The UN Secretary-2022 General's report brings to the General Assembly's attention existing and new challenges to ending obstetric fistula within a decade, including climate change and the COVID-19 pandemic, which have exacerbated the root causes of this devastating childbirth injury. The report outlines efforts made at the global, regional, and national levels and makes recommendations to intensify these efforts to end fistula by 2030, using human rights-based and gender transformative approaches.