The psychosocial impact of vesico-vaginal fistula in Niger.

Abstract:

PURPOSE:To explore the psycho-social impact of vesico-vaginal fistula (VVF) on women in Niger. STUDY DESIGN:We conducted a qualitative study on 21 women in convalescence at the DIMOL Reproductive Health Center in Niamey, Niger, in 2008 and 2009. The women had undergone 1-3 fistula repair operations and all had stillborn infants. RESULTS:Women reported many psychological consequences of VVF including depression, feelings of shame, and loneliness. Others reported feeling devalued as a woman and wanting to end their lives. Social consequences of fistula reported by these women included rejection from society, isolation, rejection from husband and/or divorce. Almost half of the women reported of having lost their social network and support as a result of the fistula. Women with VVF were deemed unworthy, and their illness was often attributed to some fault of their own. CONCLUSIONS:Our findings support the notion that socio-economic factors, though they certainly contribute to obstetric fistula, are not the primary reason for fistula, particularly in Niger. Fistula is a direct result of lack of access to skilled birth attendants and emergency obstetric care.

journal_name

Arch Gynecol Obstet

authors

Alio AP,Merrell L,Roxburgh K,Clayton HB,Marty PJ,Bomboka L,Traoré S,Salihu HM

doi

10.1007/s00404-010-1652-5

subject

Has Abstract

pub_date

2011-08-01 00:00:00

pages

371-8

issue

2

eissn

0932-0067

issn

1432-0711

journal_volume

284

pub_type

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