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    Beyond repair-family and community reintegration after obstetric fistula surgery: study protocol

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    The final, definitive version of this paper has been published in the Reproductive Health, Vol.12/Issue115, 2015. DOI 10.1186/s12978-015-0100-1; published by BioMed Central, All rights reserved. (411.0Kb)
    Date
    2015
    Author
    Barageine, Justus Kafunjo
    Byamugisha, Josaphat
    El Ayadi, Alison
    Obore, Susan
    Mwanje, Haruna
    Kakaire, Othman
    Lester, Felicia
    Butrick, Elizabeth
    Korn, Abner
    Nalubwama, Hadija
    Knight, Sharon
    Miller, Suellen
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    Abstract
    Background: Obstetric fistula is a debilitating birth injury that affects an estimated 2–3 million women globally, most in sub-Saharan Africa and Asia. The urinary and/or fecal incontinence associated with fistula affects women physically, psychologically and socioeconomically. Surgical management of fistula is available with clinical success rates ranging from 65–95 %. Previous research on fistula repair outcomes has focused primarily on clinical outcomes without considering the broader goal of successful reintegration into family and community. The objectives for this study are to understand the process of family and community reintegration post fistula surgery and develop a measurement tool to assess long-term success of post-surgical family and community reintegration. Methods: This study is an exploratory sequential mixed-methods design including a preliminary qualitative component comprising in-depth interviews and focus group discussions to explore reintegration to family and community after fistula surgery. These results will be used to develop a reintegration tool, and the tool will be validated within a small longitudinal cohort (n = 60) that will follow women for 12 months after obstetric fistula surgery. Medical record abstraction will be conducted for patients managed within the fistula unit. Ethical approval for the study has been granted. Discussion: This study will provide information regarding the success of family and community reintegration among women returning home after obstetric fistula surgery. The clinical and research community can utilize the standardized measurement tool in future studies of this patient population.
    Use this URI to cite this item:
    https://hdl.handle.net/20.500.11951/149
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