The changing perception and knowledge of obstetric fistula: a qualitative study
| Autor: | Annelise Long, Gerard Mbabazi, Jie Jiao, Blaise Dushimiyimana, Rachel Galvao, Eugene Ngoga, Chi Chiung Grace Chen, Denis Rwabizi |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Fistula Urology Social Stigma 030232 urology & nephrology Word of mouth Urinary incontinence Grounded theory 03 medical and health sciences 0302 clinical medicine Pregnancy medicine Humans Qualitative Research 030219 obstetrics & reproductive medicine Vaginal delivery Genitourinary system business.industry Cesarean Section Obstetrics and Gynecology Delivery Obstetric Focus group Family medicine Etiology Female Perception medicine.symptom business Qualitative research |
| Zdroj: | International urogynecology journal. 31(11) |
| ISSN: | 1433-3023 |
| Popis: | To describe the knowledge and perceptions of obstetric fistula (OF) among affected and unaffected women. Twenty-five semi-structured interviews were conducted with women who had received OF repair. Three focus groups were conducted: one group of women with urinary incontinence but no OF, one group of women with OF, and one group of women without genitourinary complaints. Interviews and focus groups were conducted using the grounded theory approach. This study took place in two urban hospitals in Rwanda from April to November 2015. Transcripts were coded using MAXDA11 and analyzed using the axial technique and the constant comparative method. Nearly all participants correctly described OF and its symptoms, and 93% of interviewed women attributed OF to complications in vaginal delivery or cesarean section. Several participants described renouncing stigmatizing beliefs after learning about OF from the radio, health workers, or word of mouth. Still, it was found that women with OF were more knowledgeable about OF etiology than women without genitourinary conditions. Compared to prior studies, women’s knowledge about OF appears to be more medically based, with media and health workers playing a role in reducing stigmatizing beliefs. These findings support continued investment in OF awareness campaigns, which seem to be increasing knowledge about OF and reducing stigma. |
| Databáze: | OpenAIRE |
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