Genital fistula among Ugandan women: Risk Factors, Treatment Outcomes and Experiences of Patients & Spouses

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ABSTRACT

Background: An estimated 2-3 million women globally and majorly in sub-Saharan Africa and Asia, suffer from genital fistula with an annual incidence of 50,000-100,000 women. Uganda like other low-income countries is not an exception and has an estimated fistula prevalence of 2%, with western Uganda having the highest prevalence of 4% among females aged 15-49 years. The main cause is prolonged and neglected obstructed labour in more than 90% of the cases. Risk factors for fistula vary from one context to another. The consequences of fistula go beyond the individual woman and affect relatives, spouses and the community. There is limited information on lived experiences among women with fistula, their spouses, relatives and communities. With the global end fistula campaign on course, there is need for quality and evidence-based fistula prevention, treatment and social reintegration

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