report of the rapid assessment of vesico-vaginal fistulae in nigeria

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JalingoSpecialistHospitalDamaturuGeneralHospitalPotiskumYobe Damaturu Damaturu 2 1 No StateGovernmentYobe Potiskum Potiskum 2 1 No StateGovernmentNA = Not availableLGA = Local Government AreaMo = MonthSouth East ZoneFacilityNameNnamdiAzikweUnivTeachingHosp.Mi-ENUSpecialistHospitalWatersideospitalnitshaUniversityof NigeriaTeachingHospitalAghaezeSpecialistHospitalGeneralHospitalUmugumaFederalMedicalCentreMercyHospitalJointHospitalHolyRosaryHospitalGeneralHospitalTeachingHospitalState LGA Town # VVF Doctors Rehab Proprietor ofdone/Mo Involved Program FacilityAnambra Nnewi Nnewi NA NA No Fed GovtAnambra NA Ogidi NA 2 NA VolunataryOrganizationMissionHospitalAnambra Onitsha Onitsha NA NA NA VoluntaryOrganizationMissionHospitalEnugu NA Enugu 5 12 NA FederalGovernmentEnugu Enugu 0.5 2 NA PrivateImo State Umuguma Umuguma 1 4 NA PrivateImo State Owerri Owerri 1 3 Na GovernmentImo State Umubogbo Umubogbo 3 1 NA GovernmentImo State Mbano Mbano NA NA NA GovernmentImo State Owerri Omekuku 6 2 NA GovernmentImo State Aboh- Abosh- NA NA NA GovernmentMbaise MbaiseEbonyi Abakaliki Abakaliki NA NA NA GovernmentStateFederal Abia State Umuahia Umuahia NA 2 NA Federal102
MedicalCentreQueenElizabethHospitalAmacharaMissionHospitalGovernmentAbia State Amachara Amachara NA NA NA FederalGovernmentNA = Not availableLGA = Local Government AreaMo = MonthTable 3: Facility Optimal ConditionNorth West ZoneFacility Name State #VVFFederal MedicalCentreLaura FistulaHospital, KanoMaryam AbacheVVF Centre,SokotoFaridat YakubuVVF CenterGusauHajia GamboSawaba (Kofagayan) ZariaSpecial VVFCentre, B/KebbiBabbar RugaFistula Hospital,KatsinaDefinition ofrepair/wk optimal conditionJigawa 1 Separate theatreproper operatingtable, instrumentsand trainedpersonnelKano 43 NA NALimiting conditionLack of separatetheatre, properoperating table anddearth of trainedpersonnelSokoto 5 Resident Surgeon Trained Personnel inVVF repairsZamfara 5 Resident Surgeon Trained personnel inVVF repairsKaduna 10 Separate theatreproper instrumentsand trainedpersonnelconsistent supplyof utilitiesAbsence of separatetheatre and trainedpersonnel Epilepticsupply of utilities.Kebbi 2 Resident Surgeon Absence of a residentsurgeonKatsina 20 NA NANorth East ZoneFacility Name State #VVFrepair/wkDefinition of optimalconditionFMC Yola Adamawa 1 Adequate equipmentoperating tableLimiting conditionLack of equipmentsoperating table103
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REPORT OF THE RAPIDASSESSMENTOFVESI
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LIST OF TABLETable 1States policy &
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CHAPTER 1INTRODUCTIONIn the past de
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AimThe overall aim of the rapid ass
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• Officers in-charge of hospitals
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causes, cancers and radiation thera
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The work of Dr. Ann Ward OFR at St.
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2. Establishment of a VVF hostel an
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Other aspects that engaged the atte
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Several hospital-based studies repo
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In August 1988, Dr. Altine Tongo of
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who provided controls. A second con
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In this study, it was found that th
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other sweet substances, thus preven
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on themselves (i.e. possible pathol
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OTHER CAUSESLabour and the factors
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epair while the patient was trying
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likely to have mid-vaginal and high
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secondary education and 33% primary
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All over the country male children
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again before any surgery. The attit
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faith it is at times difficult in t
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CHAPTER 4RESULTS FROM FIELD ASSESSM
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Curative ActivitiesHealth Facilitie
Page 49 and 50:
The other crucial need for VVF repa
Page 51 and 52: ackgrounds, this makes their econom
Page 53 and 54: The data on the distribution of hea
Page 55 and 56: VVF Repair OutputAvailable evidence
Page 57 and 58: the details on the payments VVF pat
Page 59 and 60: • Rehabiltation• Training of Do
Page 61 and 62: CONSTRAINTS TO OPTIMAL VVF WORK IN
Page 63 and 64: IX. Lack of comsummables for VVF re
Page 65 and 66: The centre has seven doctors, ten n
Page 67 and 68: NASSARAWA STATEWe were not able to
Page 69 and 70: Patients profileThe few VVF patient
Page 71 and 72: InfrastructureThe facility had an o
Page 73 and 74: patients were expected to pay for a
Page 75 and 76: thousand five hundred, surgery thre
Page 77 and 78: Measures to reduce new cases- Econo
Page 79 and 80: state government owned. Federal Med
Page 81 and 82: STATE REPORT NORTH WEST ZONEStates
Page 83 and 84: VVF work started here as far back a
Page 85 and 86: to the patients. He identified the
Page 87 and 88: Patient ProfileMost of the patient
Page 89 and 90: gynaecologist in the hospitals and
Page 91 and 92: patients come to the hospital from
Page 93 and 94: equipment/theatre table trained nur
Page 95 and 96: OGUN STATEAt the Ministry of Health
Page 97 and 98: O & G state specialist Hospital Ado
Page 99 and 100: RECOMMENDATIONSIn the process of th
Page 101: Table 2: Facilities Involved with V
Page 105 and 106: Table 4 : Doctors and Nurses Availa
Page 107 and 108: UmulogboHoly RosaryHospital Emekuku
Page 109 and 110: staff Working Trained Work VVFrepai
Page 111 and 112: South East ZoneState Anambra Aghaez
Page 113 and 114: HospitalAbohMbaiseFederalMedicalCen
Page 115 and 116: REFERENCES1. Zacharin R.F. Obstetri
Page 117 and 118: 26. Lister U.G. Obstructed Labour-
Page 119 and 120: Dear Sir or Madam:,We send you gree
Page 121 and 122: (g) Name of the Hospitals involved
Page 123 and 124: 2. Trained VVF staffName ofYear ofD
Page 125 and 126: 5. How do VVF patients get their Su
Page 127 and 128: Post operative; Cured, Uncured8. Wh
Page 129 and 130: APPENDIX 2: LIST OF PERSONS CONTACT
Page 131 and 132: KebbiKatsinawardVVF, Secretary Dr.
Page 133 and 134: APPENDIX 4LIST OF DOCTORS AND NURSE
Page 135 and 136: Dr. Sa’ad IdrisDr. Zubalru Iliyas
Page 137 and 138: Medical anthropologistDr. Sandra BO
Page 139 and 140: List of Nurses that receive trainin
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report of the rapid assessment of vesico-vaginal fistulae in nigeria

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