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Exploring awareness of obstetric fistula in Eastern and Northern Nigeria:perceived causes,symptoms,and availability of treatment services

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Global Health Research and Policy 2022年第1期7卷 222-231页

作者： Emmanuel Kelechi Nwala Charles Nwaigwe Pooja Sripad charlotte ewarren Salisu Ishaku Solomon Kongyamba Maternal Newborn and Child HealthPopulation CouncilNigeriaHouse 4No 16 Mafemi CrescentOff Solomon Lar WayUtakoAbujaNigeria Population Council WashingtonDCUSA

Background:Evidence suggests that there are approximately two female genital fistula cases per 1000 women of reproductive age in sub-Saharan *** is estimated that more than 200,000 women are affected by fistula in Nigeria,primarily due to obstetric *** has been indicated as a risk factor for the development of obstetric *** study explored the awareness of obstetric fistula such as causes,symptoms,and availability of and access to treatment services in southeastern and northwestern ***:An exploratory qualitative study design was used to conduct this research in Kano and Ebonyi states in northern and eastern Nigeria,respectively.A total of six(6)focus group discussions were conducted with three categories of participants:women who were successfully repaired and discharged(n=2),community-married men(n=2),and women(n=2).Forty-four(44)In-depth interviews were conducted three categories of participants:18 with women with fistula who were either awaiting repair or had been repaired;6 family member caregivers accompanying fistula patients,and 20 health service providers at fistula repair *** developed a data analysis plan based on the emerging *** transcripts and field notes were imported into QSR Nvivo version 11 and coded *** and thematic analysis was run by inductively drawing themes based on the elicited information from ***:There was lack of knowledge of obstetric fistula and its causes among married men and women in the community,caregivers,and some patients were unaware of what caused their fistula for *** this study,none of the community men and women nor caregivers correctly identified the causes and symptoms of a fistula or knew where to seek *** about fistula was more common among women who had undergone *** repaired women attributed the cause of fistula to the providers who attended to them during ***:Findings reveal a widespread

关键词： Women with obstetric fistula Fistula awareness Knowledge about fistula Treatment seeking behavior Fistula repair services

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