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The psycho-social impact of obstetric fistula and available support for women residing in Nigeria: a systematic review

BACKGROUND: Obstetric fistula continues to affect the social and mental wellbeing of women living in Nigeria giving rise to poor maternal health outcome. While the World Health Organisation (WHO) has recommended the introduction of psycho-social interventions in the management of obstetric fistula w...

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Autores principales: Nduka, Ifunanya Roseline, Ali, Nasreen, Kabasinguzi, Isabella, Abdy, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9960620/
https://www.ncbi.nlm.nih.gov/pubmed/36841757
http://dx.doi.org/10.1186/s12905-023-02220-7
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author Nduka, Ifunanya Roseline
Ali, Nasreen
Kabasinguzi, Isabella
Abdy, David
author_facet Nduka, Ifunanya Roseline
Ali, Nasreen
Kabasinguzi, Isabella
Abdy, David
author_sort Nduka, Ifunanya Roseline
collection PubMed
description BACKGROUND: Obstetric fistula continues to affect the social and mental wellbeing of women living in Nigeria giving rise to poor maternal health outcome. While the World Health Organisation (WHO) has recommended the introduction of psycho-social interventions in the management of obstetric fistula women, psycho-social support for women living with obstetric fistula in Nigeria, are limited. This systematic review aimed to synthesise the psycho-social impact of obstetric fistula on women living in Nigeria as well as the available psycho-social support for these affected women. METHODS: Following a keyword strategy, Medline, CINAHL, Google scholar, ScienceDirect, Cochrane library, PsychINFO, AMED, British Nursing database, Pubmed central, TRIP database, UK Pubmed central, socINDEX, Annual reviews, ISI Web of Science, Academic search complete, Credo reference, Sage premier and Scopus databases were searched alongside hand searching of articles. The inclusion criteria were set as articles published between 2000 and 2020, on the psychosocial consequences of obstetric fistula in Nigeria. The Critical Appraisal Skills Program (CASP) tool was used to appraise the quality of the included studies. The data was extracted and then analysed using narrative synthesis. RESULTS: 620 relevant citations were identified, and 8 studies were included. Women with obstetric fistula, living in Nigeria were found to be ostracised, abandoned by families and friends, stigmatised and discriminated against, which led to depression, loneliness, loss of self-esteem, self-worth and identity. Psycho-social interventions for women who experienced obstetric fistula are not widely available. CONCLUSION: There is a need for the introduction of more rehabilitation and reintegration programs across the country. The psychosocial effect of obstetric fistula is significant and should be considered when developing interventions. Further, more research is needed to evaluate the sustainability of psychosocial interventions in Nigeria.
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spelling pubmed-99606202023-02-26 The psycho-social impact of obstetric fistula and available support for women residing in Nigeria: a systematic review Nduka, Ifunanya Roseline Ali, Nasreen Kabasinguzi, Isabella Abdy, David BMC Womens Health Research BACKGROUND: Obstetric fistula continues to affect the social and mental wellbeing of women living in Nigeria giving rise to poor maternal health outcome. While the World Health Organisation (WHO) has recommended the introduction of psycho-social interventions in the management of obstetric fistula women, psycho-social support for women living with obstetric fistula in Nigeria, are limited. This systematic review aimed to synthesise the psycho-social impact of obstetric fistula on women living in Nigeria as well as the available psycho-social support for these affected women. METHODS: Following a keyword strategy, Medline, CINAHL, Google scholar, ScienceDirect, Cochrane library, PsychINFO, AMED, British Nursing database, Pubmed central, TRIP database, UK Pubmed central, socINDEX, Annual reviews, ISI Web of Science, Academic search complete, Credo reference, Sage premier and Scopus databases were searched alongside hand searching of articles. The inclusion criteria were set as articles published between 2000 and 2020, on the psychosocial consequences of obstetric fistula in Nigeria. The Critical Appraisal Skills Program (CASP) tool was used to appraise the quality of the included studies. The data was extracted and then analysed using narrative synthesis. RESULTS: 620 relevant citations were identified, and 8 studies were included. Women with obstetric fistula, living in Nigeria were found to be ostracised, abandoned by families and friends, stigmatised and discriminated against, which led to depression, loneliness, loss of self-esteem, self-worth and identity. Psycho-social interventions for women who experienced obstetric fistula are not widely available. CONCLUSION: There is a need for the introduction of more rehabilitation and reintegration programs across the country. The psychosocial effect of obstetric fistula is significant and should be considered when developing interventions. Further, more research is needed to evaluate the sustainability of psychosocial interventions in Nigeria. BioMed Central 2023-02-25 /pmc/articles/PMC9960620/ /pubmed/36841757 http://dx.doi.org/10.1186/s12905-023-02220-7 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Nduka, Ifunanya Roseline
Ali, Nasreen
Kabasinguzi, Isabella
Abdy, David
The psycho-social impact of obstetric fistula and available support for women residing in Nigeria: a systematic review
title The psycho-social impact of obstetric fistula and available support for women residing in Nigeria: a systematic review
title_full The psycho-social impact of obstetric fistula and available support for women residing in Nigeria: a systematic review
title_fullStr The psycho-social impact of obstetric fistula and available support for women residing in Nigeria: a systematic review
title_full_unstemmed The psycho-social impact of obstetric fistula and available support for women residing in Nigeria: a systematic review
title_short The psycho-social impact of obstetric fistula and available support for women residing in Nigeria: a systematic review
title_sort psycho-social impact of obstetric fistula and available support for women residing in nigeria: a systematic review
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9960620/
https://www.ncbi.nlm.nih.gov/pubmed/36841757
http://dx.doi.org/10.1186/s12905-023-02220-7
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