Uganda - Campaign to End Fistula

40(xi)(xii)Detailed protocol and guidelines on management of obstructed labour andrepaired fistulae should be developed, including communication skills for thehealth staff and distributed to all health facilities.Center(s) of Excellency in VVF CareGovernment and development partners should consider center(s) to serve womenwith VVF. This can act as a nucleus from which outreach teams can travel allover the country to offer services and support to less privileged individuals in therural areas.10.3 Long-term Recommendations(ii)(ii)(iii)(iv)(v)(vi)(vii)There is need to train health professionals involved in the management ofobstetric fistula using locally adapted guidelines and standards.The following interventions should be strengthened to ensure access of services.• The provision of transport for referral,• Adequate staffing,• Financial logistics,• Supplies and appropriate equipment.All regional referral hospitals should be equipped with VVF specialisedequipment. Efforts be made to introduce regional training and service centres toimpart improved skills in the treatment of obstetric fistula – hands on in-servicetraining.Every effort should be made to put in place programmes or activities that offersupport and rehabilitation to women with fistulae within their communitieswithout enhancing stigmatization.Communities and rural health workers should be sensitized on the cause andprevention of obstetric fistula, so that women who sustain obstetric fistula aremobilised and motivated to go for surgery.The government should encourage Education of the “girl child” and “economicempowerment of women and their communities”.High profile should be given to the cause and prevention of obstetric fistula andthis could increase the number of women coming for delivery in health units.(viii) Prevention of formation of new fistula by implementing the safe motherhoodobjectives:• Provide guidance to health care providers in the delivery of quality maternaland newborn care services at all levels.