TV Program Description
Original PBS Broadcast Date: May 13, 2008
                
                
                  A difficult journey that begins in hopelessness and shame for
                  thousands of women in Ethiopia ends in a productive new life
                  in this award-winning documentary airing in its television
                  premier on NOVA. Filmed in a starkly beautiful landscape, the
                  film juxtaposes the isolated lives of village women who are
                  outcasts because of their medical condition, with the faraway
                  hospital that offers a miracle after a long and arduous
                  trek—a "walk to beautiful."
                
                
                  The
                  feature-length version
                  of this film took top honors at the 2007 International
                  Documentary Association Awards Competition, where it was named
                  Best Feature Documentary. It also won the People's Choice
                  Award for Best Documentary at the Starz Denver Film Festival,
                  the Audience Award at both the San Francisco and St. Louis
                  international film festivals, and the Best Human Rights Film
                  Award at the International Documentary Festival of Barcelona.
                  [Hear about
                  the making of the film
                  from producer Mary Olive Smith.]
                
                
                  The film tells the personal stories of rural women who make
                  their way to Ethiopia's capital, Addis Ababa, seeking
                  treatment for obstetric fistula, a life-shattering
                  complication of childbirth that was once common in the
                  pre-industrial United States but that is now relegated to the
                  poorest regions of the world. (For more on disparities in
                  women's health worldwide, see
                  Two Worlds.)
                
                
                  Women with small pelvises, whether through malnutrition,
                  overwork, or because they married too young, are most at risk,
                  since there is often not room for the baby to emerge during
                  birth. The result can be an obstructed labor that may last up
                  to 10 days, a stillborn child, and a trauma-induced hole, or
                  fistula, in the vaginal wall that produces chronic
                  incontinence. (For more information, go to
                  Anatomy of Childbirth.)
                
                
                  The women profiled in "A Walk to Beautiful" are treated as
                  virtual lepers in their villages, where they are shunned by
                  family and made to live alone. One women admits to
                  contemplating suicide.
                
                
                  Through chance they learn that there are other women who share
                  their affliction, and that the Addis Ababa Fistula Hospital
                  exists to help them—if they can manage to walk for hours
                  to the nearest road, find public transport to the capital, and
                  then search out the hospital in a strange and forbidding city.
                  Once there, they enter a haven that they never imagined,
                  surrounded by women like themselves and a medical staff of
                  Western and African doctors who treat them like human beings,
                  not outcasts.
                
                
                  The story of this experience is told through the women's own
                  eyes and voices. There is Ayehu, 25, living in a makeshift
                  shack behind her mother's house where she has hidden for four
                  years. Almaz, also in her 20s, has suffered from a double
                  fistula for three years. For Wubete, 17, early marriage and
                  her small physical stature left her with bladder damage that
                  makes her case especially difficult.
                
                
                  "My husband and I came to Ethiopia in 1959," says the
                  hospital's cofounder, Dr. Catherine Hamlin, who is from
                  Australia. "The previous gynecologist that we replaced said to
                  my husband, 'The fistula patients will break your hearts.'"
                
                
                  And so they did. Dr. Hamlin's husband died in 1993. But she is
                  still there. (Read a wrenching yet hopeful
                  interview with Dr. Hamlin.)
                   
                
                
                
                  Program Transcript
                  Program Credits