Social Reintegration and Rehabilitation of Obstetric Fistula Patients Before and After Repair in Sub-Saharan Africa: A Systematic Review

Atuhaire, Shallon; Ojengbede, Oladosu; Mugisha, John Francis; Odukogbe, Akin‐Tunde A.

doi:10.3126/njog.v13i2.21714

Cited by 3 publications

(1 citation statement)

References 22 publications

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“…The findings of this study are similar to others that have reported interventions benefiting the quality of life of fistula clients which were documented (36)(37)(38). However, program stakeholders provided suggestions for improving the social immersion program, including providing food to host families to help them take better care of women during their stay, training and supporting women for their economic autonomy and reintegration, and improving fistula care, especially for those with residual incontinence.…”

Section: Recommendations For Improving Social Immersion and Reintegration Programssupporting

confidence: 85%

Social Immersion for Women After Repair for Obstetric Fistula: An Experience in Guinea

Délamou

Douno

Bouédouno

et al. 2021

Front. Glob. Womens Health

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Background: Reintegration of women after repair of their female genital fistula remains a challenge. The objective of this study was to document the medical pathway and the reintegration process of women through the “social immersion” program of EngenderHealth in Kissidougou and Labé (Guinea).Methods: This was a qualitative descriptive study with 55 participants, including women seeking fistula care and stakeholders involved in the social immersion for repaired women in Kissidougou and Labé. The study included collecting demographic and clinical data of women, interviews with women before and after surgery, after social immersion, and 3 months post-discharge. Municipal officials, health providers, and members of host families were also interviewed. The study protocol was approved by the Guinea National Ethics Committee for Health Research.Results: The study confirmed that obstetric fistula still occurs among women living in rural and underserved areas. Most women attended at least two to five antenatal care visits, but nine over 10 reported a tragic experience of child loss associated with the occurrence of fistula. Most of them received support from their husband/partner during referral after the obstructed labor and later in the search for treatment. Women and stakeholders reported a good experience of surgery and social immersion in both Kissidougou and Labé. About 3 months after discharge, women who were continent reported being happy with their new life compared to women discharged with repair failure and residual incontinence.Conclusion: The study found the positive impacts of social immersion on the quality of life of women after fistula repair, particularly for those women who had a successful repair. The approach can be included in fistula care programs, either through direct provision or through referral to programs that can provide this service.

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Section: Recommendations For Improving Social Immersion and Reintegration Programssupporting

confidence: 85%

Social Immersion for Women After Repair for Obstetric Fistula: An Experience in Guinea

Délamou

Douno

Bouédouno

et al. 2021

Front. Glob. Womens Health

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Factors associated with reintegration trajectory following female genital fistula surgery in Uganda

Bigley,

Barageine,

Nalubwama

et al. 2023

AJOG Global Reports

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Determinants of antenatal care visits and their impact on the choice of birthplace among mothers in Uganda: a systematic review

Atuhaire¹,

Mugisha²

2020

OGIJ

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Objective: The utilization of Antenatal Care (ANC) services to the recommended time by WHO is still low in developing countries. In Uganda, about 990,000 women become pregnant annually, 90 to 94% of whom attend at least the first ANC visit while 65% and 58% of them attend four or more times in urban and rural areas respectively with eventual health facility birth at about 62%, homebirth and TBA together at about 38%. The study determined antenatal care attendance and the mother’s choice of birthplace in Uganda. Materials and methods: Using electronic databases mainly Google Scholar, Science Direct, PubMed and African Journals Online, and journal articles of international Website, 70,195 articles were identified but only 19 met the Cochrane review inclusion criteria hence were reviewed. Results: Reviewed studies attribute a decline in antenatal care visits and subsequent choice of birthplace to institutional, demographic and socio-economic factors. The demographic factors are maternal age (mothers less than eighteen years are less likely to utilize maternal health services than those above), marital status, occupation, residency, distance from home to the health facility, and parity. The socio-economic factors are mothers’ and partners’ levels of education (less educated women and their partners are less likely to utilize ANC), household income which affects transportation and medical bills, cultural norms and taboos, patriarchy society, enrollment on ANC in the third trimester, and intrinsic factors of attending ANC such as obtaining ANC card to present in case of emergency. Institutional factors include quality of medical care, availability of logistics and supplies, and health workers’ influence in terms of attitude, referral, competences, and staffing. Conclusion: Pregnant women who attend ANC are more likely to deliver in the health facility than those who do not at all. To enable them to attend ANC to full term and have a health facility delivery, their empowerment for increased self-efficacy through education, sustainable livelihood training and provision of subsidized capital alongside partner involvement. The facilitation of health facilities would also attract them.

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Social Reintegration and Rehabilitation of Obstetric Fistula Patients Before and After Repair in Sub-Saharan Africa: A Systematic Review

Cited by 3 publications

References 22 publications

Social Immersion for Women After Repair for Obstetric Fistula: An Experience in Guinea

Social Immersion for Women After Repair for Obstetric Fistula: An Experience in Guinea

Factors associated with reintegration trajectory following female genital fistula surgery in Uganda

Determinants of antenatal care visits and their impact on the choice of birthplace among mothers in Uganda: a systematic review

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