ArticlePloS one2024
"I became a person again": Social inclusion and participation experiences of Ethiopian women post-obstetric fistula surgical repair.
Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The lived experiences and coping mechanisms of women with obstetric fistula in Ethiopia: A systematic review and meta-synthesis of qualitative evidence.Women's health (London, England)Pooled it
- Outcomes of Two Different Obstetric Social Reintegration Program Approaches After Obstetric-Related Fistula Repair.International urogynecology journal · 2026Article
- From stigma to strength: voices of women in Malawi after obstetric fistula repair.Tropical medicine and health · 2026Article
- Supporting Women after Obstetric Fistula Surgery to Enhance Their Social Participation and Inclusion.International journal of environmental research and public health · 2024Article
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6 authors.
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Abstract
backgroundChildbirth-related mortality and morbidity affect many women globally, especially in low-income countries like Ethiopia. Obstetric fistula-a preventable condition mainly caused by prolonged and obstructed labor-can lead to physical, psychological, and social challenges, affecting women's social participation and inclusion.
objectiveThis study aims to understand women's social participation and inclusion experiences post-obstetric fistula surgery.
methodsThis study is part of a larger research project investigating the social inclusion process of women who have had obstetric fistula surgery in Ethiopia. For this study, we conducted a qualitative exploration of women's experiences, guided by a constructivist grounded theory approach. Twenty-one women discharged from fistula treatment facilities following obstetric fistula surgery were interviewed using a semi-structured interview guide. Data was analyzed using Charmaz's inductive analysis approach, which involves an initial line-by-line coding followed by focused coding to identify the most significant codes. Subsequently, sub-themes and themes were developed from the focused codes.
resultThe data analysis revealed four themes reflecting the women's experiences of social participation and inclusion. These are the experience of recovery and the journey toward social participation, participating in expected and meaningful activities, the continued challenge with a romantic relationship, and formal and informal support. Overall, the women who received fistula surgery reported positive life changes, especially regarding their physical well-being. However, they continued to face social challenges such as financial hardship, reproductive health problems, and issues with marriage and family life, which negatively impacted their social participation and inclusion experiences.
conclusionWhile more research is needed, the findings of this study suggest that the social aspects of obstetric fistula are crucial for healthcare professionals to consider. Providing appropriate care and support to address unmet social relationship, employment, and childcare needs could enable women to lead fulfilling lives.
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