Abstract
This cross-sectional study employed multi-stage sampling to include 121 women aged 18–20 years residing in urban and rural communities of Boromo health district, Burkina Faso. Descriptive statistics and multiple logistic regression analysis were used to compare differences between the groups and to identify predictors of observed knowledge levels. Rural women were more likely to be married (p < 0.000) and had higher propensity to teenage pregnancy (p = 0.006). The survey showed overall poor obstetric fistula awareness (36%). Rural residents were less likely to have adequate preventive knowledge than urban residents [OR = 0.35 (95%-CI, 0.16–0.79)]. This effect was only slightly explained by lack of education [OR = 0.41 (95%-CI, 0.18–0.93)] and only slightly underestimated due to previous pregnancy [OR = 0.27 (95%-CI, 0.09–0.79)]. Media were the most popular source of awareness among urban young women in contrast to their rural counterparts (68% vs. 23%). Most rural young women became “aware” through word of mouth (68% vs. 14%). All participants agreed that the hospital was safer for emergency obstetric care, but only 11.0% believed they could face pregnancy complications that would require emergency treatment. There is an urgent need to increase emphasis on neglected health messages such as the risks of obstetric fistula. In this respect, obstetric fistula prevention programmes need to be adapted and tailored to local contexts, whether urban or rural, and multi-sectoral efforts need to be exerted to maximize use of other sectoral resources and platforms, including existing routine health services and schools, to ensure sustainability of health literacy efforts.
This chapter presents findings from a postgraduate dissertation of the corresponding author and an updated version of a paper first published as: Banke-Thomas, A. O., Kouraogo, S. F., Siribie, A., Taddese, H. B., & Mueller, J. E. (2013). Knowledge of obstetric fistula prevention amongst young women in urban and rural Burkina Faso: A cross-sectional study. PLoS ONE, 8(12), e85921. https://doi.org/10.1371/journal.pone.0085921.
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Notes
- 1.
The Mossi language is a Gur language belonging to the Oti–Volta branch. It is one of two official regional languages of Burkina Faso and is closely related to the Frafra language which is spoken in the northern half of neighboring Ghana. It is the language of the Mossi people and is spoken by approximately five million people.
- 2.
The Dioula, or Jula, language is a Mande language that is one of the Manding languages, closely related to Bambara, and is spoken by many millions of persons in West Africa as either a first or second language.
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Banke-Thomas, A. (2022). Designing Preventive Strategies for Obstetric Fistula: Evidence from a Survey Conducted Among Rural and Urban Women in Burkina Faso. In: Drew, L.B., Ruder, B., Schwartz, D.A. (eds) A Multidisciplinary Approach to Obstetric Fistula in Africa. Global Maternal and Child Health. Springer, Cham. https://doi.org/10.1007/978-3-031-06314-5_25
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