Milken Institute School of Public Health Poster Presentations (Marvin Center & Video)

Poster Number

25g

Document Type

Poster

Status

Graduate Student - Masters

Abstract Category

Global Health

Keywords

Obstetric Fistula, Reproductive Health, Maternal Health, Global Health, Gender Disparities

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Publication Date

Spring 2018

Abstract

Background:

Obstetric fistula is a condition experience by women who because of prolonged labor become incontinent forming one or more holes in between the rectum and the vagina or the vagina and the bladder (Heller, A., 2017). The hole causes uncontrollable stool and urine to leak from the woman. For most women with obstetric fistula, the duration of the labor leading to fistula varied between 5 hours and 9 days, averaging 3.0 days long (Heller, A., 2017). Women who suffer from this from this condition are do not have access to quality medical care.

Objective: This review will be to a) analyze effective outreach services to treat women with obstetric fistula; and b) identify gaps, challenges and impact of outreach activities. This critical analysis is to explore approaches to increase demand of obstetric fistula and the process for matching those who need obstetric fistula surgery with a health facility and surgeon who is equipped to repair the condition.

Methods: A literature review was conducted using the following databases; PubMed, Medline, Scopus, AJPH and other relevant sources without a specific date range to include any research ever published. Only original empirical research published in English was included.

Results and Discussion: Sixteen articles matched the research topic of outreach to obstetric fistula patients. The outreach design needs to be driven by the country context to be effective. One article discussed a hospital-based outreach program design, another article discussed screening women for obstetric fistula who participated in a large clinical trial. Two articles discussed using task shifting to screen women in their communities before transporting them to a health facility. Other articles examined medical records to pinpoint endemic areas to concentrate on specific regions while other articles discussed community mobilization as the key intervention to outreach to obstetric fistula patients.

Conclusion: Effective outreach programs consist of efficient coordination and collaboration with national, subnational and civic society entities. The outreach intervention focuses on increasing awareness about obstetric fistula and the available treatment. Efficient outreach programmes can reduce the length of time before women are repaired because of effective coordination. Strengthening the health system is essential to have effective sensitization and community mobilization programs. The results of each of these studies reveals that locating women with obstetric fistula is challenging but through strategic intervention the number of women who have are repaired is steadily increasing.

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(VIDEO) Outreach services to treat women living with obstetric fistula: A systematic review

Background:

Obstetric fistula is a condition experience by women who because of prolonged labor become incontinent forming one or more holes in between the rectum and the vagina or the vagina and the bladder (Heller, A., 2017). The hole causes uncontrollable stool and urine to leak from the woman. For most women with obstetric fistula, the duration of the labor leading to fistula varied between 5 hours and 9 days, averaging 3.0 days long (Heller, A., 2017). Women who suffer from this from this condition are do not have access to quality medical care.

Objective: This review will be to a) analyze effective outreach services to treat women with obstetric fistula; and b) identify gaps, challenges and impact of outreach activities. This critical analysis is to explore approaches to increase demand of obstetric fistula and the process for matching those who need obstetric fistula surgery with a health facility and surgeon who is equipped to repair the condition.

Methods: A literature review was conducted using the following databases; PubMed, Medline, Scopus, AJPH and other relevant sources without a specific date range to include any research ever published. Only original empirical research published in English was included.

Results and Discussion: Sixteen articles matched the research topic of outreach to obstetric fistula patients. The outreach design needs to be driven by the country context to be effective. One article discussed a hospital-based outreach program design, another article discussed screening women for obstetric fistula who participated in a large clinical trial. Two articles discussed using task shifting to screen women in their communities before transporting them to a health facility. Other articles examined medical records to pinpoint endemic areas to concentrate on specific regions while other articles discussed community mobilization as the key intervention to outreach to obstetric fistula patients.

Conclusion: Effective outreach programs consist of efficient coordination and collaboration with national, subnational and civic society entities. The outreach intervention focuses on increasing awareness about obstetric fistula and the available treatment. Efficient outreach programmes can reduce the length of time before women are repaired because of effective coordination. Strengthening the health system is essential to have effective sensitization and community mobilization programs. The results of each of these studies reveals that locating women with obstetric fistula is challenging but through strategic intervention the number of women who have are repaired is steadily increasing.

 

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