This bill authorizes the establishment of an International OB/GYN and Urogynecology Promotion Program to enhance women's healthcare in least developed countries. The primary goal is to train and retain obstetrician-gynecologists (OB-GYNs) and sub-specialists in urogynecology, addressing the critical shortage of these professionals. This initiative aims to improve care for women suffering from devastating childbirth-related injuries, such as obstetric fistula, which disproportionately affects vulnerable populations. The program supports activities like establishing fellowship and residency programs in coordination with higher education institutions and clinical centers, and creating specialized training centers. These efforts will develop expertise among medical and midwifery students in areas where childbirth injuries are prevalent. Additionally, the bill mandates a comprehensive, integrated 10-year strategy to address the physician shortage, focusing on prevention, treatment, research, and institutional capacity-building, with annual reports to Congress on its implementation and effectiveness.