Uganda - Campaign to End Fistula

21delivery with complications of prolonged or delayed delivery and the consequences. Therole of involving and specifically addressing men was highlighted with the example ofMen’s access clinic in Rubaga Hospital. At this clinic men are educated and sensitizedon their roles and responsibilities in the care of pregnant women and their babies.6.13 Role of Central GovernmentResponse: Community Policy Supplies and Training /Education Formulation Equipment MotivationNumber: 8 (17.0%) 3 (6.4%) 11 (23.4%) 15 (31.9%)Many respondents felt it was the responsibility of central government to provide fundsfor supplies, drugs and equipment as well as staff training and motivation.Policy guidelines should be put in place to direct community education and mobilisationand disseminated to reach rural areas.6.14 Community attitudes towards leakage of urineAttitude: Sympathy Rejection Witchcraft STINumber: 3 (6.4%) 28 (59.6%) 3 (6.4%) 4 (8.5%)The commonest attitude is to isolate or reject the victim leaking urine because of theammoniacal smell. A nursing officer who has worked for 20 years on Mulago Ward 5Asaid, “they are neither visited nor do they have attendants” that is why they are left ontheir own in the hospital.6.15 Presence of protocols or guidelines on management of fistulaOnly Kagando Hospital had well displayed protocols on management of fistula postoperatively.6.16 Educational activities to increase awarenessThere were no activities to increase awareness either to the public or among professionalsexcept for isolated departmental meetings at Nsambya hospital for continued medicaleducation programmes which were not deliberate for fistula.6.17 Visiting SurgeonsDr. Brian Hankook - UKDr. Tom Raassen - AMREF KenyaDr. Andrew Hodges - UK