The Campaign to End Fistula: What have we learned? Findings of facility and community needs assessments

Velez, Ana K.; Ramsey, Kate; Tell, Katie

doi:10.1016/j.ijgo.2007.06.036

Cited by 58 publications

(79 citation statements)

References 2 publications

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“…In considering regional issues around obstructed labour, only one article detailed that obstructed labour is common in African women due to the narrow build of their pelvis 20 . It was noted in eighteen articles that many African girls get married at an early age, which increases their risk for obstructed labour, which if not managed leads to prolonged labour [1][2][3][4]11,12,[14][15][19][20][21][22][23][24][25][26][27][28] .…”

Section: Obstructed Labourmentioning

confidence: 99%

“…In 15 of the articles, a core focus was on the seminal work by Thaddeus and Maine on the Three Phases of Delay [1][2][3][4][5]11,[15][16][19][20][21][23][24][25]28 , which is a conceptual model that identifies obstacles to the provision and timely utilisation of high quality obstetric care 29 . Consideration of the three phases occurred across these 15 articles [1][2][3][4][5]11,[15][16][19][20][21][23][24][25]28 .…”

Section: Three Phases Of Delaymentioning

confidence: 99%

“…The articles suggested that the factors greatly affecting the decision to seek care were various, including: distance, cost, sociocultural beliefs, and the perceived quality of care [3][4][5]11,[13][14]19,[23][24]28 . Importantly, one article emphasised that research has shown that an increase in the availability of services does not always increase the use of the services, leaving the issue of delay in decision to seek care an important focus for researchers 29 .…”

Section: Phase 1: Delay In Deciding To Seek Carementioning

confidence: 99%

“…The core focuses of the articles remained on two central factors driving Phase 1 delay: geography and cost. Eight of the articles mention that, more often than not, in rural areas health care facilities are sparse, resulting in people having to travel great distances to access health care [3][4][5]11,15,[24][25][26][27][28] . Such geographical distance not only was connected to travel time (impacting on Phase 2 delay), but connected to the idea of cost.…”

Section: Phase 1: Delay In Deciding To Seek Carementioning

confidence: 99%

“…Obstetric fistula-a current global health concern, particularly for women in rural and developing settings-continues to receive extensive international attention [1][2][3][4][5] . The World Health Organization (WHO) estimates that over two million women live with untreated obstetric fistula in Asia and sub-Saharan Africa 6 .…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Obstetric Fistula: A Narrative Review of the Literature on Preventive Interventions in sub-Saharan Africa

Lufumpa

Steele

2016

Afr J Reprod Health

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Obstetric fistulas are childbearing injuries that present a major public health issue, especially in the developing context. This study brings together the literature on the causes of these injuries in sub-Saharan Africa, as well as suggested interventions aimed at its prevention. Furthermore, it also aims to identify gaps in the research that need to be addressed. A systematic search of PubMed, Embase, Web of Science, and Scopus identified that extensive research has been carried out on the factors causing this injury, the main factors being complications during labour, three phases of delay, and culture. Nonetheless, there remains a dearth of literature detailing preventive measures. While few studies discussed preventive interventions that had been implemented, the literature does well to suggested preventive interventions. Suggested preventive measures target the community, as well as healthcare facilities. The literature also highlights the need for increased governmental support, as a means of preventing the development of fistulas. Using narrative review methods, we identify that the research focus remains primarily on the causes of obstetric fistula and ways of managing the injury, while paying less attention to means of preventing this injury. We therefore recommend further exploration of preventive measures. RésuméLes fistules obstétricales sont des blessures d'accouchement qui présentent un problème considérable de santé publique, en particulier dans le contexte des pays en voie de développement. Cette étude rassemble la documentation sur les causes de ces blessures en Afrique subsaharienne, ainsi que les interventions proposées visant à sa prévention. En outre, il vise également à identifier les lacunes dans la recherche qui doivent être abordées. Une recherche systématique sur les bases de données PubMed, Embase, Web of Science, et Scopus a révélé que des recherches approfondies ont été menées sur les causes de cette blessure, les principaux facteurs étant les complications pendant l'accouchement, les trois étapes de retard, et la culture. Néanmoins, il reste encore un manque de documentation détaillant les mesures préventives. Malgré que peu d'études aient discuté des interventions préventives qui avaient été mises en oeuvre, la documentation a bienfait de proposer des interventions préventives. Ces mesures proposées ciblent la communauté, ainsi que les centres médicaux. La documentation met également en évidence la nécessité d'un soutien accru de la part du gouvernement, comme un moyen d'empêcher le développement des fistules. En utilisant des méthodes de recherche pour les examens narratifs, nous identifions que la documentation se concentre principalement sur les causes de la fistule obstétricale et les moyens de traiter cette blessure, tout en accordant moins d'attention à la prévention de cette blessure. Par conséquent, nous recommandons une exploration plus approfondi sur les mesures de prévention. (Afr J Reprod Health 2016 (Edition Spéciale); 20[3]: 118-126).

