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International Urogynecology Journal
Published in: International Urogynecology Journal 1/2011

01-01-2011 | Original Article

Childbirth experiences of women with obstetric fistula in Tanzania and Uganda and their implications for fistula program development

Authors: Maggie Bangser, Manisha Mehta, Janet Singer, Chris Daly, Catherine Kamugumya, Atuswege Mwangomale

Published in: International Urogynecology Journal | Issue 1/2011

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Abstract

Introduction and hypothesis

Authors sought evidence from the testimonies of women living with fistula regarding local risk factors for fistula and the impact of fistula on women's lives.

Methods

One hundred thirty-seven women recruited from health facilities and at the community level in Tanzania and Uganda were interviewed using quantitative and qualitative methods, including participatory approaches.

Results

Women of all ages and parities endured fistula. The testimonies illustrated that physical, socio-economic and cultural constraints, as well as health system failures, led to fistula, and the condition imposed harsh consequences on women's lives. Constraints included deficient maternal health services and personnel, delays in seeking and accessing care, and limited fistula repair services. Women endured severe social stigma and severe economic hardships.

Conclusions

Participants' testimonies expand current understanding of women's experience of fistula and point to recommendations that could improve maternal health care, reduce women's risk of fistula, and improve the lives of women living with the condition.
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Metadata
Title
Childbirth experiences of women with obstetric fistula in Tanzania and Uganda and their implications for fistula program development
Authors
Maggie Bangser
Manisha Mehta
Janet Singer
Chris Daly
Catherine Kamugumya
Atuswege Mwangomale
Publication date
01-01-2011
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 1/2011
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-010-1236-8

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