Evidence map›Paper›PMID 42406583›Full record

SynthesisNursing open2026

Determinants of Recovery From Obstetric Fistula in Ethiopia: A Systematic Review and Meta-Analysis.

Chalie Mulugeta, Tadele Emagneneh, Assefa Sisay, Getinet Kumie, Esuyawkal Mislu, Henok Kumsa, Adem Yesuf, Abebaw Alamrew

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Nursing open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Chalie MulugetaDepartment of Midwifery, College of Health Science, Woldia University, Weldiya, Ethiopia.ORCID https://orcid.org/0009-0008-9038-7996
Tadele EmagnenehDepartment of Midwifery, College of Health Science, Woldia University, Weldiya, Ethiopia.ORCID https://orcid.org/0009-0006-8380-0098
Assefa SisayDepartment of Medical Laboratory, College of Health Science, Woldia University, Weldiya, Ethiopia.
Getinet KumieDepartment of Medical Laboratory, College of Health Science, Woldia University, Weldiya, Ethiopia.
Esuyawkal MisluDepartment of Midwifery, College of Health Science, Woldia University, Weldiya, Ethiopia.ORCID https://orcid.org/0000-0002-4645-8936
Henok KumsaDepartment of Midwifery, College of Health Science, Woldia University, Weldiya, Ethiopia.ORCID https://orcid.org/0000-0003-0403-4382
Adem YesufDepartment of Midwifery, College of Health Science, Woldia University, Weldiya, Ethiopia.ORCID https://orcid.org/0009-0000-1520-3722
Abebaw AlamrewDepartment of Midwifery, College of Health Science, Woldia University, Weldiya, Ethiopia.ORCID https://orcid.org/0009-0008-6342-9636

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis study aimed to assess the prevalence of recovery from obstetric fistula and identify factors associated with recovery amongst women in Ethiopia.

designA systematic review and meta-analysis of retrospective cohort studies were conducted.

methodsA comprehensive search was performed in PubMed, Google Scholar, EMBASE, Cochrane Library and Hinari using relevant keywords and Boolean operators. In addition, grey literature sources such as Google Scholar, institutional repositories and reports from international organisations. Data extraction was done using Microsoft Excel, and statistical analyses were conducted in Stata version 11. The methodological quality of the studies was assessed using the Newcastle-Ottawa Scale. Publication bias was evaluated with a funnel plot and Egger's test, and heterogeneity was measured using the I-squared statistic.

resultsTen studies including 2382 participants from four regions of Ethiopia, were analysed. The pooled prevalence of recovery from obstetric fistula was 80.42% (95% CI: 75.74-85.10). Factors significantly associated with recovery included: maternal height ≤ 150 cm (AHR: 1.30; 95% CI: 1.14-1.47; I NO PATIENT OR PUBLIC CONTRIBUTION: This study was based on previously published studies, and no direct patient or public involvement was included.

conclusionRecovery from obstetric fistula in Ethiopia remains suboptimal. Factors significantly associated with better recovery outcomes included maternal height, antenatal care attendance, institutional delivery, mode of delivery, duration of incontinence ≤ 3 months, intact urethra and fistula width ≤ 2 cm. Targeted interventions focusing on these factors-such as increasing antenatal care uptake, promoting institutional deliveries and ensuring early management of incontinence-are essential to improve recovery outcomes for affected women.

trial registrationPROSPERO: CRD420261422331.

Indexed as

Obstetric Labor ComplicationsRecovery of FunctionEthiopiaFemaleHumansPregnancyPrevalenceRetrospective Studiesassociated factorsEthiopiaobstetric fistularecoverytime to recovery

Identifiers

PMID42406583
PMCPMC13335612

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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.