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

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Special VVFCentre,B/KebbiKebbiN/W andNiger14 1 M NL LowN/W = North WestNL = Non LitrateM = MarriedNorth East ZoneFacility StateNameArea ofCoverageAv. AgeAv.ParityMaritalstatusEd.LevelSocioeconomiclevelFMC Adamawa North East part 16 1 M NL Lowof CameroonSPH Bauchi North East 15 1 M NL LowNorth WestUMTH Borno North East 18 1 M NL LowSPH Borno North East 16 1 M NL LowFMC Gombe North WestNorth WestState20 1 M NL LowSPH Taraba North EastNorth CentralSPH Yobe North EastNorth WestGH Yobe North EastNorth WestGH = general HospitalSPH = Specialist HospitalNL = Non LitrateM = MarriedFMC = Federal Medical CentreAV –AverageED = EducationalSE = Social EconomicSouth East Zone15 1 M NL Low16 1 M NL Low16 1 M NL LowFacilityNameState Area ofCoverageAv. Age Av.ParityMaritalstatusEd.LevelSocioeconomic levelGen Hosp Imo Imo 17 Single NL LowUmugrumaFed Med. Imo Imo 22 Single or L LowCentreMarriedMercy Imo Imo 14 Single L LowHospitalJoint Imo Imo 16 Single or L LowHospitalDivrocedHoly Imo Imo 18 Divorced L LowRosaryHospitalGeneral Imo Imo 18 Divorced L Low112
HospitalAbohMbaiseFederalMedicalCentreUNTH,EnuguEbonyiStateAbia Abia 15 Marriedor SingleLLowEnugu Enugu 21 Married L MediumEbonyi Ebonyi Divorce L LowNR = No recordNI = No ideaGH = General Hospital113
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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
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The other crucial need for VVF repa
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ackgrounds, this makes their econom
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The data on the distribution of hea
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VVF Repair OutputAvailable evidence
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the details on the payments VVF pat
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• 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 and 102: Table 2: Facilities Involved with V
Page 103 and 104: MedicalCentreQueenElizabethHospital
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: South East ZoneState Anambra Aghaez
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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