Equatorial Guinea - Campaign to End Fistula

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• Regarding the duration of deliveries, it is observed that the majority of women with obstetric fistula had a delivery duration between 2 and 48 hours, with 16 cases (24%) followed by those conducted for more than 100 hours, with 13 cases (19%). Besides, it is noted that 53% of women are married, followed by single women (29%) and widows (18%). • The locations found with major number of obstetric fistula were mainly Bata and Malabo, followed by Baney, with 11, 10 and 8 cases, respectivelly. • Revising the possible causes of obstetric fistula it is stated that 34% of interviewed people confirmed that the main cause of obstetric fistula was the bad handling process on deliveries as well as prolonged deliveries with 9 cases (14%). While 24 of the women with obstetric fistula (36%) confirmed that distance between their homes and the nearest health insfrastructures were 0 to 5 km, considering that this distance is acceptable due to the availability of health services in these areas; 21% of women with obstetric fistula lives at 6 to 15 km far from the nearest health structure. • Related to labour links 63 of women with obstetric fistula (95%) were jobless women, adding to that, that 11 women (17%) were rejected by their families and the environment. • Regarding women opinions to be operated after therapetic failures (reparation) data analysis revealed that 100% of interviewed women accepted operations highlithing those who have not been operated, with 44 cases (67%). Those who have been operated at least 14% of them have been operated once, 11%, twice, and 9% more than 2 operations. 32
IX. MAIN RECOMMENDATIONS a) The reinforcement of Reproductive Health (RH) service coverage through the following activities: - Reinforcement of the construction, rehabilitation and equipment programme of maternities, post and health centers in order to offer qualitative RH services and be accessible to the population and pregnant women. - Redynamisation of the advanced strategy in the community for pre natal consultation (PNC), Information, Education and Communication (IEC) and family planning (FP) consultations in order to improve the utilisation of RH services by the population in rural and unaccessible areas. - Improvement of transfer services to equip maternities on surgeon in order to conduct caesarian operations, to facilitate the transport of women with delivery complications and to extend communication links at different level of health pyramide. b) Reinforcement of operative capacities of the post and health centers as well as maternities through the following activities: - Provision of inputs (drugs and equipment) as well as the armonisation of purchase and distribution actions for RH products at different RH partners level. - Training of personnel on obstetric cares to provide the ncessary staff to post, health centers and maternities to conduct deliveries and transfer delivery with complications to higher level stages. - Selection, training and appointment of 120 midwives coming from the differents districts, up to 2010, in order to improve quality of Emmergency Obstetric Cares (EMOC) and reduce the apparition of obstetric fistula. - Coordination and work agreement between the UNFPA assisted National Programme for Reproductive Health and the Bata Faculty of Medicine in order to participate actively in the utilisation and training of new students (47 students from the 6 th level) to have improved outcomes on women’s reproductive health in Equatorial Guinea. - The development of advocacy activities toward the Ministry of Health and Social Welfare to an equtative distribution of health personnel as well as the motivation of this personnel to the sustainability of the availability of qualitative services. - To organize training / recyclation activities of traditional midwives to promote home assisted deliveries in rural and non accessible areas. 33
Page 1 and 2: REPUBLICA DE GUINEA ECUATORIAL MINI
Page 3 and 4: PRESENTATIÓN OF THE DOCUMENT I. IN
Page 5 and 6: ABREVIATIONS ABIFAGE Equatorial Gui
Page 7 and 8: The absence of quantified figures i
Page 9 and 10: In each site surveyed, the pollster
Page 11 and 12: VII. DATA ANALYSIS At national leve
Page 13 and 14: TABLE 2: DISTRIBUTION OF DELIVERY A
Page 15 and 16: TABLE 4: KNOWLEDGE LEVEL OF DELIVER
Page 17 and 18: TABLE 6: KNOWLEDGE LEVEL OF HEALTH
Page 19 and 20: TABLE 8: DISTRIBUTION OF WOMEN IDEN
Page 21 and 22: TABLE 10 : DISTRIBUTION OF WOMEN LI
Page 23 and 24: TABLE 12: DISTRIBUTION OF WOMEN LIV
Page 25 and 26: appropriate resources in order to r
Page 27 and 28: TABLE 16: DISTRIBUTION OF WOMEN WIT
Page 29 and 30: TABLE 18: FAILURES NOTED ON MEDICAL
Page 31: (v) Social Needs on prevention, rep
Page 35 and 36: ATTACHEMENTS: Annex 1: List and add
Page 37 and 38: NO NAMES AND FAMILY NAMES AGE PLACE
Page 39 and 40: Annex 3: Work Plan Propossal (Septe
Page 41 and 42: Annex 4: Data collection tools REPU
Page 43 and 44: 4. For each center, please evaluate
Page 45 and 46: QUESTIONNAIRE 2 : (Addressed to del
Page 47 and 48: QUESTIONNAIRE 3: (Addressed to wome
Page 49 and 50: List of national research team NO N
Page 51 and 52: 2. WOMAN WITH FISTULA AT AN EARLY A
Page 53 and 54: 4. REJECTED WOMAN WITH OBSTETRIC FI
Page 55: BIBLIOGRAPHY 1. REP. DE GUINEA ECUA

Equatorial Guinea - Campaign to End Fistula

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