The 2024 UN Secretary-General's report provides a comprehensive overview of the global landscape of obstetric fistula within the broader context of maternal health and well-being. It assesses progress made between 2022-2024, key challenges, and remaining gaps, including existing and emerging obstacles such as humanitarian crises and climate change, which exacerbate the root causes of this preventable childbirth injury. The report outlines efforts at the global, regional, and national levels and offers recommendations for action to accelerate progress towards ending obstetric fistula by 2030 through human rights-based and gender-transformative approaches.