Social reintegration of fistula survivors in North Central Nigeria

A case for rehabilitation

Datos Bibliográficos

ID15218510
AutoresHannah M Degge (0000-0003-3156-9964, Coventry University, autor de correspondencia), C Z Olorunsaiye (0000-0003-4725-0448, Department of Public Health, College of Health Sciences, Arcadia University, Glenside, Pennsylvania, USA), Mary Laurenson (University of Hull), Mark Hayter (0000-0002-2537-8355, Manchester Metropolitan University), Deepanjali Behera (0000-0001-6394-2191, School of Public Health, Kalinga Institute of Industrial Technology (KIIT) University, Patia, Bhubaneswar, Odisha, India), Manas Ranjan Behera (0000-0003-4785-5949, School of Public Health, Kalinga Institute of Industrial Technology (KIIT) University, Patia, Bhubaneswar, Odisha, India)
Año2023
Volumen45
Número12
Páginas1426-1445
Fecha de publicación2023-11-30
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaHealth Care For Women International (JOURNAL)
Identificadores de la revistaISSN: 0739-9332 • E-ISSN: 1096-4665
EditorialTaylor & Francis (PUBLISHER • GB)
DOI10.1080/07399332.2023.2283424
PMID38032657
OpenAlexW4389179222
IdiomaEN
Referencias citadas32

Obstetric fistula remains one of the neglected forms of chronic maternal morbidity that occurs mainly in low- and middle-income countries. We explored the rehabilitation and reintegration experiences of 15 fistula survivors in North Central Nigeria. We employed a qualitative research design, guided by Constructivist Worldview, involving narrative interviewing technique in conducting in-depth interviews. Key benefits of rehabilitation reported by the participants included socioeconomic-financial empowerment and autonomy, improved social status, and freedom from self-isolation. Additionally, participants experienced positive psychological effects, such as increased self-worth and self-confidence. However, prolonged recovery periods and stigmatization issues were noted as barriers to successful reintegration post rehabilitation. On the other hand, the presence of family and community support, along with the resolution of stigma, were found to be facilitators of social reintegration. Considering the holistic benefits of rehabilitation, we recommend implementing a comprehensive care management program for fistula survivors to facilitate successful social reintegration

Autonomy · Community-based rehabilitation · Empowerment · Family medicine · Physical therapy · Political science · Population · Psychiatry · Psychotherapist · Qualitative research · Social isolation · Social stigma · Social support · Socioeconomic status · Sociology · Grief, Bereavement, and Mental Health · Maternal and Perinatal Health Interventions · Medicine · Nursing · Psychology · Ureteral procedures and complications · Rehabilitation