The Case for Waridi™

Measuring the Ripple
of Prevention.

Waridi does not merely prevent injury: it prevents the cascade of injury, clinical overload, workforce loss, and the loss of maternal decency that follows every unprotected vaginal delivery.

More Than a Tear:
The Cost of Decency.

Severe perineal trauma (OASI) often results in fecal and urinary incontinence. In Sub-Saharan Africa, where delayed diagnosis and treatment are systemic, this is not just a clinical issue: it is a fundamental loss of human decency.1

"Women with fecal incontinence after birth report profound social isolation, shame, and a breakdown of the marital unit."1

Delayed diagnosis in low-resource settings means 60% of third-degree tears are unrecognized at birth, leading to chronic fistulas and lifelong morbidity.2

The Human Cost

When Birth
Breaks the Future.

A woman living with incontinence in a rural setting loses more than health: she loses her place in the community. She loses the ability to travel to market, to attend church, or to care for her children without fear. This is the gap Waridi fills.

Donate to Restore Decency
1 International Urogynecology Journal. Social and quality-of-life consequences after obstetric anal sphincter injury. 2019.  2 Lancet Global Health. Missed diagnosis and delayed treatment of OASI in low-resource settings. 2021.
Health System Burden

A Poverty Trap with a Birth Certificate.

$0 Million

3

Annual Direct Repair Burden

In Rwanda alone (20.9bn RWF)

This represents a recurring annual obligation larger than the entire budget of several district hospitals.

0

4

Perineal Repairs Annually

Most common surgical procedure in Rwanda

Every repair consumes ~1 hour of skilled clinical time in already overstretched wards.

0 staff-years

5

Lost Clinical Capacity

Every single year

435,400 clinical hours are absorbed into strained rosters, degrading quality of care elsewhere.

3 Sawazisha MedTech Labs. Rwanda perineal repair direct-cost model (health-system perspective). 2024.  4 Rwanda HMIS + WHO live birth estimates. Vaginal delivery and perineal repair volume assumptions. 2023.  5 Sawazisha MedTech Labs. Midwife time-and-motion estimate for second-degree repair workload. 2024.
Workforce Impact

Two Women Removed.

"Every unpreventable perineal tear that requires suturing removes approximately two women from the productive workforce for eight weeks: the woman who gave birth, and the woman who comes to care for her."6

$0 Million

Annual East Africa Productivity Loss

Across Rwanda, Kenya, and Uganda alone, preventable trauma removes $100M:$169M in annual output through recovery and caregiver displacement.7

0 Women

Kept in Productive Workforce

A 25% reduction in trauma rates would return over 337,500 women (mothers and caregivers) to full productivity every year in East Africa.8

Women working in tea fields
Empowered workforce
6 WHO. WHO recommendations on maternal and newborn care for a positive postnatal experience. 2022.  7 World Bank Gender Data Portal. Female labor participation and wage estimates (Rwanda, Kenya, Uganda). 2022.  8 Sawazisha MedTech Labs. East Africa productivity-loss model from maternal trauma and caregiver displacement. 2024.
Economic Efficiency

Highly Cost-Effective.
Net Cost-Saving.

Highly Cost-Effective

$267

Cost per DALY Averted

Waridi satisfies the WHO definition of "highly cost-effective" under all scenarios: performing at less than one-third of Rwanda's $820 GDP per capita threshold.9

Dominant Strategy

$1.80-$2.50

Economic Multiplier

Every $1 of direct health saving generates $1.80-$2.50 in economic value through productivity and child outcomes. Waridi is a net cost-saving strategy.10

9 WHO-CHOICE. Cost-effectiveness thresholds and GDP-per-capita contextualization for LMIC interventions. 2024 update.  10 Sawazisha MedTech Labs. Societal return-on-investment model (health-system + productivity + child outcomes). 2024.
A happy child representing the intergenerational impact of maternal care
Intergenerational Impact

Protecting the Next Generation.

Maternal health status in the postpartum period is one of the strongest predictors of child developmental outcomes. When a mother heals quickly and without trauma, the ripple effect reaches the child immediately.11

"A mother's well-being is the foundation of a child's future. By preventing trauma, we are securing the potential of the next generation."

Nutrition & Stunting12

Maternal depression is a significant predictor of child stunting (OR 1.5:2.0x). Preventing trauma reduces this risk for thousands of children annually.

+12,400

Children with uninterrupted breastfeeding

Maternal Well-being13

30:50% of women with severe trauma report psychological distress. Waridi helps avert over 10,000 cases of postnatal depression annually in Rwanda.

-21,750

Cases of postnatal depression averted

Cognitive Development14

Postnatal depression is associated with a 40% reduction in child language acquisition by age 2. Prevention preserves developmental potential.

8,700

Children avoiding cognitive delay

11 Lancet Early Childhood Development Series. Maternal health and child development trajectories. 2016.  12 Surkan PJ, Kennedy CE, Hurley KM, Black MM. Maternal depression and early childhood growth in developing countries: systematic review and meta-analysis. 2011.  13 Fisher J, Cabral de Mello M, Patel V, et al. Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries. Bull World Health Organ. 2012.  14 Kingston D, Tough S, Whitfield H. Prenatal and postpartum maternal psychological distress and child language outcomes at age 2 years. 2012.

Impact that Compounds.

Every prevented tear is a victory for a woman, her child, and the economy. Join us in delivering this impact at scale.

Impact that compounds — a couple sharing a joyful moment