Stressing the interlinkages between poverty, malnutrition, lack of or inadequate or inaccessible health services, early childbearing, early marriage of the girl child, violence against young women and girls and gender discrimination as root causes of obstetric fistula, and that poverty remains the main social risk factor,
着重指出贫穷、营养不良、保健服务缺乏或不足或得不到、早育、女童早婚、暴力侵害年轻妇女和女孩行为与性别歧视彼此关联，是产科瘘管病的根源所在，而贫穷仍然是主要的社会风险因素，