دورية أكاديمية
Healthcare providers' perspectives on the social reintegration of patients after surgical fistula repair in the eastern Democratic Republic of Congo.
| العنوان: | Healthcare providers' perspectives on the social reintegration of patients after surgical fistula repair in the eastern Democratic Republic of Congo. |
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| المؤلفون: | Young-Lin N; School of Medicine, University of California, San Francisco, San Francisco, CA, USA. Electronic address: nichole.young-lin@ucsf.edu., Namugunga EN; Hôpital Général Régional de Panzi, Bukavu, Democratic Republic of Congo., Lussy JP; HEAL Africa Hospital, Goma, Democratic Republic of Congo., Benfield N; Obstetrics and Gynecology, Albert Einstein College of Medicine, Bronx, NY, USA. |
| المصدر: | International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics [Int J Gynaecol Obstet] 2015 Aug; Vol. 130 (2), pp. 161-4. Date of Electronic Publication: 2015 Apr 30. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley Country of Publication: United States NLM ID: 0210174 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-3479 (Electronic) Linking ISSN: 00207292 NLM ISO Abbreviation: Int J Gynaecol Obstet Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2017- : Malden, MA : Wiley Original Publication: [New York, NY] Hoeber Medical Division, Harper & Row, [c1969- |
| مواضيع طبية MeSH: | Attitude of Health Personnel* , Social Support*, Health Personnel/*statistics & numerical data , Vaginal Fistula/*psychology, Cesarean Section/economics ; Democratic Republic of the Congo ; Family/psychology ; Female ; Health Services Accessibility ; Humans ; Interviews as Topic ; Male ; Pregnancy ; Social Adjustment ; Vaginal Fistula/surgery |
| مستخلص: | Objective: To understand perspectives of local health providers on the social reintegration of patients who have undergone fistula repair in the eastern Democratic Republic of Congo. Methods: In a qualitative study, semi-structured individual interviews were conducted with patient-care professionals working with women with fistula at HEAL Africa Hospital (Goma) and Panzi Hospital (Bukavu) between June and August 2011. The interviews were transcribed and themes elicited through manual coding. Results: Overall, 41 interviews were conducted. Successful surgical repair was reported to be the most important factor contributing to patients' ability to lead a normal life by all providers. Family acceptance-especially from the husband-was deemed crucial for reintegration by 39 (95%) providers, and 29 (71%) believed this acceptance was more important than the ability to work. Forty (98%) providers felt that, on the basis of African values, future childbearing was key for family acceptance. Because of poor access and the high cost of cesarean deliveries, 28 (68%) providers were concerned about fistula recurrence. Conclusion: Providers view postsurgical childbearing as crucial for social reintegration after fistula repair. However, cesarean deliveries are costly and often inaccessible. More work is needed to improve reproductive health access for women after fistula repair. (Copyright © 2015 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Obstetric fistula; Provider perspectives; Social reintegration |
| تواريخ الأحداث: | Date Created: 20150511 Date Completed: 20161213 Latest Revision: 20161230 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1016/j.ijgo.2015.03.023 |
| PMID: | 25957801 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1879-3479 |
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| DOI: | 10.1016/j.ijgo.2015.03.023 |