I want to be clear that my review is not of the Fistula Foundation itself, an organization I've followed and supported for many years. They do crucial, and often life-saving, work for many women who otherwise could never access the care they need and deserve. Living with the permanent damage of untreated fistula is a horror no woman, whatever her net worth or geographic location, should have to endure, and I'm incredibly glad that this organization is able to fund the hospitals, doctors, and procedures that ensure every woman afflicted with fistula can have her life back. Too often, women of color in under-resourced nations are an afterthought for most people. But each of those women has as much worth and value as anyone else on the planet, and all of them deserve to live in comfort and health and peace.
And there were some really lovely moments in this book when we get to visit the hospitals and meet some of the women who are being helped and hear a bit about the impact finally getting this needed surgery is having on their lives and mental states. Also seeing how the hospitals work with the local communities, training people there to work as nurses or assistants, and showing respect for the culture and customs of the places they're in was really good to see. Much of the time, NGOs run by mostly white Westerners don't always get those things right. I can't say that Fistula Foundation does every single time, but it certainly seems like that is a key concern of theirs and that's gratifying to see.
However...as a reading experience, I found this book a bit lacking. It falls into the trap of many books of this type, which is that the author thinks we're reading the book because she wrote it, not because of what she is writing about. I don't want to sound mean here, but like...I don't really care much about your personal life? We got a rather long beginning chunk of the book that's just all about Grant's life prior to joining the foundation -- her work in advertising, her schooling, her relationships, etc. And I just was not interested in that. All of it could've been boiled down to maybe 8-10 pages, just giving the reader a brief understanding of what led her to the work she does now. I did not need to know, for example, about your cheating boyfriend gaslighting you about the woman who was leaving him flirty voicemails.
And while, as I said, we do get to see some of the work being done thanks to the foundation's support, the majority of the book is not about "the work the foundation enables" but rather "the work of running the foundation" which was, I'm sorry, pretty boring. We sit in on multiple meetings and watch multiple conversations and arguments and plan-designing and fundraising and so on and so forth, and it was dry and dull. It's also a pet peeve of mine in memoirs or similar nonfiction works when numerous long, multi-person conversations are recounted to us years or even decades after the fact as though they just happened yesterday. You do NOT remember every single word of every single board meeting you've attended, and it irks me when authors want us all to just pretend like they do. A lot of this bean-counting and T-crossing left me skimming down the pages, waiting for something of actual interest and meaning to happen again. I had thought that the lion's share of the book would be about the hospitals, the doctors, the patients, etc. It was not.
So I very much appreciate the foundation's mission, but this book wasn't what I expected it to be, and doesn't really do what I assumed it aimed to do.