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[New York, New York], United Nations, General Assembly, 2008 Aug 6. 20 p. (A/63/222)The present report was prepared in response to General Assembly resolution 62/138. Obstetric fistula is a devastating childbirth injury that leaves women incontinent and often isolated from their communities. It is a stark example of continued poor maternal and reproductive health services and an indication of high levels of maternal death and disability. The report outlines efforts to end obstetric fistula at international, regional and national levels, including by the United Nations system. It concludes with recommendations to intensify efforts to end obstetric fistula as part of support to the achievement of Millennium Development Goal 5, including strengthening health systems and increasing levels and predictability of funding.