Tales of an academic prole

Patrick D Hahn

Patrick D Hahn
Baltimore, Maryland, USA
June 07
I used to wash trucks for a living.


Patrick D Hahn's Links

The Gold Coast
The Holy Ark of the Covenant in Ethiopia
The Land of Burnt Faces
The Medical-Industrial Complex
The Psycho-Pharmaceutical Industrial Complex
Anatomy of an epidemic
Big fat lies
Is screening for cancer a giant con job?
The War On Drugs
The Nutritional-Industrial Complex
Personal Reminiscences
Personal Essays
Scientific Articles
Books of Interest
SEPTEMBER 13, 2010 2:16PM

Trampled Rose: giving Ethiopian women a second chance

Rate: 10 Flag

trampled rose

A fistula is any opening, which does not normally occur, between two cavities lined with epithelium. A vesicovaginal fistula is an opening between the vagina and the bladder. A rectovaginal fistula is an opening between the vagina and the rectum. Either type of fistula is usually a complication of childbirth, caused when the baby’s head presses against the wall of the birth canal long enough to cause necrosis of the tissue. It can also be the result of female genital mutilation or violent rape.

rebekah kaiser

Rebekah Kaiser, the charismatic CEO of Trampled Rose

Every year, an estimated 10,000 Ethiopian girls and women are affected by this condition, according to Rebekah Kiser, CEO of Trampled Rose, a not-for-profit rehabilitation center operating in Addis Ababa. The lot of these girls is a miserable one indeed. They are unable to keep themselves clean. In plain language, they stink and draw flies. If they are married, their husbands abandon them. If they are single, they considered unmarriageable. Believed to be cursed, they are ostracized by their communities and even banned from their churches and mosques. Often they are confined to a tiny hut, outside the main family dwelling. There they languish, underfed and neglected, their lives effectively over. Others end up living in the streets, fighting with stray dogs over scraps of food.

We were introduced to one young girl, who refused to be interviewed or photographed, who was there as the result of a knife rape. Rebekah said the condition can also be the result of female genital mutilation, which is still shockingly common in Ethiopia. It can also be the result of early penetration – in one case, as early as two years of age. But, she told me, 99% of the girls developed their condition as a result of childbirth. In most cases the baby dies, as well.

“Some of these girls, when they first come here, are so traumatized they just sit in a corner and rock all day,” Rebekah told me. “We try to keep them as busy as possible.”

Trampled Rose gives these young women a second chance at life. (Rebekah always insists on referring to the girls as “students,” never as “patients” or “clients”). The organization arranges for the girls to have surgery for their condition, and here they learn basic literacy and money management skills, as well as marketable trades such as cooking, sewing, basket weaving, jewelry making, and hairstyling. Most of these girls, Rebekah told me, have literally never held a pencil before coming there.



Currently 30 girls and women reside there, although in the past they have had as many as 70. Rebekah told me that they have never turned anyone away, although some of the girls find the program too demanding and wash out. “I’m not willing to give up my life for someone who isn’t willing to help herself,” she explained.

I asked from how far away do these girls come. Rebekah told me about one young woman who walked barefoot all the way from Somalia, carrying a two-year-old child with her. (The child was suffering from syphilis and cancer and died soon thereafter.)

The rehabilitation program takes one year. After that, Rebakah explained, they help the girls to rent houses – usually four girls to a house – and try to arrange apprenticeships for them. Most of these girls will never be able to return to their natal villages. If they re-marry, Rebekah told me, any children they have would be considered the property of their first husbands.


It was lunchtime by the time my wife Yaa and I arrived, but we toured the grounds and viewed the classrooms, the workshops, and the dormitories. Rebekah told me the girls are taught to maintain scrupulous personal hygiene, and that all their clothing and bedsheets are washed daily. Despite all these efforts, a faint scent of urine hung in the air.


We met Belaynish, who suffered a fistula as the result of female genital mutilation as a young girl (“Too young to remember,” I was told, when I asked). When she arrived at Trampled Rose, she was suffering from a severe infection and had been given two months to live. That was six years ago. It turned out her injuries were too severe to be corrected surgically, but she’s still here, and employed full-time at Trampled Rose as a nanny for the youngest girls and as a cleaner.


After enjoying some delicious lentil stew for lunch (Rebekah told me that between the dietary restrictions of the Muslims, and those of the Ethiopian Coptic Christians, it’s a lot less of a hassle just to serve a vegetarian diet, so that’s what they do) we tried to get the girls to talk about their experiences. None of them would talk about their lives prior to coming to Trampled Rose. Rebekah told me that criticizing one’s own family is strictly forbidden in Ethiopian culture.

  manera and melcom

Before we left, we met with Manera, age 19, and her friend Melcom, age 15. Rebekah told us that Manera has been with the program for a year, is now reading at a tenth-grade level, and dreams of becoming a teacher. Melcom is looking forward to a career as a hairdresser. Without the help of Trampled Rose, these girls would have no life at all.

To learn more about Trampled Rose and its efforts on behalf of Ethiopian women, click here.

To make a donation, click here.

All photos by author 

Your tags:


Enter the amount, and click "Tip" to submit!
Recipient's email address:
Personal message (optional):

Your email address:


Type your comment below:
I know there's lots of worthy causes out there, but here is one that definitely deserves your consideration.
Even if you send just five dollars, that's five dollars more than they'd have if you sent nothing.
Patrick, thanks for posting this amazing piece. I hope it will end up on the cover. I'm going to head over to their site and make a donation.

In third-world countries there are so many treatable conditions that go untreated, and so many people with disfiguring and disabling conditions that we rarely see here in adults.

Some years ago while volunteering with a mobile health clinic at a migrant labor camp, I saw a Mexican man with what appeared to be a strange smile on his face. Later, I saw that the strange smile was actually an uncorrected cleft palate, a condition that in the U.S. would have been corrected shortly after birth.
Great article and informative service you are bringing to the readers of Salon. I will head over too. Rated enthusiastically.
This is absolutely the MUST READ post of the day. How this eluded the editors is beyond me. Thank you for sharing this and for proving that people like Rebekah Kaiser CAN and DO make a difference in the lives of women and girls who endured savage circumstances. Very well done. Posting this to Facebook as well.
She is an angel this Rebekah Kaiser. Thank you for telling us of her work to not only alleviate the physical suffering of these women but to help them create their own futures.
This is great - thanks for spreading the word, Patrick!
Having been raised in Africa as a little missionary's daughter 50 yrs ago, I am familiar with the custom of female mutilation, very sad and glad attention is being brought to this.
Gut-wrenching, necessary read. I have been familiar with clinics dedicated to this purpose and extend so much gratitude to them for their love and support of women who would be shunned and die without this help. Thank you for drawing attention to this.