Terrewode Women's Community Hospital (TWCH) is the first and only a state-of-art, patient-centered super-specialized hospital for the management of OF in Uganda and East Africa with an annual treatment capacity of 400 patients. It is a subsidiary of TERREWODE, the parent entity and it partners with Uganda’s Ministry of Health and other stakeholders addressing OF. TWCH provides holistic, routine and respectful care to women and girls suffering from OF. It operates three theatre days per week and patient screening is conducted from Monday to Friday with two dedicated resident specialist doctors. Women and girls who seek care at TWCH are provided with care takers and all services related to their treatment are free but are paid for by partners. The hospital supports clinical research and capacity building of health workers and communities. >


Before TWCH was birthed into operation, TERREWODE used to collaborate with the Ministry of Health to provide surgical treatment for women and girls with obstetric fistulas in public health facilities. We continue to nurture this warm working relationship with the public health facilities and support treatment of women therein to provide alternative access of quality care to the patients.

 A super specialized hospital, with a holistic approach for management of obstetric fistula and other maternal mortality and morbidities

Dr. Fekade Ayenachew (Left), the lead trainer shares techniques with other surgeons in theatre during a surgery in theatre
A holistic state of art, patient centered, super specialized hospital highly subsidized and accessible to all mothers; for the routine management of obstetric fistula, other child birth injuries and respectful maternity care with waiting rooms in Uganda.
Terrewode Hospital Fistula Schedule
The Speaker of parliament, Hon. Rebecca Alitwala Kadaga (Middle), the Executive Director TERREWODE Alice Emasu Seruyange (Second Right), and other guests during the launch of TERREWODE on August 16, 2019
The Speaker of parlaiment, Hon. Rebecca Alitwala Kadaga (Middle) cuts the tape during the launch of TERREWODE on August 16, 2019


For over 15 years, TERREWODE has helped women access treatment for fistula. Our process is exceptionally successful due to our broad grassroots network– first, trained community volunteers help identify women suffering from fistula in their communities. We educate her about the treatment options available and support her at every step of her treatment journey. We are excited that we are now able to provide world class treatment and rehabilitation of obstetric fistula at TERREWODE Women’s Community Hospital (TWCH), which opened in August 2019.
TWCH will increase the number of women treated for obstetric fistula and related childbirth injuries by 600 per year, greatly increasing Uganda’s current treatment capacity. Women who receive care at TWCH will benefit from expert surgical care delivered in a state-of-the-art facility which focuses on patient-centered care. In addition, TERREWODE will continue to partner with the Ministry of Health and regional referral hospitals in all our areas of operations, including Mulago National Referral Hospital, to support free treatment services for women and girls throughout Uganda.
Women who reside at a distance from TWCH are given the option of attending a local public hospital with TERREWODE’s support or traveling to TWCH. At partner government facilities, we ensure that surgical teams are motivated and medical supplies are available. We also support further these women and their caretakers by meeting their costs of transport to and from the health facility; and related costs for patient care during hospitalization when necessary.

 Mandate Capacity building of health workers, provision of treatment for obstetric fistula and birth injuries, maternity care and supporting research.

5. A mother who was transported back to her home in Abarilella sub county, Amuria district, from Soroti Hospital after child delivery narrates her story to a TERREWODE staff during COVID lockdown