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Awareness on Presentation of Obstetric Fistula and Associated Factors Among Reproductive Age Women in South Eastern Zone of Tigray

Received: 15 December 2022     Accepted: 2 February 2023     Published: 21 February 2023
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Abstract

Background: Worldwide, around one million girls and women are currently living with fistula. Less than 20,000 women with obstetric fistula are treated each year. Lack of awareness is a frequently mentioned barrier to seeking fistula treatment; many women suffering from obstetric fistula do not know what fistula is, as it is treatable, or where to get treatment. Even though obstetric fistula has likely weighed down women since the beginning of time, few researches proportionally exists. Methods: A community based quantitative cross-sectional survey was undertaken in south eastern zone of Tigray. A multistage random sampling technique was implemented to select total participants of 605 reproductive age women. Two districts were randomly selected and from those districts, 12 kebels were selected randomly and the calculated sample size (605) was proportionally allocated to each selected kebeles. The data were collected by using face to face/interview with structured questionnaire from February 26-March 24/2020 after ensuring that all requirements of ethical considerations were fulfilled. The collected data were entered in to Epidata version 4.2 then exported to SPSS version20 for analysis. Descriptive statistics with frequency, percentage, table and graph and cross tabulation were used for presentation of result. Bivariable and multivariable analysis were used to examine the association. Odds ratios with 95% confidence interval and P-value <0.05 were used to determine the statistical association. Result: Overall, about 31.6% of respondents had good awareness on presentation of obstetric fistula. The major determinants identified to awareness on presentation of obstetric fistula were educational level (above secondary) [AOR (95%CI=2.9 (1.42-9.6)], history of institutional delivery (for the index child) [AOR (95%CI=4.1 (1.76-9.56)] and having prior information about obstetric fistula [AOR (95%CI=2.2 (1.01-4.75)]. Conclusion: In this study majority of reproductive age women in the study area had poor awareness regarding presentation of obstetric fistula. Several interventions like health education and information should be implemented to enhance the awareness of the community towards obstetric fistula.

Published in Journal of Gynecology and Obstetrics (Volume 11, Issue 1)
DOI 10.11648/j.jgo.20231101.11
Page(s) 1-9
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Obstetric Fistula, Presentation, Awareness, Reproductive Age Women

