Risk and Resilience: Obstetric Fistula in Tanzania - EngenderHealth

More documents

Recommendations

Info

Acronyms and Abbreviations ANC CCBRT DHS EmOC HAPA RCHC RVF TBA TSh VVF antenatal care Comprehensive Community Based Rehabilitation Tanzania Demographic and Health Survey emergency obstetric care Health Action Promotion Association Reproductive and Child Health Coordinator recto-vaginal fistula traditional birth attendant Tanzanian shilling vesico-vaginal fistula v
Acknowledgments Women’s Dignity Project and EngenderHealth would like to thank the women, families, community members, and health care providers who gave generously of their time to make this research study possible. This study was a collaborative effort of a number of institutions, including Women’s Dignity Project and EngenderHealth, together with partners in Tanzania: Bugando Medical Centre; Health Action Promotion Association (HAPA); Kivulini Women’s Rights Organization; and Peramiho Mission Hospital. We thank the many staff members of those institutions who helped to develop and implement this study: Maggie Bangser, Catherine Kamugumya, and Atuswege Mwangomale of Women’s Dignity Project; Manisha Mehta, Rachel Goldberg, Mary Nell Wegner, and Karen Beattie of EngenderHealth; Yacinta Mkama of Bugando Medical Centre; Mary Zablon and Francis Diu Donko of HAPA; Barnabas Solo and Yusta Ntibashima of Kivulini Women’s Rights Organization; and Marietha Mtumbuka and Barnabas Cipeta of Peramiho Mission Hospital and Muhukuru Wards, respectively. The research team also thanks Reproductive and Child Health Coordinators Appolonia Makubi, Alfreda Kabakama, Margaret Shaka, and Mary Lungwa, as well as the other health officials in the study districts, for the support they extended. We acknowledge Nicole Barber, Mevi Gray, Malika Gujarati, and John Lindsey of the New School for Social Research, New York, for their able support and assistance with data management and analysis, and the technical input provided by Janet Singer of Women’s and Infants’ Hospital, Rhode Island. This report was written by Manisha Mehta and Maggie Bangser. Kirrin Gill, Mary Nell Wegner, and Michael Klitsch assisted in editing the report, and Sarah Markes in the design. vi
Page 2 and 3: RISK AND RESILIENCE: Obstetric Fist
Page 4 and 5: Table of Contents Acronyms v Acknow
Page 8 and 9: Executive Summary Fistula provides
Page 10 and 11: eported delay was “delay in trans
Page 12 and 13: II. Study Design and Methodology A.
Page 14 and 15: D. Study Participants Study partici
Page 16 and 17: F. Data Collection Data collection
Page 18 and 19: IV. Study Limitations A. Length of
Page 20 and 21: Moreover, the services received var
Page 22 and 23: one woman indicated, “I and my fa
Page 24 and 25: After family and friends, the most
Page 26 and 27: TBAs referred the women to a health
Page 28 and 29: The length of labor reported by wom
Page 30 and 31: fistula, and when his other daughte
Page 32 and 33: Table 10: Providers’ Knowledge ab
Page 34 and 35: need to clean themselves and change
Page 36 and 37: I. Impact on Family “It is hard o
Page 38 and 39: One woman was accused of having gon
Page 40 and 41: Figure 4: Type of Support Given Num
Page 42 and 43: One woman expressed her desire to r
Page 44 and 45: VI. Recommendations of Study Partic
Page 46 and 47: VII. Findings and Recommendations F
Page 48 and 49: If providers are able to conduct AN
Page 50 and 51: findings are in sharp contrast to r
Page 52 and 53: References Kayongo, M., et al. 2006
Page 54 and 55: Annex 2: Details on Women’s Movem
Page 56:
Risk and Resilience: Obstetric Fist
show all

Risk and Resilience: Obstetric Fistula in Tanzania - EngenderHealth

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?