Psychosocial Effects of Obstetric Fistula on Young Mothers in Western Kenya


Abstract


This includes sensitization of the society about fistula to re-integrate the recovering fistula survivors so as to reduce the associated stigma. Relevant groups and NGOs should offer counselling services to fistula victims on issues that can affect their psychological and social wellbeing.

Obstetric fistula has remained one of the most devastating complications a woman experiences in the course of delivery in Kenya. Many women suffer long term morbidity and become social outcasts. The aim of this study was to examine the psychosocial consequences of obstetric fistula on young women in the western Kenya region. The study population consisted of women living with obstetric fistula, their families and care givers. The sampling frame consisted of 190 primary respondents. The study adopted a cross-sectional descriptive survey design. The data from the respondents was collected through questionnaires, interview schedules and Focus Group Discussions. The Statistical Package for Social Sciences (SPSS) was used for data analysis. Descriptive statistics such as frequencies, means, percentages and standard deviations were generated for data analysis. The study results show that the main psychological effects of fistula were sadness, shame and loss of self-worth. The study also points at stigmatization, social worthlessness and isolation as the main social effects of fistula. The study recommends addressing negative cultural practices that contribute to obstetric fistula occurrence.


Keywords


Obstetric Fistula; Psychosocial Consequences; Young Women; Western Kenya.

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References


. L.T. Mselle, T.W. Kohi, A. Mvungi, B. Evjen-Olsen and K.M. Moland. Waiting for attention and care: birthing accounts of women in rural Tanzania who developed obstetric fistula as an outcome of labour. BMC Pregnancy Childbirth. Vol. 11:75. 2011.

. World Health Organization. (2005). The World Health Report: 2005 - Make every Mother and Child Count. http://www.who.int/whr/2005/whr2005_en.pdf?ua=1. Accessed 17 Dec 2015.

. A. A. Creanga and R.R. Genadry, Obstetric fistulas: A clinical review. International Journal of Gynecology & Obstetrics 99 (Supplement 1): S40. doi:10.1016/j.ijgo.2007.06.030. 2007.

. ., Tunalp, V. Tripathi, E. Landry, C.K. Stanton and S. Ahmed, (2015). Measuring the incidence and prevalence of obstetric fistula: approaches, needs and recommendations. Bulletin of the World Health Organization. Vol. 1;93 (1):pp. 60-2. 2015.

. United Nations Fund for Population Activities. (2012). When Pregnancy Harms: Obstetric Fistula. http://www.unfpa.org/es/node/9100?page=4%2C0%2C4, updated 2012, Accessed 9 Jan 2016

. L.L. Wall, (2006). Obstetric Vesicovaginal Fistula as an International Public Health Problem. Lancet. 30:121011209. doi: 10.1016/S0140-6736(06)69476-2.

. K.A. Danso, J.O. Martey, L.L. Wall and T.E. Elkins, (1996). The epidemiology of genitourinary fistulae in Kumasi, Ghana, 19771992. Int Urogynecol J Pelvic Floor Dysfunct. 7:117120. doi: 10.1007/BF01894198.

. W.E. Goodwin and P.T. Scardino. Vesicovaginal and ureterovaginal fistulas: a summary of 25 years of experience. J Urol. Vol. 123. Pp. 370374. 1980

. United Nations Fund for Population Activities. (2012). [see note 5]

. United Nations Fund for Population Activities. (2012). [see note 5]

. World Health Organization. (2005) [see note 2]

. United Nations Fund for Population Activities. (2012). [see note 5]

. S. Ahmed and . Tunalp (2015). Burden of obstetric fistula: from measurement to action. Lancet Glob Health. 3(5):e243-4. http://dx.doi.org/10.1016/S2214-109X (15)70105-1

. United Nations Fund for Population Activities. (2002). Second meeting of the working group for the prevention and treatment of obstetric fistula. Addis Ababa, Ethiopia. 2002. http://www.unfpa.org/sites/default/files/pub-pdf/fistula_meeting02_eng.pdf. Accessed 9 Aug 2015.

