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.
Similar content being viewed by others
References
Stanton C, Holtz SA, Ahmed S (2007) Challenges in measuring obstetric fistula. Int J Gynaecol Obstet 99:S4–S9
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
United Nations Population Fund (UNFPA). Obstetric fistula needs assessment, findings from nine African countries. http://www.unfpa.org/fistula/docs/. Accessed 11 December 2007
Onolemhemhen DO, Ekwempu CC (1999) An investigation of sociomedical risk factors associated with vaginal fistula in northern Nigeria. Women Health 28(3):103–116
Ojanuga DN (1992) Education: the key to preventing vesicovaginal fistula in Nigeria. World Health Forum 13:54–56
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
Holme A, Breen M, MacArthur C (2007) Obstetric fistula: a study of women managed at the Monze Mission Hospital, Zambia. BJOG 114:1010–1017
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
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
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
Kelly J (1995) An epidemiological study of vesic-ovaginal fistula in Addis Ababa. World Health Stat Q 48:15–17
Ojanuga D (1991) Preventing birth injury among women in Africa: case studies in Northern Nigeria. Am J Orthopsychiatr 61(4):533–539
Maclean GD, Tickner VJ (1992) A preliminary evaluation of educational material prepared for the Safe Motherhood Initiative Educational Project. Midwifery 8:143–148
Donnay F, Ramsey K (2006) Eliminating obstetric fistula: progress in partnerships. Int J Gynaecol Obstet 94:254–261
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
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
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
Corresponding author
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
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
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00192-008-0720-x