Social reintegration and rehabilitation of obstetric fistula patients before and after repair in Sub-Saharan Africa: A systematic review

  title={Social reintegration and rehabilitation of obstetric fistula patients before and after repair in Sub-Saharan Africa: A systematic review},
  author={Atuhaire Shallon and Oladosu Ojengbede and John Francis Mugisha and A. A. Odukogbe},
  journal={Nepal Journal of Obstetrics and Gynaecology},
Aims: To review how social reintegration and rehabilitation processes are being executed among obstetric patients in Sub-Saharan Africa and highlight projects and programs involved. Methods: This is a systematic review involving a search of relevant literature from PubMed, Google scholar, PsychINFO, African Journals Online, Australian Journals Online, and open access journal of international organizations such as WHO, UNFPA, USAID, Engender Health, Fistula Foundation, and Fistula Care Plus… 
Self-efficacy for Re-acceptance in Communities Among Obstetric Fistula Patients in Africa: A Systematic Review of Qualitative Data
Self-efficacy is generally low among obstetric fistula patients especially those that have not yet had fistula repair, but alongside repair of the fistula, activities intended for societal reintegration reduce levels of anxiety, increase confidence and overall self- efficacy, which enables reacceptance.
Social Immersion for Women After Repair for Obstetric Fistula: An Experience in Guinea
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.
Factors Associated with Home Births among Rural Mothers in Uganda; a De- scriptive Survey of Gomba District
Home birth is the process of bringing forth a child by humans in their places of residence or in a non-clinical setting typically using natural childbirth methods [1,2]. Health facility birth assures
Rehabilitation and reintegration programming adjunct to female genital fistula surgery: A systematic scoping review
  • A. E. El Ayadi, C. Painter, +5 authors J. Barageine
  • Medicine
    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
  • 2020
Female genital fistula is associated with significant physical, psychological, and economic consequences; however, a knowledge and practice gap exists around services adjunct to fistula surgery.


Quality of life of Ethiopian women after fistula repair: implications on rehabilitation and social reintegration policy and programming
Ovetric fistula programmes should integrate post-repair counselling about fistula and risk factors for recurrence, community-based follow-up care, linkages to income-generating opportunities, engagement of women affected by fistula for community outreach, and metrics for evaluating rehabilitation and social reintegration efforts to ensure women regain healthy, productive lives.
Social stigma and reintegration of obstetric Fistula survivors in west pokot, Kenya
This exploratory study examined the problems faced by obstetric fistula survivors and challenges of re-integrating back into the community women who have undergone corrective surgery in West Pokot, Kenya.
From Trauma to Rehabilitation and Reintegration:Experiences of Women Facing the Challenges of Obstetric Fistula in Addis Ababa, Ethiopia
It is argued that exclusion and stigmatization by society worsen the psychosocial and economic challenges of reintegration for victims after treatment, and salient policy interventions sought to alleviate the challenges of rehabilitation and reIntegration of victims are set.
Obstetric fistula in low and middle income countries.
Treatment and subsequent reintegration of fistula patients requires a team of specialists including surgeons, nurses, midwives, and social workers, which is largely unavailable in developing countries.
Beyond repair - family and community reintegration after obstetric fistula surgery: study protocol
This study is an exploratory sequential mixed-methods design including a preliminary qualitative component comprising in-depth interviews and focus group discussions to explore reintegration to family and community after fistula surgery and develop a measurement tool to assess long-term success of post-surgicalfamily and community reintegrations.
Exploring the needs and challenges of women reintegrating after obstetric fistula repair in northern Ghana.
Developing understanding about the needs and challenges of women post obstetric fistula is an important step forward in creating social and political change in obstetric Fistula care and reintegration.
A review of postoperative care for obstetric fistulas in Nigeria
  • O. Shittu, O. Ojengbede, L. Wara
  • Medicine
    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
  • 2007
The literature on fistula treatment in Nigeria was reviewed to identify strategies and practices that, if adopted, would likely accelerate the pace of fistula repair and improve postoperative fistula care in this country.
Long-term outcomes for women after obstetric fistula repair in Lilongwe, Malawi: a qualitative study
Nearly all women believed their quality of life had improved at the individual and interpersonal levels since fistula repair, even among women who continued to have urinary incontinence.
Predictors and outcome of surgical repair of obstetric fistula at a regional referral hospital, Mbarara, western Uganda
This study demonstrated that large fistula size, circumferential fistulae and marked vaginal scarring are predictors for unsuccessful fistula repair while predictor for residual stress incontinence after successful fistula closure were urethral involvement, circumFerential fistULae and previous unsuccessful Fistula repair.
Development and preliminary validation of a post-fistula repair reintegration instrument among Ugandan women
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.