Health seeking behaviors of women living with obstetric fistula in Zimbabwe: A qualitative cross sectional study

Chimamise, Chipo; Munjanja, Stephen; Machinga, Mazvita; Shiripinda, I.

doi:10.1080/19371918.2021.1931617

Cited by 3 publications

(4 citation statements)

References 8 publications

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“…Chimamise et al. describe that women may abandon seeking fistula repair when it becomes unaffordable 58 …”

Section: Resultsmentioning

confidence: 99%

“…Chimamise et al describe that women may abandon seeking fistula repair when it becomes unaffordable. 58 In addition to direct expenditure, the indirect costs of seeking care include time away from work for treatment and recovery and were described in several studies. 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.…”

Section: Economic Consequences Of Seeking Carementioning

confidence: 99%

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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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“…Chimamise et al. describe that women may abandon seeking fistula repair when it becomes unaffordable 58 …”

Section: Resultsmentioning

confidence: 99%

Section: Economic Consequences Of Seeking Carementioning

confidence: 99%

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

Bari,

Oliver,

Abbas

et al. 2024

Intl J Gynecology & Obste

View full text Add to dashboard Cite

show abstract

“…This contrasts with health seeking behaviours in Western societies. Studies on health seeking behaviours for obstetric fistula treatment have identified poor health systems and economic factors as significant influencers (Chimamise et al., 2021; Gebremedhin & Asefa, 2019; Khisa et al., 2017). The chaos narrative, which Frank describes as the opposite of restitution, was the first and most common in this study.…”

Section: Discussionmentioning

confidence: 99%

Journey for a cure: Illness narratives of obstetric fistula survivors in North Central Nigeria

Degge,

Laurenson,

Dumbili

et al. 2023

Sociology Health & Illness

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Obstetric fistula is a life transforming event resulting in embodied biographical disruption. Survivors suffer myriad long‐term physical and emotional consequences. This paper is an account of a narrative inquiry, conducted with 15 fistula survivors in North‐central, Nigeria, who described how their identities had been transformed by their condition. A narrative therapeutic approach, using Frank’s ‘chaos, restitution and quest’ typology, was used to map their recovery narratives. ‘Chaos’, described by Frank as the opposite of restitution, dominated, with women losing hope of recovery. Women’s shift towards ‘restitution’ began with treatment, but inadequate health‐care access often delayed this process. In their quest narratives, women’s life and identify changes enabled them to derive meaning from their experience of obstetric fistula within the context of their own lives. The findings highlight socio‐structural factors raising the risk of obstetric fistula, which in turn causes biographical disruption and hampers sufferers’ treatment and recovery. Rehabilitation should include income‐generating skills to bring succour to survivors, particularly those whose incontinence persists after repairs.

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“…7 In addition, a woman may accept these conditions as "normal postpartum healing" rather than seeking treatment due to cultural barriers or a lack of sexual and reproductive health knowledge. [13][14][15] Women with obstetric fistulas are prevented from…”

Section: Introductionmentioning

confidence: 99%

Understanding Healthcare-Seeking Pathways and Dilemmas Among Women with Obstetric Fistulas in Ethiopia: A Qualitative Inquiry

Hurissa¹,

Koricha²,

Dadi³

2023

IJWH

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Background Obstetric fistula is a public health problem with a damaging effect on the health of women around the world. The path to medical care is an integral part of women’s experience of illness that may have an impact on their health. Studies have addressed the experiences of patients after fistula repair, but fistula victims’ care-seeking pathways and dilemmas are still poorly understood in low-income countries, particularly Ethiopia. Objective This study aimed to explore the care-seeking pathways and dilemmas among women with fistulas in Ethiopia. Methods An exploratory phenomenological study was carried out from April 1 to August 1, 2019, through in-depth interviews and supplementary informant interviews. Data were obtained from 21 purposively selected women with fistulas who survived with morbidity for one and more years and 12 supplementary interviewees at fistula treatment centers in Oromia Region and Addis Ababa. Data were analyzed assisted by ATLAS. ti 8.4 software. Results Respondents gave their testimony that most of the women with fistulas first sought care from traditional care places and finally from fistula treatment centers. The reasons for care-seeking path dilemmas were a wrong perception about fistula, its causes, and treatment; families’ pressure and lack of decision-making power on where to seek treatment, and a lack of knowledge on where modern treatments are available for fistula. They received psychological, companionship, and transport support from a family and a community; referral and counseling support from health care providers during their care-seeking pathways. Conclusion A myriad of reasons inhibits the right care-seeking pathways among women with fistulas. Communities and women with fistula awareness creation on the right places for fistula treatment and psychological support programs are required. Additionally, developing and implementing tactics for community-level screening programs for targeted victims and early admission to treatment centers can minimize the tragic sequela of the fistula.

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Health seeking behaviors of women living with obstetric fistula in Zimbabwe: A qualitative cross sectional study

Cited by 3 publications

References 8 publications

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

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

Journey for a cure: Illness narratives of obstetric fistula survivors in North Central Nigeria

Understanding Healthcare-Seeking Pathways and Dilemmas Among Women with Obstetric Fistulas in Ethiopia: A Qualitative Inquiry

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