ArticleAfrican journal of reproductive health2020
Perceived Causes of Obstetric Fistula and Predictors of Treatment Seeking among Ugandan Women: Insights from Qualitative Research.
Article in African journal of reproductive health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- Pooled it
- Socio-medical consequences of living with obstetric fistula: a phenomenological study of the lived experiences of women in the Tamale Metropolis, Ghana.BMC pregnancy and childbirth · 2026Article
- Obstetric fistula awareness in The Gambia, Côte d'Ivoire, Madagascar and Sierra Leone: A cross-sectional analysis of Demographic and Health Surveys data.Journal of public health in Africa · 2026Article
- I feel like an outcast!: qualitative exploration on barriers to seek care among women with obstetric fistula in Tigray, Northern Ethiopia.Reproductive health · 2025Article
- Barriers and facilitators for treatment-seeking among women with genital fistula: a facility-based qualitative study in Bangladesh.Tropical medicine and health · 2025Article
- Healthcare needs and treatment-seeking patterns of women living with obstetric fistula: a qualitative study in the Tamale Metropolis, Ghana.BMJ public health · 2025Article
- Supporting Women after Obstetric Fistula Surgery to Enhance Their Social Participation and Inclusion.International journal of environmental research and public health · 2024Article
- "I became a person again": Social inclusion and participation experiences of Ethiopian women post-obstetric fistula surgical repair.PloS one · 2024Article
- Gynecological Fistulae-Has Anything Changed in the Diagnosis and Treatment over the Last Decade? A Narrative Literature Review.Medicina (Kaunas, Lithuania) · 2023Review
- Understanding Healthcare-Seeking Pathways and Dilemmas Among Women with Obstetric Fistulas in Ethiopia: A Qualitative Inquiry.International journal of women's health · 2023Article
- Women's experiences of fistula-related stigma in Uganda: a conceptual framework to inform stigma-reduction interventions.Culture, health & sexuality · 2020Article
- A scoping review of qualitative studies on sexual and reproductive health and rights in Uganda: Exploring factors at multiple levels.Women's health (London, England)Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
Many obstetric fistula patients remain untreated or present late to treatment despite increasing surgical availability in Uga nda. We explored women's perceptions of the cause of their obstetric fistula and their treatment seeking behaviours, including barriers and facilitators to timely care access. In-depth interviews and focus group discussions were conducted from June-August 2014 among 33 women treated for obstetric fistula at Mulago Hospital, Kampala. Data were analysed to describe dimensions and commonalities of themes identified under perceived causes and treatment seeking experiences, and their intersection. Perceived obstetric fistula causes included delays in deciding on hospital delivery, lengthy labour, injury caused by the baby, health worker incompetence, and traditional beliefs. Treatment seeking timing varied. Early treatment seeking was facilitated by awareness of treatment availability through referral, the media, community members, and support by partners and children. Barriers to early treatment seeking included inadequate financial and social support, erroneous perceptions about fistula causes and curability, incorrect diagnoses, and delayed or lack of care at health facilities. Our study supports broad educational and awareness activities, facilitation of social and financial support for accessing care, and improving the quality of emergency obstetric care and fistula treatment surgical capacity to reduce women's suffering.
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Registered trials
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