259825 Experiences of women seeking treatment for obstetric fistula: Findings from Bangladesh, Guinea, Niger, Nigeria and Uganda

Tuesday, October 30, 2012 : 12:45 PM - 1:00 PM

Evelyn Landry, MPH , Fistula Care, EngenderHealth, New York, NY
Vera Frajzyngier, PHD, MPH , Fistula Care, EngenderHealth, New York City, NY
Joseph Ruminjo, MBChB, MMed O/G , Fistula Care, EngenderHealth, New York, NY
Mark Barone, DVM, MS , EngenderHealth, New York, NY
Frank Asiimwe, MD , Kilimanjaro Christian Medical College, Moshi, Tanzania
Thierno Hamidou Barry, MD , L`Hôpital Préfectoral de Kissidougou, Kissidougou Prefecture, Guinea
Abubakar Bello, MD , Maryam Abacha Hospital, Sokoto, Nigeria
Dantani Danladi, MD , Birnin Kebbi Fistula Centre, Kebbi State, Nigeria
Sanda Oumarou Ganda, MD, PhD , Hôpital Lamordé, Niamey, Niger
Sa'ad Idris, MD , Ministry of Health, Zamfara State, Nigeria
Mamane Inoussa , Centre Hospitalier Régionale, Région de Maradi, Niger
Maura Lynch, MD , Kitovu Mission Hospital, Masaka, Uganda
Felicity Mussell , LAMB Hospital, Dinajpur 5250, Bangladesh
Dulal Chandra Podder , Kumudini Hospital, Tangail, Bangladesh
Objectives: To present profiles and experiences of women with obstetric fistula. Methods: Data for 1,354 women were collected at admission, surgery, discharge, and 3 month follow-up using standardized forms. Results: Median fistula duration was 1 year and median age at fistula development was 20. At time of surgery, median parity was 2, and most women were married and financially supported by husbands or other relatives. Effects of living with fistula result in women being socially isolated : more than 80% reported leaking from the fistula prevented then attending social and religious gatherings and ability to work. Before discharge over 90% were counseled about FP and the importance of antenatal care for the next pregnancy; 54% accepted FP at time of discharge. At the three month follow up more than 70% of women reported improvements in the quality of their lives post-surgery—more were able to eat with others, attend religious and social gatherings and return to work. Conclusions: Prevention messages should target women of all ages and families. Clear messages about the causes of fistula and treatment options for women are needed to reduce the stigma associated with this morbidity. Longer term follow up should be conducted to learn about the women's experiences with reintegration.

Learning Areas:
Public health or related public policy
Social and behavioral sciences

Learning Objectives:
Describe the profile of women with obstetric fistula who presented for treatment services.

Keywords: International MCH, Research

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the lead author on the analysis of this section of the propsective study.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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