Skip to main content
Log in

Pilot study utilizing a patient educational brochure at a vesicovaginal fistula hospital in Nigeria, Africa

  • Original Article
  • Published:
International Urogynecology Journal Aims and scope Submit manuscript

Abstract

This paper presents a pilot study exploring the utility and feasibility of use of a vesicovaginal fistula (VVF) patient educational brochure. Women awaiting or recently having undergone VVF surgery examined a six-paneled educational brochure detailing the causes, treatment options, and prevention methods of VVF. Participants answered demographic questions and gave detailed responses to a questionnaire that addressed the brochure material. A convenience sample of 50 patients, with a mean age of 26.1 years, participated. Universally, these women felt that the information they learned from the brochure was useful. Suggestions by participants regarding prevention of VVF included laboring in a hospital (80%), educating other women (30%), and discouraging early marriage (8%). Primary barriers to prevention and treatment included financial restraints (84%) and transportation difficulties (30%). The utilization of a simple, low-cost educational brochure has the ability to educate women on the causes, treatment, and prevention of VVF.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Stanton C, Holtz SA, Ahmed S (2007) Challenges in measuring obstetric fistula. Int J Gynaecol Obstet 99:S4–S9

    Article  PubMed  Google Scholar 

  2. Wegner MN, Ruminjo ES, Pesso L, Mehta M (2007) Improving community knowledge of obstetric fistula prevention and treatment. Int J Gynaecol Obstet 99:S108–S111

    Article  PubMed  Google Scholar 

  3. United Nations Population Fund (UNFPA). Obstetric fistula needs assessment, findings from nine African countries. http://www.unfpa.org/fistula/docs/. Accessed 11 December 2007

  4. Onolemhemhen DO, Ekwempu CC (1999) An investigation of sociomedical risk factors associated with vaginal fistula in northern Nigeria. Women Health 28(3):103–116

    Article  Google Scholar 

  5. Ojanuga DN (1992) Education: the key to preventing vesicovaginal fistula in Nigeria. World Health Forum 13:54–56

    PubMed  CAS  Google Scholar 

  6. Velez A, Ramsey K, Tell K (2007) The campaign to end fistula: what have we learned? Findings of facility and community needs assessments. Int J Gynaecol Obstet 99:S143–S150

    Article  PubMed  Google Scholar 

  7. Holme A, Breen M, MacArthur C (2007) Obstetric fistula: a study of women managed at the Monze Mission Hospital, Zambia. BJOG 114:1010–1017

    Article  PubMed  CAS  Google Scholar 

  8. Meyer L, Ascher-Walsh CJ, Norman R, Idrissa A, Herbert H, Kimso O, Wilkinson J (2007) Commonalities among women who experienced vesicovaginal fistulae as a result of obstetric trauma in Niger: results of a survey given at the National Hospital fistula center, Niamey, Niger. Am J Obstet Gynecol 197:90.e1–90.e4

    Article  Google Scholar 

  9. Wall LL, Karshima JA, Kirschner C, Arrowsmith SD (2004) The obstetric vesicovaginal fistula: characteristics of 899 patients from Jos, Nigeria. Am J Obstet Gynecol 190:1011–1019

    Article  PubMed  Google Scholar 

  10. Muleta M (2004) Socio-demographic profile and obstetric experience of fistula patients managed at the Addis Ababa fistula hospital. Ethiop Med J 42:9–16

    PubMed  Google Scholar 

  11. Kelly J (1995) An epidemiological study of vesic-ovaginal fistula in Addis Ababa. World Health Stat Q 48:15–17

    PubMed  CAS  Google Scholar 

  12. Ojanuga D (1991) Preventing birth injury among women in Africa: case studies in Northern Nigeria. Am J Orthopsychiatr 61(4):533–539

    Article  CAS  Google Scholar 

  13. Maclean GD, Tickner VJ (1992) A preliminary evaluation of educational material prepared for the Safe Motherhood Initiative Educational Project. Midwifery 8:143–148

    Article  PubMed  CAS  Google Scholar 

  14. Donnay F, Ramsey K (2006) Eliminating obstetric fistula: progress in partnerships. Int J Gynaecol Obstet 94:254–261

    Article  PubMed  CAS  Google Scholar 

  15. Olaniran N, Offiong S, Ottong J, Asuquo E, Duke F (1997) Mobilizing the community to utilize obstetric services, Cross River State, Nigeria. Int J Gynaecol Obstet 59:S181–S189

    Article  PubMed  Google Scholar 

  16. Mohammed RH (2007) A community program for women’s health and development: implications for the long-term care of women with fistulas. Int J Gynaecol Obstet 99:S137–S142

    Article  Google Scholar 

Download references

Acknowledgments

Julani Ibrahim and Saanatu Bitrus Sarma: language translation assistance.

Conflicts of interest

None.

Funding

Partially funded by the National Institute of Diabetes and Digestive and Kidney Diseases, NIDDK (DK068389) to HER.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kimberly A. Gerten.

Additional information

Oral presentation Annual Meeting of the Society of Gynecologic Surgeons, Savannah, GA, April 14–16, 2008.

Partially funded by the National Institute of Diabetes and Digestive and Kidney Diseases, DK068389 to H.E.R.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gerten, K.A., Venkatesh, S., Norman, A.M. et al. Pilot study utilizing a patient educational brochure at a vesicovaginal fistula hospital in Nigeria, Africa. Int Urogynecol J 20, 33–37 (2009). https://doi.org/10.1007/s00192-008-0720-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00192-008-0720-x

Keywords

Navigation