Barriers to obstetric fistula treatment in low-income countries: a systematic review

Tropical Medicine & International Health : TM & IH
Zoë BakerCharlotte Warren

Abstract

To identify the barriers faced by women living with obstetric fistula in low-income countries that prevent them from seeking care, reaching medical centres and receiving appropriate care. Bibliographic databases, grey literature, journals, and network and organisation websites were searched in English and French from June to July 2014 and again from August to November 2016 using key search terms and specific inclusion and exclusion criteria for discussion of barriers to fistula treatment. Experts provided recommendations for additional sources. Of 5829 articles screened, 139 were included in the review. Nine groups of barriers to treatment were identified: psychosocial, cultural, awareness, social, financial, transportation, facility shortages, quality of care and political leadership. Interventions to address barriers primarily focused on awareness, facility shortages, transportation, financial and social barriers. At present, outcome data, though promising, are sparse and the success of interventions in providing long-term alleviation of barriers is unclear. Results from the review indicate that there are many barriers to fistula treatment, which operate at the individual, community and national levels. The successful treatme...Continue Reading

References

Apr 1, 1994·Social Science & Medicine·S Thaddeus, D Maine
May 1, 1994·Health & Social Work·D Ojanuga
Dec 10, 1998·European Journal of Obstetrics, Gynecology, and Reproductive Biology·M F Amr
Jun 12, 1999·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·E P Gharoro, H O Abedi
Jul 8, 2000·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·F J Devlyn
Mar 6, 2002·BJU International·E C HamlinR C Kennedy
Jan 17, 2003·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Elizabeth C Evans, Mikel Gray
Jan 16, 2004·Lancet·France Donnay, Laura Weil
Aug 4, 2004·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·A Browning, The Lord Patel
Oct 7, 2004·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·R J CookS Syed
Jun 24, 2005·Journal of Midwifery & Women's Health·Suellen MillerBeth Cowan
Jul 22, 2005·Obstetrical & Gynecological Survey·L L WallAnyetei Lassey
Aug 17, 2005·BJOG : an International Journal of Obstetrics and Gynaecology·Judith T W GohSayeba Akhter
Nov 30, 2005·Journal of Women's Health·L Lewis Wall
Dec 6, 2005·Scandinavian Journal of Caring Sciences·Ann OlssonEva Nissen
Jan 5, 2006·International Urogynecology Journal and Pelvic Floor Dysfunction·L Lewis WallKwabena Danso
Aug 2, 2006·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·F Donnay, K Ramsey
Feb 23, 2007·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·G Williams
Aug 31, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·I NafiouR R Genadry
Aug 31, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·S Ahmed, S A Holtz
Aug 31, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·L L Wall
Sep 1, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·O A OjengbedeO Shittu
Sep 4, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·A Browning
Sep 15, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·M Bangser
Sep 18, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·M N WegnerM Mehta
Sep 18, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Y Rijken, G C Chilopora
Sep 18, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·A A CreangaC Stanton
Sep 18, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·A T Lassey
Sep 18, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·K RamseyL Idoko
Sep 21, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·A VelezK Tell
Oct 2, 2007·BJOG : an International Journal of Obstetrics and Gynaecology·A BrowningJ T W Goh
Oct 16, 2007·Midwifery·Ann M Thomson
Dec 22, 2007·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·G S MelahA U El-Nafaty
Jan 17, 2008·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Mulu MuletaBiruk Tafesse
Jun 19, 2008·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·P-M TebeuC-H Rochat
Sep 24, 2008·International Urogynecology Journal and Pelvic Floor Dysfunction·Kimberly A GertenHolly E Richter
Nov 26, 2008·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Alice X Zheng, Frank W J Anderson
Dec 30, 2008·American Journal of Obstetrics and Gynecology·Lisa M NathanErika Banks
May 16, 2009·Culture, Health & Sexuality·Marissa Pine YeakeyAmy O Tsui
May 23, 2009·BJOG : an International Journal of Obstetrics and Gynaecology·H S NielsenS Duffy
Sep 26, 2009·BJOG : an International Journal of Obstetrics and Gynaecology·S Elneil, A Browning
Sep 17, 2009·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·E P Gharoro, K N Agholor
Oct 7, 2009·Annals of African Medicine·M A Hassan, B A Ekele
Dec 17, 2009·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Julio Lopez-BastidaEnrique Quintero-Carrión
Feb 4, 2010·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·T AnoukoumE A Ayite
Mar 5, 2010·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Markhaba TukenovaFlorent de Vathaire
Mar 12, 2010·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Linda V Kalilani-PhiriAbdallah Chilungo

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Citations

Apr 10, 2018·Obstetrics and Gynecology·Rachel Pope
Oct 4, 2019·Qualitative Health Research·Hannah M DeggeMark Hayter
Nov 2, 2019·PloS One·Samson Gebremedhin, Anteneh Asefa
Jun 28, 2018·BMC Pregnancy and Childbirth·Oluwakemi C AmoduMagdalena S Richter
Apr 28, 2021·Clinical Obstetrics and Gynecology·Megan Abrams, Rachel Pope
May 11, 2021·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Laura KeyserChi Chiung Grace Chen
Jul 6, 2021·Tropical Medicine & International Health : TM & IH·Bryony DawkinsDavid Meads

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