Journal of Family and Reproductive Health 2009. 3(4):109-116.

Analysis of Obstetric Fistula in Ethiopia
Thankam Sunil, Marguerite Sagna

Abstract


Objective: To study the association between social, demographic, cultural and maternal care practice variables and obstetric fistula status in Ethiopia.
Materials and Methods: The most recent Ethiopia Demographic and Health Survey conducted in 2005 is used to study the association between social, demographic, cultural and maternal care practice and obstetric fistula. We use both univariate and bivariate analyses to describe the association between the selected variables on obstetric fistula status.
Results: A number of social, demographic and maternal care practice variables are found to be significantly (p<0.05) associated with obstetric fistula status. These include level of education, age at first birth, place of residence, antenatal services and place of delivery.
Conclusion: The study results emphasize the significance of both treatment and prevention activities in eradicating this highly preventable health condition of women in Ethiopia.


Keywords


Obstetric fistula; Ethiopia; Maternal care; Social

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References


Lane S. From population control to reproductive health: An emerging policy agenda. Soc Sci Med 1994; 39:1303-14.

UN Population and Development. Program of Action adopted at the International Conference on Population and Development, Cairo, Egypt, September 5-13, 1994. New York: United Nations, Department for Economic and Social Information and Policy Analysis, ST/ESA/SERA/149; 1994.

The United Nations Millennium Declaration. The Millennium Assembly, United Nations, New York. 2000. Available in http://www.un.org/millennium. Accessed June 2, 2009.

Shaw D. Women’s right to health and the Millennium Development Goals: promoting partnerships to improve access. Int J Gynecol Obstet 2006; 94:207-15.

World Health Organization. World Health Report 2005. Make every mother and child count. Geneva. WHO, 2005.

UNFPA and EngenderHealth. Obstetric Fistula needs assessment report: Findings from nine African countries 2003. Available at: http://www.unfpa.org. Accessed June 2, 2009.

Arrowsmith S, Hamlin C, Wall L. Obstructed Labor Injury Complex: Obstetric Fistula Formation and the Multifaceted Morbidity of Maternal Birth Trauma in the Developing World. Obstet Gynecol Surv 1996; 51:568-574.

Arrowsmith SD. The Classification of obstetric vesico-vaginal fistulas A call for an evidence-based approach. Int J Gynecol Obstet 2007; 99: S25-S27.

Hilton P. Vesico-vaginal fistulas in developing countries. Int J Gynecol Obstet 2003; 82:285-95.

Muleta M, Hamlin C, Fantahun M, Kennedy R, Tafesse B. Health and social problems encountered by treated and untreated obstetric fistula patients in rural Ethiopia. J Obstet Gynecol Can 2008; 30:44-50.

Central Statistical Agency [Ethiopia] and ORC Macro. Ethiopia Demographic and Health Survey 2005.Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ORC Macro. 2006.

Muleta M. Socio-demographic profile and obstetric experience of fistula patients managed at the Addis Ababa Fistula Hospital. Ethiop Med J 2004; 42:9-16.

Kelly J. An epidemiological study of vesico-vaginal fistula in Addis Ababa, Ethiopia. World Health Stat Quarterly 1995; 48:15-17.

World Health Organization. In: Lewis G, de Bernis L, editors. Obstetric fistula: guiding principles for clinical management and program development. Geneva, Switzerland: WHO; 2006. http://www.who.int/making_pregnancy_safer/publications/obstetric_fistula.pdf. Accessed June 2, 2009.

Muleta M, Fantahun M, Tafesse B, Hamlin EC, Kennedy RC. Obstetric fistula in rural Ethiopia. East Afr Med J 2007; 84:525-33.

Johnson K. Incontinence in Malawi: Analysis of a proxy measure of vaginal fistula in a national survey. Int J Gynecol Obstet 2007; 99:S122-S129.

Tebeu P, de Bernis L, Doh A, Rochat C, Delvaux T. Risk factors for obstetric fistula in the Far North Province of Cameroon. Int J Gynaecol Obstet 2009;107:12-5.

Kelly J, Kwast B. Epidemiologic study of vesicovaginal fistulas in Ethiopia. The Int Urogynecol J 1993; 4:278-281.

Goyal N, Dwivedi U, Vyas N, Rao M. A decade’s experience with vesicovaginal fistula in India. Int Urogynecol J 2007; 18:39-42.

Donnay F, Ramsey K. Eliminating obstetric fistula: progress in partnerships. Int J Gynecol Obstet 2006; 94:254-61.

Ahmad S, Nishtar A, Hafeez GA, Khan Z. Management of vesico-vaginal fistulas in women. Int J Gynecol Obstet 2005; 88:71-75

Creanga A, Ahmed S, Genadry R, Stanton C. Prevention and treatment of obstetric fistula: identifying research needs and public health priorities. Int J Gynecol Obstet 2007; 99:S151-154.

Sunil T, Pillai V, Pandey A. Do incentives matter? Evaluation of a family planning program in India. Popul Res Policy Rev 1998; 18:563-77.

Nathan L, Rochat C, Grigorescu B, Banks E. Obstetric fistulae in West Africa: patient perspectives. Am J Obstet Gynecol 2009; 40-2.

Shefren J. The tragedy of obstetric fistula and strategies for prevention. Am J Obstet Gynecol 2009;200: 668-71.


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