Quality of life of Ethiopian women after fistula repair: implications on rehabilitation and social reintegration policy and programming

@article{Donnelly2015QualityOL,
  title={Quality of life of Ethiopian women after fistula repair: implications on rehabilitation and social reintegration policy and programming},
  author={Kyla Z. Donnelly and Elizabeth Oliveras and Yewondwossen Tilahun and Mehari Belachew and Mengistu Asnake},
  journal={Culture, Health \& Sexuality},
  year={2015},
  volume={17},
  pages={150 - 164}
}
Despite growing recognition of the importance of linking obstetric fistula prevention and treatment strategies with rehabilitation and social reintegration programmes, little research and programming has been oriented toward this goal. Using in-depth interviews, this study aimed to examine the experiences of 51 Ethiopian women after fistula repair surgery to identify priority post-repair interventions that could maximise their quality of life. The results showed that the majority of women felt… 
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The loss of dignity: social experience and coping of women with obstetric fistula, in Northwest Ethiopia
TLDR
The study participants reported that they experienced deep sense of loss, diminished self-worth and multiple social challenges as they coped with the incontinence in various ways among which some were non effective and might have continuing negative impact on woman’s quality of life even after corrective surgery.
Social reintegration and rehabilitation of obstetric fistula patients before and after repair in Sub-Saharan Africa: A systematic review
TLDR
Most Sub-Saharan countries have registered progress in assuring effective social reintegration and rehabilitation of obstetric fistula patients although some are still grappling with the issue due to lack of political commitment and inadequate outreach programmes.
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The study found the positive impacts of social immersion on the quality of life of women after fistula repair, particularly for those women who had a successful repair.
Exploring the needs and challenges of women reintegrating after obstetric fistula repair in northern Ghana.
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TLDR
The study findings have implications for fistula care, training and policy regarding women’s health, suggesting a model of care that encompasses physical, social, economic and psychological aspects of care after surgery and discharge.
Closing the gap: a review of the evidence of social reintegration after obstetric fistula repair
Background. Obstetric fistula is the product of prolonged, obstructed and unattended labour, resulting in an abnormal connection between the vagina and rectum or between the vagina and bladder.1 This…
Quality of life and associated factors among women with obstetric fistula in Ethiopia
TLDR
Quality of life and associated factors among obstetric fistula patients in Ethiopia will have a significant role for further intervention and Adjusted unstandardized β coefficient of multiple linear regressions was used to describe associated factors of quality of life.
An integrative review on women living with obstetric fistula and after treatment experiences
TLDR
The review of literature on the experiences of women with obstetric fistula provides insights into avenues of improving care provision and delivery by health professionals and policy makers and exposes areas that need further research for quality care provision.
Reintegration of Women Post Obstetric Fistula Repair: Experience of Family Caregivers
TLDR
It is suggested that although family caregivers are pleased to have their family member return home, there are many unanticipated physical, emotional, and economic challenges in the reintegration process and the need for adequate caregiving support.
Development and preliminary validation of a post-fistula repair reintegration instrument among Ugandan women
TLDR
Themes central to women’s experiences following surgery included resuming mobility, increasing social interaction, improved self-esteem, reduction of internalized stigma, resuming work, meeting their own needs and the needs of dependents, meeting other expected and desired roles, and negotiating larger life issues.
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References

SHOWING 1-10 OF 47 REFERENCES
Restoring dignity: Social reintegration after obstetric fistula repair in Ukerewe, Tanzania
TLDR
Barriers and facilitating factors women experience re-integrating into society after treatment of an obstetric fistula in rural Tanzania are explored and work was the most important factor in helping them feel ‘normal again’.
Still living with fistula: an exploratory study of the experience of women with obstetric fistula following corrective surgery in West Pokot, Kenya
Experiences with fistula repair surgery among women and families in Malawi
TLDR
It is illustrated that issues of obstetric fistula are not limited to individual women, but can dramatically affect their families, partners and communities.
The lived experience of Malawian women with obstetric fistula
TLDR
The data suggest that the experiences of Malawian women with fistula from continued participation in marriage, community and childbearing cannot be discounted, and programmes for outreach and services should consider a broadened range of outcomes of women living with Fistula.
Obstetric fistula in 14,928 Ethiopian women
TLDR
A causative role for cephalo‐pelvic disproportion is supported by the observation that male fetuses are more commonly involved in obstructed labor and educational attainment positively influenced outcomes.
The impact of surgical treatment on the mental health of women with obstetric fistula
TLDR
It is concluded that surgical treatment of obstetric fistula results in marked improvements in mental heath, and 27% of the 45 women who were cured of their incontinence screened positive, while all 6 of those with severe residual incontinent continued to screen positive.
The role of counseling for obstetric fistula patients: lessons learned from Eritrea.
Risk and resilience: Obstetric fistula in Tanzania.
Fistula provides a critical lens onto the health and social systems that promote - or limit - the capacity of girls and women to achieve well-being. Underlying the medical presentation of fistula are…
Health and social problems encountered by treated and untreated obstetric fistula patients in rural Ethiopia.
Obstetric Fistula: Guiding Principles for Clinical Management and Programme Development
TLDR
The greater tragedy is that these OF can largely be avoided by delaying the age of first pregnancy by the cessation of harmful traditional practices and by timely access to maternal and obstetric care.
...
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