ArticleScientific reports2025
Community perceptions and determinants of obstetric fistula across gender lines.
Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- From stigma to strength: voices of women in Malawi after obstetric fistula repair.Tropical medicine and health · 2026Article
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8 authors.
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Abstract
Obstetric fistula is a major maternal health challenge in low-income countries like Ethiopia. Misperceptions about obstetric fistula delay seeking and accessing healthcare. Understanding community attitudes is crucial for prevention, early detection, and support for affected women. A community-based study was conducted from February 1 to April 26, 2024, among 640 women and men to assess attitudes and influencing factors. Participants were selected using a multistage sampling. Multivariable logistic regression analysis was performed, with a p-value < 0.05 considered statistically significant. The study included nearly equal proportions of males (49.1%) and females (50.9%), with a median age of 32 years (IQR: 19-64). Among participants, 47.8% (95%CI: 43.7-51.6) had a favourable attitude towards obstetric fistula. Those under 20 years (AOR: 7.7; 95%CI: 2.3-28.6), aged 20-35 (AOR: 3.9; 95%CI: 1.8-8.5), and aged 36-50 (AOR: 6.36; 95%CI: 3.0-14.1) were more likely to have a favourable attitude compared to those over 50 years. Female gender (AOR: 1.5; 95%CI: 1.1-2.2), primary education (AOR: 1.86; 95%CI: 1.3-2.9), and awareness of obstetric fistula (AOR: 3.04; 95%CI: 2.0-4.6) were significant determinants. The study revealed unfavourable community attitudes towards obstetric fistula, with notable gender and age differences. Enhancing attitudes requires a comprehensive, tailored program involving all relevant stakeholders.
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