Factors Contributing to Obstetrical Fistulas Among Mothers Attending Post Natal Clinic at Jinja Regional Referral Hospital

TABLE OF CONTENTS

DECLARATION............................................................................................................................ i

APPROVAL .................................................................................................................................. ii

DEDICATION..............................................................................................................................iii

ACKNOWLEDGEMENT........................................................................................................... iv

LIST OF TABLES ....................................................................................................................... xi

LIST OF TEXTS......................................................................................................................... xii

DEFINITION OF KEY TERMS..............................................................................................xiii

LIST OF ABBREVIATIONS ................................................................................................... xiv

ABSTRACT................................................................................................................................... 1

CHAPTER ONE: INTRODUCTION......................................................................................... 2

1.1 Background of the study......................................................................................................... 2

1.2 Problem Statement.................................................................................................................. 3

1.3 General Objective ................................................................................................................... 4

1.4 Specific Objectives.................................................................................................................. 4

1.5 Research Questions................................................................................................................. 4

1.6 Conceptual framework.............................................................................................................. 5

1.7 Justification ............................................................................................................................. 6

CHAPTER TWO: LITERATURE REVIEW............................................................................ 7

2.1 Introduction............................................................................................................................. 7

2.2 Social-cultural related factors leading to obstetrical fistulas.............................................. 7

2.3 Socio-economic related factors leading to obstetric fistulae ............................................... 8

2.4 Measures to prevent obstetric fistulas................................................................................... 9

CHAPTER THREE: METHODS AND MATERIALS .......................................................... 12

3.1 Introduction........................................................................................................................... 12

3.2 Study design and rationale................................................................................................... 12

3.3 Study setting and rationale .................................................................................................. 12

3.4 Study population................................................................................................................... 12

3.5 Definition of variables........................................................................................................... 13

3.6 Research Instruments........................................................................................................... 14

vi

3.7 Data collection procedure..................................................................................................... 14

3.7.1 Data management .............................................................................................................. 14

3.7.2 Data Analysis...................................................................................................................... 14

3.8 Ethical consideration ............................................................................................................ 14

3.9 The study limitations ............................................................................................................ 14

3.10 Dissemination of results’ .................................................................................................... 15

CHAPTER FOUR....................................................................................................................... 16

4.0 RESULTS .............................................................................................................................. 16

4.1 Socio cultural related factors leading to obstetrical fistulas............................................. 16

4.2 Socio-economic related causes of obstetrical fistula .......................................................... 18

4.3 Measures that can be undertaken to prevent obstetrical fistulas..................................... 21

CHAPTER FIVE ........................................................................................................................ 24

5.0 DISCUSSION, CONCLUSION AND RECOMMENDATIONS ..................................... 24

5.1 Discussion............................................................................................................................... 24

5.1.1 Socio cultural related factors leading to obstetrical fistulas.......................................... 24

5.1.2 Socio-economic related causes of obstetrical fistula ....................................................... 25

5.1.3 Measures that can be undertaken to prevent obstetrical fistulas.................................. 28

5.2 Conclusions............................................................................................................................ 30

5.3 Recommendations................................................................................................................. 30

REFERENCES............................................................................................................................ 31

APPENDIX I: STATEMENT OF CONSENT......................................................................... 34

APPENDIX II: QUESTIONNAIRE ......................................................................................... 36

APPENDIX III: MAP OF JINJA DISTRICT SHOWING JINJA HOSPITAL................... 40

APPENDIX IV: MAP OF UGANDA SHOWING JINJA DISTRICT .................................. 41