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Section: Obstructed Labourmentioning

confidence: 99%

Section: Three Phases Of Delaymentioning

confidence: 99%

Section: Phase 1: Delay In Deciding To Seek Carementioning

confidence: 99%

Section: Phase 1: Delay In Deciding To Seek Carementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Obstetric Fistula: A Narrative Review of the Literature on Preventive Interventions in sub-Saharan Africa

Lufumpa

Steele

2016

Afr J Reprod Health

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Campaign to End Fistula with special focus on Ethiopia – A walk to beautiful¹ Is there a role for ultrasound?

Nolsøe

2013

Australas J Ultrason Med

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Obstetric Fistula in Low and Middle Income Countries

Capes

Ascher‐Walsh

Idrissa

et al. 2011

Mount Sinai J Medicine

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Vesicovaginal fistula secondary to obstructed labor continues to be an all-too-common occurrence in underdeveloped nations throughout Africa and Asia. Vesicovaginal fistula remains largely an overlooked problem in developing nations as it affects the most marginalized members of society: young, poor, illiterate women who live in remote areas. The formation of obstetric fistula is a result of complex interactions of social, biologic, and economic influences. The key underlying causes of fistula are the combination of a lack of functional emergency obstetric care, poverty, illiteracy, and low status of women. In order to prevent fistula, some strategies include creation of governmental policy aimed toward reducing maternal mortality/morbidity and increasing availability of skilled obstetric care, as well as attempts to increase awareness about its prevention and treatment among policymakers, service providers, and communities. Whereas prevention will require the widespread development of infrastructure within these developing countries, treatment of fistula is an act which can be done "in the now." Treatment and subsequent reintegration of fistula patients requires a team of specialists including surgeons, nurses, midwives, and social workers, which is largely unavailable in developing countries. However, there is increasing support for training of fistula surgeons through standardized programs as well as establishment of rehabilitation centers in many nations. The eradication of fistula is dependent upon building programs that target both prevention and treatment.

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The Campaign to End Fistula: What have we learned? Findings of facility and community needs assessments

Abstract: Needs assessment findings have been key tools to spark action and guide the implementation of national programs to eliminate obstetric fistulas throughout Africa and Asia.

Cited by 58 publications

References 2 publications

Obstetric Fistula: A Narrative Review of the Literature on Preventive Interventions in sub-Saharan Africa

Obstetric Fistula: A Narrative Review of the Literature on Preventive Interventions in sub-Saharan Africa

Campaign to End Fistula with special focus on Ethiopia – A walk to beautiful¹ Is there a role for ultrasound?

Obstetric Fistula in Low and Middle Income Countries

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The Campaign to End Fistula: What have we learned? Findings of facility and community needs assessments

Abstract: Needs assessment findings have been key tools to spark action and guide the implementation of national programs to eliminate obstetric fistulas throughout Africa and Asia.

Cited by 58 publications

References 2 publications

Obstetric Fistula: A Narrative Review of the Literature on Preventive Interventions in sub-Saharan Africa

Obstetric Fistula: A Narrative Review of the Literature on Preventive Interventions in sub-Saharan Africa

Campaign to End Fistula with special focus on Ethiopia – A walk to beautiful1 Is there a role for ultrasound?

Obstetric Fistula in Low and Middle Income Countries

Contact Info

Product

Resources

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Campaign to End Fistula with special focus on Ethiopia – A walk to beautiful¹ Is there a role for ultrasound?