the 37—year—old travelled for more than four hours on public transport from kisumu county to meet gilling only had her colostomy operation one week before, but that's how important this is to her. do women in kenya feel embarrassed about fistula, about stoma ? women are very, very embarrassed, yeah. and then, we don't come out to talk about it. with me, i stayed with the fistula for four years and i did not talk to anybody. why don't you talk about it? hmm... 0k, we fear that if you talk about it, some will laugh, some will hate, some will run. so, hi, grace. my name is claire. i'm one of the stoma nurses from the uk and i'm here to see if we can help you and support you with your stoma care. throughout the week, stoma nurse claire from whitley bay has been running a clinic, offering much—needed advice to the women. she also trained the nursing staff and helped to sort out the vast supplies of donated stoma bags. so, what are the main differences that you've seen in the women here, compared to what you see in the uk? i think it was the lack of support and care that they had, right from