of obstetric fistula.  This present project contributes to improve transportation system often indicatedlike obstacle to sexual and reproductive quality services. The project is centered in women and   lead  themselves as actors to reduce women  living  with  obstetric fistula discrimination and exclusion
In despite of all efforts undertaken by the state and his partners, the fistula remains always little known, discerned badly by the community and lived very badly by victims
 the project counts to explore and to bring his contribution to eliminate  obstetric fistula in Ségou sanitary district and changethe challenges below:
 impact of the three delays on reference evacuation system (delay in the decision making for the recourse to the care to the level prepares, the delay in the transportation of the village toward the first level of reference and thedelay in intervention
Global objective:
To contribute Human Rights promotion creating the conditions of enjoyment of the rights in health of reproduction while improving the geographical access quality to the obstetric in the districts sanitary of the region of Ségou.
Specific objectives:
Improve geographical access of women in age to procreate in farming environment of 10 CSCOM need reference and secured conditions, minimizing the risks in obstetric matter including the obstetric fistula
 Provide03motorcycles ambulances driven by the young and women (having been taken in charge concerning obstetric fistulas) for evacuation toward the second level concerning hold in obstetric charge
 Incite rural women to manage their sexuality, claim their sexualandreproductive right and   better the means for the offer of quality concerning SRMIN
 Outcomes
R1. Inclusive and social dialogue is instituted in 03 areas for innovate strategy adoption to use the motorcycles - ambulance in the evacuation frame of reference
R 2.    3 communal Centers of health (CSCOM) dispose  equipped and secured  motorcycles-ambulance for  reference concerning SRMN (  neonatal and maternity reproductive health
R 3. efficient system leaded exclusively by women is implemented topromote   gender and transportation approach and right in women reproductive health
R: A system of N° Vert (via the operators of the TWITCH) is operational to trigger the system in case of dystocies and other incentives requiring the reference