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West Africa Fistula Foundation About WAFF The West Africa Fistula Foundation WAFF was founded to bring value back to the lives of the women of Sierra Leone by providing them with access to education and resources to help reduce the number of new fistulas and to surgically remedy those that already exist. The West Africa Fistula Foundation is a foundation dedicated and designed to empower the people of Sierra Leone to become more healthy and economically secure by giving them the abilities and the knowledge to support themselves and their families. Sierra Leone has become the worlds poorest country due to the havoc and devastation caused by over 10 years of civil war. The lack and inadequacy of their ability to provide obstetric gynecological care and services have resulted in a extremely high number of obstetric fistula cases commonly known and referred to as Vesico Vaginal Fistula VVF.