. United Nations Population Fund. Maternal health thematic fund: Annual Report 2012. UNFPA. http://www.unfpa.org/publications/maternal-health-thematic-fund-annual-report-2012, updated 2012, Accessed 9 Jan 2016

. ., Tunalp, V. Tripathi, E. Landry, C.K. Stanton and S. Ahmed, (2015) [see note 4]

. M. Maheu-Giroux, et al., (2015). Prevalence of symptoms of vaginal fistula in 19 sub-Saharan Africa countries: a meta-analysis of national household survey data. Lancet Glob Health. Vol. 3(5) pp.271-8. 2015.

. T.J.I.P. Raassen, C.J. Ngongo and M.M. Mahendeka (2014). Iatrogenic genitourinary fistula: an 18-year retrospective review of 805 injuries. Int Urogynecol J. vol. 25 no. 12 pp.1699-706. 2014.

. United Nations Population Fund and Engender Health. (2003). Obstetric fistula needs assessment report: Findings from nine African countries. New York (NY): United Nations Population Fund and Engender Health; http://www.unfpa.org/sites/default/files/pub-pdf/fistula-needs-assessment.pdf. Accessed 20 Dec 2015.

. World Health Organization. (2005) [see note 2]

. K.A. Danso, J.O. Martey, L.L. Wall and T.E. Elkins, (1996) [see note 7]

. K. Siddle, S. Mwambingu, T. Malinga and A. Fiander, . Psychosocial impact of obstetric fistula in women presenting for surgical care in Tanzania. Int Urogynecol J. 24:12151220. doi: 10.1007/s00192-012-1994-6. 2013

. A. Browning, (2004). Obstetric Fistula in Ilorin, Nigeria. Plos Medicine 1.1 022-024. Academic Search Complete. Web. 29 Oct. 2013.

. K.A. Danso, J.O. Martey, L.L. Wall and T.E. Elkins, (1996) [see note 7]

. A. Holme, M. Breen and C. MacArthur. Obstetric fistulae: a study of women managed at the Monze Mission Hospital, Zambia. BJOG. 2007;114:10101017. doi: 10.1111/j.1471-0528.2007.01353.x.

. World Health Organization. (2005) [see note 2]

. UNFPA, (2004). Fistula Fact Sheet; Retrieved from http//Kenya.Unfpa.Org/ Fistula fact.htm.

. M. Diallo. Social immersion strategy for reintegration and empowerment of obstetric fistula survivors. International Journal of Gynaecology and Obstetrics, vol. 107 (Suppl 2), pp. S93S396. 2009.

. M. Kabir, I.S. Abubaker and U.I. Umar. Medico-social problems of patients with vesico-vaginal fistula in Murtala Mohammed Specialist Hospital, Kano. Annals of African Medicine, vol. 2(2), pp.5457. 2004.

. S. Lendon. Early marriage of girls in Niger. Development Bulletin, vol. 56. pp. 7779.2001.

. J. Mutambara, L. Maunganidze, and P. Muchichwa. Towards promotion of maternal health: The psychological impact of obstetric fistula on women in Zimbabwe. International Journal of Asian Social Science, vol. 3, pp.229-239. 2013.

. M. Maheu-Giroux, et al., (2015) [see note 17]

. World Health Organization. (2005) [see note 2]

. United Nations Population Fund [see note 15]

. United Nations Fund for Population Activities. (2012). [see note 5]

. United Nations Fund for Population Activities. (2012). [see note 5]

. Z.M. Kimani, O. Ogutu, and A. Kibe. The prevalence and impact of obstetric fistula on women of Kaptembwa Nakuru, Kenya. International Journal of Applied Science and Technology Vol. 4, No. 3. Pp. 44-56. 2014.


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