When Asnaku arrived at the Hamlin Fistula Hospital, she was extremely weak. Women who suffer from fistula cease eating and drinking, so that their body does not produce waste, thus contaminating their villages. The shame they feel is enormous, and they try to minimize the effects they have on their surroundings and loved ones.
Often, they arrive emaciated and dehydrated. Before they can have surgery, their body must be strengthened by nutrition and physical therapy. Each day, they are required to eat one egg and one piece of bread, and drink plenty of water. Nurses aides, former patients themselves, help them perform exercises so their muscles begin to strengthen.
Foot massages are given daily to increase circulation. This is a most intimate time, when a nurse aid gives a patient her massage, looking deeply into her eyes and ensuring that the patient feels loved and supported.
Asnaku also continues with her exercises after surgery until she is strong enough to return to her village. From the very beginning when Dr. Hamlin developed the program for the hospital, she and her husband Reg knew that whole body wellness was of vital importance.
As Asnaku becomes stronger, she also becomes part of the support circle for newly arriving patients, helping them to become stronger physically and spiritually.