References
[1] Tunçalp Ö, Tripathi V, Landry E, Stanton CK, Ahmed S. Measuring the incidence and prevalence of obstetric fistula: Approaches, needs and recommendations. Bull World Health Organ. 2015; 93 (1): 60–2.
[2] Mselle LT, Kohi TW. Perceived Health System Causes of Obstetric Fistula from Accounts of Affected Women in Rural Tanzania : A qualitative study. Afr J Reprod Health. 2015; 19 (March): 124–32.
[3] Tebeu PM. Risk factors for obstetric fistula : a clinical review. int Urogynecol J 2012; 23 (4): 387–94.
[4] Adler AJ, Ronsmans C, Calvert C, Filippi V. Estimating the prevalence of obstetric fistula: A systematic review and meta-analysis. BMC Pregnancy Childbirth [Internet]. 2013; 13 (1): 1–14. Available from: BMC Pregnancy and Childbirth.
[5] Dangal G, Thapa K, Yangzom K, Karki A. Obstetric Fistula in the Developing World : An Agonising Tragedy Obstetric Fistula in the Developing World : An Agonising Tragedy. Nepal J Obstet Gynaecol. 2014; (February).
[6] Tebeu PM, Fomulu JN, Khaddaj S, Bernis L De, Delvaux T, Rochat CH. Risk factors for obstetric fistula : a clinical review. Int Urogynecol J. 2012; 387–94.
[7] WHO. International Day to End Obstetric Fistula. Who [Internet]. 2013; 100000. Available from: https://www.who.int/pmnch/media/events/2013/fistuladay/en/
[8] Lim SS, Allen K, Dandona L, Forouzanfar MH, Fullman N, Goldberg EM, et al. Measuring the health-related Sustainable Development Goals in 188 countries: a baseline analysis from the Global Burden of Disease Study 2015. Lancet. 2016; 388 (10053): 1813–50.
[9] Kasamba N, Clinical J, Kaye DK, Mbalinda SN. Community awareness about risk factors, presentation and prevention and obstetric fistula in Nabitovu village, Iganga district, Uganda. BMC Pregnancy Childbirth •. 2013;(December).
[10] Ezeonu PO, Ekwedigwe KC, Isikhuemen ME, Eliboh MO, Onoh RC, Lawani LO, et al. Awareness of Obstetric Vesicovaginal Fistula among Pregnant Women in a Rural Hospital. Adv Reprod Sci. 2017; (August).
[11] Reinhardt W, Mletzko C, Sloep PB. Understanding the Meaning of Awareness in Research Networks Understanding the meaning of awareness in Research Networks. Conf Pap •. 2012; (July 2015).
[12] Bellows B. Barriers to Obstetric Fistula Treatment. Popul Counc. 2017;
[13] Zheng AX, Harrington AH, Love SA, Thélémaque LD, Anderson FWJ. Fistula awareness among sisters of women with fistula International Journal of Gynecology and Obstetrics Fistula awareness among sisters of women with fi stula. Int J Gynecol Obstet [Internet]. 2018; 120 (3): 232–5. Available from: http://dx.doi.org/10.1016/j.ijgo.2012.09.019
[14] Kabayambi J, Barageine JK, Matovu JKB. Living with Obstetric Fistula : Perceived Causes, Challenges and Coping Living with Obstetric Fistula : Perceived Causes, Challenges and Coping Strategies among Women Attending the Fistula Clinic at Mulago Hospital, Uganda. Natl J Trop Dis Heal. 2014; (June).
[15] Pope R. Research in Obstetric Fistula Addressing Gaps and Unmet Needs Access to Repair. Obstet Gynecol. 2018; 0 (0): 1–8.
[16] Commission federal democratic repuplic of ethiopia population censucs. 4 Summary and Statistical Report of the 2007 Population and Housing Census Results. Popul size by age sex. 2007;
[17] Jarvis K, Richter S, Vallianatos H, Thornton L. Reintegration of Women Post Obstetric Fistula Repair : Experience of Family Caregivers. Glob Qual Nurs Res. 2017;
[18] Saha S, Ambauen-Berger B, Munira S. Baseline knowledge of female genital fistula symptoms, causes and treatment among a rural population in Northern Bangladesh. Nepal J Obstet Gynaecol. 2018; 13 (2): 2–5.
[19] Chen X, Orom H, Hay JL, Waters EA, Schofield E, Li Y, et al. Differences in Rural and Urban Health Information Access and Use. J Rural Heal. 2019; 35 (3): 405–17.
[20] Tsega M. Knowledge of obstetric fistula and its associated factors among women of reproductive age in Northwestern Ethiopia : a community-based cross- sectional study. 2022; 1–23.
[21] Raghupathi V, Raghupathi W. The influence of education on health: An empirical assessment of OECD countries for the period 1995-2015. Arch Public Heal. 2020; 78 (1): 1–18.
[22] Defar S. Awareness on obstetric fistula and its associated factors among reproductive women in Assela town. Dr dissertion, Addis Ababa Univ. 2018; (June).
[23] Yoseph M, Abebe SM, Mekonnen FA, Sisay M, Gonete KA. Institutional delivery services utilization and its determinant factors among women who gave birth in the past 24 months in Southwest Ethiopia. BMC Health Serv Res. 2020; 20 (1): 1–10.
[24] Wondu Feyisa Balcha, Azezu Asres Nigussie, Fentahun Yenealem Beyene and AAT. Awareness and Its Associated Factors of Obstetrics Fistula among Antenatal Care Attendees in Injibara Town Health Institutions,. Hindawi. 2020; 2020: 7.
[25] Wu R, Zhao J. Prior knowledge of object associations shapes attentional templates and information acquisition. Front Psychol. 2017; 8 (MAY): 1–6.
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    Berhane Teklay Asfaha, Haftu Berhe Gebru, Desta Siyoum Belay, Teferi Gebru Gebremeskel. (2023). Awareness on Presentation of Obstetric Fistula and Associated Factors Among Reproductive Age Women in South Eastern Zone of Tigray. Journal of Gynecology and Obstetrics, 11(1), 1-9. https://doi.org/10.11648/j.jgo.20231101.11

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    ACS Style

    Berhane Teklay Asfaha; Haftu Berhe Gebru; Desta Siyoum Belay; Teferi Gebru Gebremeskel. Awareness on Presentation of Obstetric Fistula and Associated Factors Among Reproductive Age Women in South Eastern Zone of Tigray. J. Gynecol. Obstet. 2023, 11(1), 1-9. doi: 10.11648/j.jgo.20231101.11

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    AMA Style

    Berhane Teklay Asfaha, Haftu Berhe Gebru, Desta Siyoum Belay, Teferi Gebru Gebremeskel. Awareness on Presentation of Obstetric Fistula and Associated Factors Among Reproductive Age Women in South Eastern Zone of Tigray. J Gynecol Obstet. 2023;11(1):1-9. doi: 10.11648/j.jgo.20231101.11

