Health and Social Problems Encountered by Treated and Untreated Obstetric Fistula Patients in Rural Ethiopia

被引:78
作者
Muleta, Mulu [1 ]
Hamlin, E. Catherine [1 ]
Fantahun, Mesganaw [2 ]
Kennedy, Ruth C. [1 ]
Tafesse, Biruk [1 ]
机构
[1] Addis Ababa Fistula Hosp, Addis Ababa, Ethiopia
[2] Addis Ababa Univ, Sch Publ Hlth, Dept Reprod Hlth, Addis Ababa, Ethiopia
关键词
Obstertic fistula; social problems; depression; suicidal ideation;
D O I
10.1016/S1701-2163(16)32712-8
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To assess health, social, and psychological problems encountered by women with treated and untreated obstetric fistula (OF). Methods: A cross-sectional study consisting of quantitative and qualitative components was conducted in seven administrative regions of rural Ethiopia. Fifty-two women with OF were interviewed on the subjects of their socioeconomic status and history of the development of OF. Qualitative in-depth interviews were conducted with 27 of the untreated women and seven of the treated women. Results: A total of 19 153 houses were surveyed, and 55 women with fistulae were identified, of whom 52 were interviewed. Thirty-six of the interviewed women (69.2%) were divorced, 10 (19.2%) were not allowed to eat with family members, and 23 (44.2%) were not members of any community associations. Of the 48 women with feelings of depression, 28 (54.2%) had suicidal ideation. Twenty-four women attributed their development of a fistula to evil spirits, to a curse, or to sin. The in-depth interviews revealed that treatment improved family and social life; however, some health, social, and sexual problems remained. Conclusion: Women with OF encounter health, psychological, and social consequences that are not completely resolved by repairing the fistula. The care of women with OF should go beyond surgical treatment and should include support for their reintegration into the community with proper follow-up.
引用
收藏
页码:44 / 50
页数:7
相关论文
共 15 条
[1]  
Central Statistics Authority (CSA), 2005, DEM HLTH SURV ETH 20
[2]  
CSA, 2000, ETH DEM HLTH SURV 20
[3]   SURGERY FOR THE OBSTETRIC VESICOVAGINAL FISTULA - A REVIEW OF 100 OPERATIONS IN 82 PATIENTS [J].
ELKINS, TE .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1994, 170 (04) :1108-1120
[4]  
Ijaiya M A, 2004, West Afr J Med, V23, P7
[5]  
Kelly John, 1995, World Health Statistics Quarterly, V48, P15
[6]   MATERNAL MORBIDITY IN DEVELOPING-COUNTRIES - A REVIEW AND COMMENTS [J].
LISKIN, LS .
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 1992, 37 (02) :77-87
[7]  
Mabeya HM, 2004, CHARACTERISTICS WOME
[8]  
Ministry of Health of Federal Democratic Republic of Ethiopia, HLTH HLTH REL IND 20
[9]  
Muleta M, 2004, ETHIOPIAN MED J, V42, P9
[10]  
UNFPA New-York, 2004, P S AS C PREV TREATM