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Equatorial Guinea - Campaign to End Fistula

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appropriate resources in order <strong>to</strong> repair cases identified with fistula and the socioeconomical reinsertion of affected women in<br />

<strong>Equa<strong>to</strong>rial</strong> <strong>Guinea</strong>.<br />

TABLE 14:<br />

POSSIBLE CAUSES<br />

KNOWLEDGE OF THE CAUSES OF OBSTETRIC FISTULA,<br />

ACCORDING TO WOMEN’S LEVEL OF INSTRUCTION<br />

(JUNE 2005)<br />

INSTRUCTION LEVEL<br />

Iliteracy Primary Second Sup Others N/R TOTAL<br />

Bad handling 12 11 0 0 0 0 23<br />

Prolonged delivery 2 5 2 0 0 0 9<br />

Abortions in bad conditions 0 2 2 0 0 0 4<br />

Large foetus 1 2 0 0 0 0 3<br />

Bad handling and prolonged delivery 0 2 1 0 0 0 3<br />

Bad handling of <strong>to</strong>ols 0 2 0 0 0 0 2<br />

Bad handling and late arrival at center 0 1 0 0 0 0 1<br />

Sexual violence 0 0 0 0 0 0 0<br />

Little pelvis 0 1 0 0 0 0 1<br />

Caesarian 0 1 1 0 0 0 2<br />

Delivery complications 1 2 1 0 0 0 4<br />

Early pregnancy 0 1 1 0 0 0 2<br />

Chirurgical delivery 1 1 0 0 0 0 2<br />

No information 3 6 1 0 0 0 10<br />

Traumatic 0 0 0 0 0 0 0<br />

Not recorded 0 0 0 0 0 0 0<br />

TOTAL 20 37 9 0 0 0 66<br />

GRAPHIC 14:<br />

CAUSE KNOWLEDGE ON OBSTETRIC FISTULA,<br />

ACCORDING TO WOMEN'S INSTRUCTION LEVEL<br />

(JUNE 2005).<br />

14<br />

12<br />

10<br />

8<br />

6<br />

4<br />

2<br />

0<br />

Iliteracy<br />

Primary<br />

Second<br />

Sup<br />

Others<br />

N/R<br />

Possible causes<br />

Comments:<br />

Inspite of womes’s low level of instructions, and the lack of information on obstetric fistula, the possible causes identified by<br />

themselves as being responsible of the fistula, through a series of questions, corresponds, in most cases, <strong>to</strong> real causes<br />

(prolonged deliveries, bad use of <strong>to</strong>ols, etc.) where the bad use of <strong>to</strong>ols during delivery 23 cases (35%), appears as the main<br />

cause, followed by prolonged deliveries 9 cases (14%). However, the training and sensitization of womens on maternal health<br />

as well as on fistula concerns, should be reinforced in order <strong>to</strong> find out in appropriate moments all alert signs of delivery<br />

complications which lead <strong>to</strong> obstetric fistula.<br />

25

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