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  • @article{10.11648/j.jgo.20231101.11,
      author = {Berhane Teklay Asfaha and Haftu Berhe Gebru and Desta Siyoum Belay and Teferi Gebru Gebremeskel},
      title = {Awareness on Presentation of Obstetric Fistula and Associated Factors Among Reproductive Age Women in South Eastern Zone of Tigray},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {11},
      number = {1},
      pages = {1-9},
      doi = {10.11648/j.jgo.20231101.11},
      url = {https://doi.org/10.11648/j.jgo.20231101.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20231101.11},
      abstract = {Background: Worldwide, around one million girls and women are currently living with fistula. Less than 20,000 women with obstetric fistula are treated each year. Lack of awareness is a frequently mentioned barrier to seeking fistula treatment; many women suffering from obstetric fistula do not know what fistula is, as it is treatable, or where to get treatment. Even though obstetric fistula has likely weighed down women since the beginning of time, few researches proportionally exists. Methods: A community based quantitative cross-sectional survey was undertaken in south eastern zone of Tigray. A multistage random sampling technique was implemented to select total participants of 605 reproductive age women. Two districts were randomly selected and from those districts, 12 kebels were selected randomly and the calculated sample size (605) was proportionally allocated to each selected kebeles. The data were collected by using face to face/interview with structured questionnaire from February 26-March 24/2020 after ensuring that all requirements of ethical considerations were fulfilled. The collected data were entered in to Epidata version 4.2 then exported to SPSS version20 for analysis. Descriptive statistics with frequency, percentage, table and graph and cross tabulation were used for presentation of result. Bivariable and multivariable analysis were used to examine the association. Odds ratios with 95% confidence interval and P-value Result: Overall, about 31.6% of respondents had good awareness on presentation of obstetric fistula. The major determinants identified to awareness on presentation of obstetric fistula were educational level (above secondary) [AOR (95%CI=2.9 (1.42-9.6)], history of institutional delivery (for the index child) [AOR (95%CI=4.1 (1.76-9.56)] and having prior information about obstetric fistula [AOR (95%CI=2.2 (1.01-4.75)]. Conclusion: In this study majority of reproductive age women in the study area had poor awareness regarding presentation of obstetric fistula. Several interventions like health education and information should be implemented to enhance the awareness of the community towards obstetric fistula.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Awareness on Presentation of Obstetric Fistula and Associated Factors Among Reproductive Age Women in South Eastern Zone of Tigray
    AU  - Berhane Teklay Asfaha
    AU  - Haftu Berhe Gebru
    AU  - Desta Siyoum Belay
    AU  - Teferi Gebru Gebremeskel
    Y1  - 2023/02/21
    PY  - 2023
    N1  - https://doi.org/10.11648/j.jgo.20231101.11
    DO  - 10.11648/j.jgo.20231101.11
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 1
    EP  - 9
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20231101.11
    AB  - Background: Worldwide, around one million girls and women are currently living with fistula. Less than 20,000 women with obstetric fistula are treated each year. Lack of awareness is a frequently mentioned barrier to seeking fistula treatment; many women suffering from obstetric fistula do not know what fistula is, as it is treatable, or where to get treatment. Even though obstetric fistula has likely weighed down women since the beginning of time, few researches proportionally exists. Methods: A community based quantitative cross-sectional survey was undertaken in south eastern zone of Tigray. A multistage random sampling technique was implemented to select total participants of 605 reproductive age women. Two districts were randomly selected and from those districts, 12 kebels were selected randomly and the calculated sample size (605) was proportionally allocated to each selected kebeles. The data were collected by using face to face/interview with structured questionnaire from February 26-March 24/2020 after ensuring that all requirements of ethical considerations were fulfilled. The collected data were entered in to Epidata version 4.2 then exported to SPSS version20 for analysis. Descriptive statistics with frequency, percentage, table and graph and cross tabulation were used for presentation of result. Bivariable and multivariable analysis were used to examine the association. Odds ratios with 95% confidence interval and P-value Result: Overall, about 31.6% of respondents had good awareness on presentation of obstetric fistula. The major determinants identified to awareness on presentation of obstetric fistula were educational level (above secondary) [AOR (95%CI=2.9 (1.42-9.6)], history of institutional delivery (for the index child) [AOR (95%CI=4.1 (1.76-9.56)] and having prior information about obstetric fistula [AOR (95%CI=2.2 (1.01-4.75)]. Conclusion: In this study majority of reproductive age women in the study area had poor awareness regarding presentation of obstetric fistula. Several interventions like health education and information should be implemented to enhance the awareness of the community towards obstetric fistula.
    VL  - 11
    IS  - 1
    ER  - 

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Author Information
  • Department of Midwifery, College of Health Sciences, Assosa University, Assosa, Ethiopia

  • Department of Nursing, College of Health Sciences, Mekelle University, Mekelle, Ethiopia

  • Department of Nursing, College of Health Sciences, Mekelle University, Mekelle, Ethiopia

  • Department of Reproductive Health, College of Health Sciences, Aksum University, Aksum, Ethiopia

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