Evidence map›Paper›PMID 28830398›Full record

ArticleBMC women's health2017

Reasons for delay in decision making and reaching health facility among obstetric fistula and pelvic organ prolapse patients in Gondar University hospital, Northwest Ethiopia.

Mulat Adefris, Solomon Mekonnen Abebe, Kiros Terefe, Abebaw Addis Gelagay, Azmeraw Adigo, Selamawit Amare, Dorothy Lazaro, Aster Berhe, Chernet Baye

Open access · goldAbstract read
In one paragraph

Article in BMC women's health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Mulat AdefrisDepartment of Obstetrics and Gynecology, University of Gondar, P.O.Box 196, Gondar, Ethiopia. mulatadefrisw@gmail.com.
Solomon Mekonnen AbebeInstitute of Public Health, University of Gondar, Gondar, Ethiopia.
Kiros TerefeDepartment of Obstetrics and Gynecology, University of Gondar, P.O.Box 196, Gondar, Ethiopia.
Abebaw Addis GelagayInstitute of Public Health, University of Gondar, Gondar, Ethiopia.
Azmeraw AdigoDepartment of Obstetrics and Gynecology, University of Gondar, P.O.Box 196, Gondar, Ethiopia.
Selamawit AmareDepartment of Obstetrics and Gynecology, University of Gondar, P.O.Box 196, Gondar, Ethiopia.
Dorothy LazaroUNFPA Country office, Addis Ababa, Ethiopia.
Aster BerheUNFPA Country office, Addis Ababa, Ethiopia.
Chernet BayeDepartment of Obstetrics and Gynecology, University of Gondar, P.O.Box 196, Gondar, Ethiopia.
University of Gondar · ETUnited Nations Economic Commission for Africa · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObstetric fistula and pelvic organ prolapse remain highly prevalent in sub-Saharan Africa, where women have poor access to modern health care. Women having these problems tend to stay at home for years before getting treatment. However, information regarding the reasons contributing to late presentation to treatment is scarce, especially at the study area. The objective of this study was to assess the reasons whywomen with obstetric fistula and pelvic organ prolapse at Gondar University Hospital delay treatment.

methodA hospital based cross-sectional study was conducted among 384 women. Delay was evaluated by calculating symptom onset and time of arrival to get treatment at Gondar University Hospital. Regression analysis was conducted to elicit predictors of delay for treatment.

resultOf the total 384 participants, 311 (80.9%) had pelvic organ prolapse and 73(19.1%) obstetric fistula. The proportion of women who delayed treatment of pelvic organ prolapse was 82.9% and that of obstetric fistula 60.9%. Fear of disclosing illness due to social stigma (AOR = 2; 1.03, 3.9) and lack of money (AOR = 1.97; 1.01, 3.86) were associated with the delay of treatment for pelvic organ prolapse,while increasing age (AOR =1.12; 1.01, 1.24) and divorce (AOR = 16.9; 1.75, 165.5) were were responsible for delaying treatment forobstetric fistula.

conclusionA large numberof women with pelvic organ prolapse and obstetric fistula delayed treatment. Fear of disclosure due to social stigma and lack of moneywere the major factors that contributed to thedelay to seek treatment for pelvic organ prolapse,while increasing age and divorce were the predictors for delaying treatment for obstetric fistula.

Indexed as

Social StigmaAdultCross-Sectional StudiesDecision MakingEthiopiaFemaleHospitals, UniversityHumansMiddle AgedPatient Acceptance of Health CarePelvic Organ ProlapsePregnancyPrevalenceRectovaginal Fistula

Identifiers

PMID28830398
PMCPMC5567648
OpenAlexW2745584298

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.