Uganda - Campaign to End Fistula

32supplies. The problem is compounded by the poor socio-economic status of the fistulapatients who cannot supplement their treatment or even access free treatment.8.7 Curricula for Training Doctors and Nurses in Management of Fistula1) Pre-service training for both Doctors and Nurse/Midwife is inadequate anddoesn’t expose the trainee to acquire desired skills to manage fistula.2) In-service Training including postgraduate training is not systematic and thereforethere is a great probability that many specialists have no competences inmanaging fistula.3) Communication skills and attitudinal change.The management of fistula patients require a more humanistic approach and this demandsthat the service provider listens, sympathizes and assists the fistula patient to cope withthe problem.