Risk and Resilience: Obstetric Fistula in Tanzania - EngenderHealth

Annex 3: Recommendations on the Prevention and Management of Fistula
Type of recommendations
Frequency of responses
Women with Family Community Providers
fistula members members
Prevention of fistula
Deliver in hospital 12 3 3 6
Improve quality of care 2 3 3 4
Attend antenatal care 1 2 2 2
Stay close to health service 1 0 0
Receive information on pregnancy, labor, and delivery 0 0 3 0
Avoid delay 0 1 2 5
Have woman and husband make ANC decision jointly 0 0 0 1
Do not delivery at home/with TBA 0 1 1 3
Save money for transportation and delivery costs 0 0 4 9
Educate community on importance of ANC, maternal 0 4 0 8
complications,pregnancy care, delivery in hospitals, and
managing fistula
Have community build a hospital 0 1 1 0
Have government provide better quality health care facilities 0 1 0 0
Do not give birth or marry at a young age 0 0 3 0
Have an ambulance available 0 0 0 1
Educate community members to take women in labor to 0 0 0 3
the hospital
Do not give birth at a mature age 0 0 0 1
Do not have frequent births 0 0 0 1
Post-fistula
Seek treatment for fistula 27 1 0 3
Receive support from family, friends, and community 20 1 1 9
Keep clean 16 1 0 3
Persevere 9 2 1 3
Raise money for living/treatment 7 0 0 1
Have friends and family help with chores/work 1 0 0 0
Do not isolate oneself 0 0 0 2
Look for money for treatment 0 1 0 0
No recommendations 11 0 0 3
Labor and Delivery
Receive support from family, friends and community 20 1 1 9
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