Equatorial Guinea - Campaign to End Fistula
Equatorial Guinea - Campaign to End Fistula
Equatorial Guinea - Campaign to End Fistula
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QUESTIONNAIRE 1: (Status of health structures)<br />
(Addressed <strong>to</strong> hospital direc<strong>to</strong>rs, doc<strong>to</strong>rs, surgeons, ginecologists, sociologists and<br />
responsible of hospital services.).<br />
QUESTIONNAIRE / CARTHOGRAPHIC EXERCICE ON OBSTETRIC FÍSTULA (Needs evaluation)<br />
Questions:<br />
1. Make a brief description of actual status of this problem at country level, on information, data<br />
prevalence, public health interest, professional associations (midwives, obstetrics), NGOs, RH<br />
donors, etc................................................................................…………………………………………...<br />
.........................................................................................................................………….......................<br />
Note if obstetric fistula is considered as an important issue and identificate type of available<br />
ressources <strong>to</strong> handle this issue:<br />
Human ressources ……........................................................................................................................<br />
Material ressources ..............................................................................................................................<br />
Financial ressources ...........................................................................................................…………...<br />
NB:<br />
Pollster, having a delicate issue and still unknown in our area, this initial sounding will require, of<br />
course, a serie of conversations with different local health agents <strong>to</strong> find those who are well informed<br />
and accepts discussing fistula problems. Do not forget that most of fistula cases are a consequence of<br />
a bad executed deliveries and, victims are young poor women, isolated/excluded…<br />
2. Are there any health centers suitable for treatment and re-education/rehabilitation of women with<br />
fistula (generally urology services, others)? Yes No <br />
If yes, evaluate the following elements for each center:<br />
- Au<strong>to</strong>nome center, hospital pavilion, private and public (Map)………..............................…………..<br />
- Number of yearly fistula repair (porcentage considered "succesful" (definite "succesful"),<br />
complications, sequels….................................................................................................…………..<br />
- Geographic provenance of patients……….....................................................................…………..<br />
- Number of urologists specialists .....................general surgeons……….........................…………..<br />
- obstetrics .............................................able or anxious <strong>to</strong> repair fistulas.<br />
- Number of trained nurses participating in fistula operations…………..............................………….<br />
- Number of trained persons on post operational cares…..………….................................………….<br />
- Supervision of clinic service personnel by local supervisors (as well as regional specialists).......<br />
- Treatment possibilities ……............…………..................................................................................<br />
- and delayed period before treatment (reparation)……………………….........................................<br />
- Operation costs (including admitance, drugs)…………………….....................................………….<br />
- Improvement possibilities, service expansion (please note wether the center can be positioned<br />
<strong>to</strong> become a national/regional training center)…………..................................................................<br />
.........................................................................................................................................................<br />
3. What are the source of funding of these health centers?.....................…………………………………...<br />
..............................................................................................................................................................<br />
.................................................................................................................................…………………….<br />
If there are admittance fees, treatments, make a sounding <strong>to</strong> consider if these fees are:<br />
- Reasonable: Yes No <br />
- Accesible <strong>to</strong> poor people: Yes No <br />
- Or if there are being received as disuassives: Yes No for potential clients<br />
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