Evidence map›Paper›PMID 41840568›Full record

ArticleBMC women's health2026

Counseling strategies and challenges for addressing infertility and infertility concerns following female genital fistula repair: perspectives from fistula care providers in Uganda.

Suvarna Jyothi Kantipudi, Umar Senoga, Hadija Nalubwama, Justus K Barageine, Abner P Korn, Alison M El Ayadi

Abstract read
In one paragraph

Article in BMC women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Suvarna Jyothi KantipudiDepartment of Psychiatry, SRMC & RI, Sri Ramachandra Institute of Higher Education and Research(SRIHER), Chennai, India. suvarna@sriramachandra.edu.in.
Umar SenogaDepartment of Disease Control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.
Hadija NalubwamaDepartment of Obstetrics and Gynaecology, College of Health Sciences, Makerere University, Kampala, Uganda.
Justus K BarageineDepartment of Obstetrics and Gynaecology, College of Health Sciences, Makerere University, Kampala, Uganda.
Abner P KornDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, San Francisco, CA, USA.
Alison M El AyadiDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, San Francisco, CA, USA. alison.elayadi@ucsf.edu.

Funding

Eunice Kennedy Shriver National Institute of Child Health and Human Development R21HD106002
6 · The paper itself

Abstract

backgroundInfertility counseling for women after genital fistula repair presents unique medical, emotional, and social challenges. This study aims to explore the counseling strategies employed by fistula care providers in Uganda, the challenges they face, and to identify implications for practice.

methodsThis qualitative study involved in-depth interviews with 30 fistula care providers in Uganda. The interviews focused on their experiences, strategies, and challenges in providing infertility counseling to women who had undergone genital fistula repair. The data were analyzed thematically to identify key themes and insights.

resultsThe study identified various counseling strategies, including providing emotional support, setting realistic expectations, and referring patients to specialists. Providers have employed individualized approaches, particularly considering patients’ hysterectomy status, with additional counseling sessions for those affected. Cultural attitudes toward infertility influence the counseling process, and financial constraints significantly impact patients’ options. Providers reported emotional challenges in discussing sensitive issues and managing patients’ responses, highlighting a need for better training and support.

conclusionsInfertility counseling for women after genital fistula repair requires a comprehensive approach addressing medical, emotional, and social dimensions. Our findings highlight significant provider challenges, including the emotional toll of counseling, lack of specific training, and systemic barriers such as patient financial constraints and limited access to specialist care. Enhancing training for fistula care providers in counseling skills and integrating psychosocial support can improve care quality and address these challenges effectively.

Indexed as

emotional support.genital fistula repairhealthcare providersInfertility counselingqualitative study

Identifiers

PMID41840568
PMCPMC13112883

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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.