ABSTRACT
OBJECTIVE: Findings from 4 studies conducted by the Women's Dignity Project and partners on the subjects of obstetric fistula, maternal mortality and morbidity, and health inequities are presented. METHODS: The studies include qualitative and quantitative research, a survey, and an analysis of secondary data that examine women's experiences of fistula; constraints in service delivery for fistula treatment; factors shaping women's access to delivery care and constraints health workers face in providing care; and health inequities. RESULTS: Findings from the studies are being used to improve fistula prevention and management, strengthen access to and provision of quality maternity care, and redress the health inequities that so adversely affect the poor. CONCLUSION: The studies provide policy makers, program managers, and service providers with evidence and the impetus to re-equilibrate policies, financial and human resources, and services in the interest of those in greatest need: women living in poverty.
Subject(s)
Obstetric Labor Complications/diagnosis , Obstetric Labor Complications/epidemiology , Vaginal Fistula/diagnosis , Vaginal Fistula/epidemiology , Adolescent , Adult , Delivery of Health Care , Female , Health Priorities , Health Services Accessibility , Humans , Maternal Health Services , Maternal Welfare , Pregnancy , Public Health , Reproductive Medicine/organization & administration , Research , Social JusticeABSTRACT
PIP: This article describes a comprehensive project developed by a group professionals from Tanzania, which aims to mobilize action on vesico-vaginal fistula in the context of girls' and women's right to health. The first phase of the project ran for 18 months and included major activities. The project staff underwent intensive "hands-on" training together with an experienced surgeon or nurse. The method of training and service delivery was proven to be both effective and efficient, with approximately 150 girls and women treated during 1997-98. The project also conducted a study in order to advocate for better prevention and treatment. Furthermore, the Tanzania Midwives Association, in collaboration with the project, conducted an educational outreach with health workers throughout Mwanza Region. The project also produced a highly popular pocket-sized booklet and information sheet on vesico-vaginal fistula. The project seeks to break the silence surrounding vesico-vaginal fistula through an awareness program at the community, national, regional, and international levels. This includes painting provocative public murals and dissemination of information regarding vesico-vaginal fistula through the media.^ieng
