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

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The limiting factor in the facility is the absence of proper instrument and operatingtable.Recommending training of personnel for VVF work and provision instrument ofconsumable for VVF work. Also very important encouraging the girl childeducation there by reducing early marriage improving their socio-economic status.BORNO STATEIn Borno State there are two facilities that are involved in VVF work. The teachingHospital which is Federal Government owned and the state Specialist which isowned by the state Government. These two facilities has the highest manpower forVVF work in the zone. They also have better infrastructure and more specializedequipment for VVF work. Both were separate pre and post operation ward forVVF patients but has no separate theatre. Their average repairs per month is 9 and10. the average cost o repairs or UMTH is about the highest in the zoneN24,700.00 and Specialist Hospital is N15,555.00 and these cost are borne by thepatients, but the UMTH sometimes exempt extremely poor patients and sometimesthe patients receive help from the paupers fund o the hospital.The patients profile :- average age is between 16 and 18 years, mostly married,non-literate and of low socio-economic status. They receive patients from all overthe zone. Their re-comendation is proper and adequate. Distribution and facilitiesthat hand emergency obstatoic care to reuce the occurance of VVF.GOMBE STATEIn Gombe State there are two facilities that are involved in VVF work. The FederalMedical Centre Gombe and the General Hospital Gombe, however, no informationcould be gotten from state official in Gombe and he General Hospital which is78
state government owned. Federal Medical Centre Gombe also has provision forseparate bed space for pre and post operative VVF patients, but also has noseparate theatre for VVF repairs. There is also rehabilitation arrangement. About10 repairs are carried out per month by 2 doctors that have been trained and areactive at the work. The average cost of repairs per patient is 11,470.00 includingcost of feeding. The most prevalent cause of VVF is the prolonged obstructionlabour, mostly done outside healthy facilities without skilled attendance.Recommendations: public enlightenment to encourage patients to deliver infacilities with skilled attendant, discouraged early marriage.TARABA STATEThe Principal Medical officers in the state Specialist Hospital represent theExecutive Secretary Health Services Management Board, agreed that VVF is aproblem in the state, but said there is no available data in the Hospital or Ministryon the problem. The only facility that is involved in VVF in the state is theSpecialist Hospital.The Head Department of Surgery in the hospital has received training in VVFrepairs and does the repairs. He does average of 2 repairs per month and there is nospecific theatre or equipment for VVF repairs. Repairs are done as part of generalsurgery.Average cost of repairs per patients is N10,000.00 with indeterminate feeding andfree consultation. All cost are borne by the patient. Again the cause of VVF ismostly prolonged obstructed labour.79
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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
Page 27 and 28: other sweet substances, thus preven
Page 29 and 30: on themselves (i.e. possible pathol
Page 31 and 32: OTHER CAUSESLabour and the factors
Page 33 and 34: epair while the patient was trying
Page 35 and 36: likely to have mid-vaginal and high
Page 37 and 38: secondary education and 33% primary
Page 39 and 40: All over the country male children
Page 41 and 42: again before any surgery. The attit
Page 43 and 44: faith it is at times difficult in t
Page 45 and 46: CHAPTER 4RESULTS FROM FIELD ASSESSM
Page 47 and 48: 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: Measures to reduce new cases- Econo
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 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
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APPENDIX 2: LIST OF PERSONS CONTACT
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KebbiKatsinawardVVF, Secretary Dr.
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APPENDIX 4LIST OF DOCTORS AND NURSE
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Dr. Sa’ad IdrisDr. Zubalru Iliyas
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Medical anthropologistDr. Sandra BO
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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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