Social Experiences of Women with Obstetric Fistula Seeking Treatment at Mulago National Referral Hospital in Kampala, Uganda

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dc.contributor.authorBarageine, Justus Kafunjo
dc.contributor.authorMarielle, Meurice
dc.contributor.authorRene, Genadry
dc.contributor.authorCarol, Heimer
dc.contributor.authorGalya, Ruffer
dc.date.accessioned2018-02-26T09:26:32Z
dc.date.available2018-02-26T09:26:32Z
dc.date.issued2017-08
dc.descriptionThis study investigated social experiences of women with obstetric fistula seeking treatment at Mulago Hospital in Kampala, Uganda.en_US
dc.description.abstractBACKGROUND Obstetric fistula is a preventable and treatable condition predominately affecting women in low-income countries. Understanding the social context of obstetric fistula may lead to improved prevention and treatment. O B J E C T I V E S This study investigated social experiences of women with obstetric fistula seeking treatment at Mulago Hospital in Kampala, Uganda. METHODS A descriptive study was conducted among women seeking treatment for obstetric fistula at Mulago Hospital during a surgical camp in July 2011 using a structured questionnaire. Descriptive statistics were computed regarding sociodemographics, obstetric history, and social experience. F I N D I N G S A total of 53 women participated; 39 (73.58%) leaked urine only. Median age was 29 years (range: 17-58), and most were married or separated. About half (28, 47.9%) experienced a change in their relationship since acquiring obstetric fistula.More than half (27, 50.94%) had acquired obstetric fistula during their first delivery, despite almost everyone (50, 94.3%) receiving antenatal care. The median time suffering from obstetric fistula was 1.25 years. Nearly every participant’s social participation changed in at least one setting (51, 96.23%). Most women thought that a baby being too big or having kicked their bladder was the cause of obstetric fistula. Other participants thought health care providers caused the fistula (15, 32.61%; n = 46), with 8 specifying that the bladder was cut during the operation (cesarean section). Knowing someone with obstetric fistula was influential in pursuing treatment. The majority of participants planned to return to family (40, 78.43%; n = 51) and get pregnant after repair (35, 66.04%; n = 53). CONCLU S I O N Study participants experienced substantial changes in their social lives as a result of obstetric fistula, and there were a variety of beliefs regarding the cause. The complex social context is an important component to understanding how to prevent and treat obstetric fistula. Further elucidation of these factors may bolster current efforts in prevention and holistic treatment.en_US
dc.identifier.citationBarageine, Justus Kafunjo et al., 2017. Social Experiences ofWomen with Obstetric Fistula Seeking Treatment at Mulago National Referral Hospital in Kampala, Ugandaen_US
dc.identifier.urihttps://hdl.handle.net/20.500.11951/148
dc.language.isoenen_US
dc.subjectGenitourinary fistulaen_US
dc.subjectMaternal healthen_US
dc.subjectObstetric fistulaen_US
dc.subjectObstructed laboren_US
dc.subjectSocial experienceen_US
dc.subjectUgandaen_US
dc.titleSocial Experiences of Women with Obstetric Fistula Seeking Treatment at Mulago National Referral Hospital in Kampala, Ugandaen_US
dc.typeArticleen_US
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The final, definitive version of this paper has been published in the Annals of Global Health, Vol.83/Issue 3-4, August/2017. h t t p s : / / d o i . o r g / 1 0 . 1 0 1 6 / j . a o g h . 2 0 1 7 . 0 7 . 0 0 3; P u b l i s h e d b y E l s e v i e r I n c . A l l r i g h t s r e s e r v e d.
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