Transforming Obstetric Fistula through Concealment in Niger

Heller, Alison

doi:10.17730/0018-7259.77.3.239

Cited by 3 publications

(5 citation statements)

References 14 publications

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“…Women with OF display resilience and personal agency by utilizing various coping mechanisms to manage and adjust to the symptoms of OF such as changes to hygiene routines, seeking support from family and community groups and adopting optimistic attitudes 22,35,36 . However, the costs of managing OF and associated symptoms have economic consequences for women and their families 18,23,26,28,29,32,34,36–40,48,50–52 . This includes money required to buy pads, soaps, and other hygiene products to manage symptoms.…”

Section: Resultsmentioning

confidence: 99%

“…One study reported the average indirect cost of OF treatment in Northern Nigeria to be USD 107.54, nearly twice the monthly minimum wage for people employed in the formal sector 12 . Whether employed in the formal or informal sector, women have been shown to experience income and productivity losses during long hospitals stays required for treatment 14,23,43,51,52 . Losses continue when these women return home and are unable to work during recovery—especially if work is physically laborious 16,21,47,48,51,52 .…”

Section: Resultsmentioning

confidence: 99%

“…22,35,36 However, the costs of managing OF and associated symptoms have economic consequences for women and their families. 18,23,26,28,29,32,34,[36][37][38][39][40]48,[50][51][52] This includes money required to buy pads, soaps, and other hygiene products to manage symptoms. Some studies described women having to buy inferior quality products as they were more affordable, although offering poorer relief.…”

Section: Inclusion Criteriamentioning

confidence: 99%

“…12 Whether employed in the formal or informal sector, women have been shown to experience income and productivity losses during long hospitals stays required for treatment. 14,23,43,51,52 Losses continue when these women return home and are unable to work during recovery-especially if work is physically laborious. 16,21,47,48,51,52 Therefore, women who achieve successful OF repair may be left with economic struggles due to both the direct and indirect costs of seeking care.…”

Section: Economic Consequences Of Seeking Carementioning

confidence: 99%

“…14,23,43,51,52 Losses continue when these women return home and are unable to work during recovery-especially if work is physically laborious. 16,21,47,48,51,52 Therefore, women who achieve successful OF repair may be left with economic struggles due to both the direct and indirect costs of seeking care.…”

Section: Economic Consequences Of Seeking Carementioning

confidence: 99%

See 4 more Smart Citations

The economic consequences of obstetric fistula: A systematic search and narrative review

Bari,

Oliver,

Abbas

et al. 2024

Intl J Gynecology & Obste

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BackgroundObstetric fistula develops from obstructed labor and is a devastating condition with significant consequences across several domains of a woman's life. This study presents a narrative review of the evidence on the economic consequences of obstetric fistula.MethodsThree databases were searched, and search results were limited to English language papers published after 2003. Search results were reviewed for relevance based on title and abstract followed by full text review using specific inclusion and exclusion criteria. Bibliographies of papers were also scanned to identify relevant papers for inclusion. Data were extracted under three categories (defined a priori): the economic consequences of having the condition, the economic consequences of seeking care, and the macroeconomic impacts.ResultsThe search returned 517 unique papers, 49 of which were included after screening. Main findings identified from the studies include women losing their jobs, becoming dependent on others, and losing financial support when relationships are lost. Seeking care was economically costly for families or unaffordable entirely. There were no studies describing the impact of fistula on national economies.ConclusionEconomic consequences of obstetric fistula are multifaceted, pervasive, and are intertwined with the physical and psychosocial consequences of the condition. Understanding these consequences can help tailor existing fistula programs to better address the impacts of the condition. Further research to address the dearth of literature describing the macroeconomic impact of obstetric fistula will be critical to enhance the visibility of this condition on the health agendas of countries.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%