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

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ANAMBRA STATEThe health facilities that are involved in treatment of VVF ion the state are NamdiAzikiwe University Teaching Hospital Iyi-Eru Specialist Hospital Ogichi which isa mission hospital and waterside. The chief medical record of officers in the stateMinistry of Health however says VVF is not a problem in the state none of thefacilities has any specialised equipment/infrastructure for VVF, but carries outVVF repairs as part of general practice and there were no records in number ofpatients treated in those facilities except Namdi Azikiwe Teaching Hospital thathave records of 2 patients repaired over unspecified period. The average cost ofrepairs is N12,388 as at 1999.It is also worth to note that it was not possible to talk to the people reallyconcerned because of their unavailability of the information were somehow scanty.EBONYI STATEIn Ebonyi state most of the hospital do not see VVF patient, Ebonyi State TeachingHospital however started work in VVF in 2002. some refers have been made toItain in Uyo for repairs before now. The teaching hospital offer VVF treatment aspart of general medical services. Two of their doctors have been trained on VVFrepairs and there is a separate theatre for VVF repairs though has a faulty operatingtable. The facility has beds allocated to pre and postoperative patients but non-forrehabilitation. The average cost of treatment is N23,000 and this cost is borne byUNDP. The greatest limitation is that of lack of equipment.ENUGU STATETwo centres in Enugu State are involved in VVF work, these are UNTH Enuguand Aeghaeje Hospital which is a private hospital. All the consultant are88
gynaecologist in the hospitals and the have received VVF training. Currently atUNTH 5 of them are actively involved in VVF repairs.However, the patients’ flow is not very high there is less than one repairs permonth. The facilities has no separate theatre fro VVF, they also do not havesuitable operating tables. The cost of treatment is born by the patients and it isabout N30,000.00, in few occasions some very poor patients can benefit fromexemption by the hospital management. In the Aeghaeje Hospital the average costof repairs is about N80,000.00 which is almost always impossible for patients topay.Recommendation in this state are- Retraining of TBA and operator of maternity homes.- Subsidizing cost of treatment.IMO STATEThere is no state policy on VVF here but 6 hospital were identified as beinginvolved in VVF work.Health Facility Doing VVF workGeneral Hospital Umuguma. This hospital is owned by the Imo state governmenthas 15 doctors, 2 out of the 15 are O&G specialist. 4 doctors have been trained inVVF repairs surgery but only 1 actually carries out repairs. There are 4 nurses inthe hospital and 4 have received training ion VVF managementInfrastructure.89
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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
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 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: Patient ProfileMost of the patient
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
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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