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.