Factors associated with obstetric fistula among reproductive age women in Ethiopia: a community based case control study.

Journal: Reproductive health

Volume: 20

Issue: 1

Year of Publication: 2023

Affiliated Institutions:  Tigray Health Research Institute, Mekelle, Tigray, Ethiopia. atakltigebertsadik@gmail.com. Adigrat University, Adigrat, Tigray, Ethiopia. Tigray Health Research Institute, Mekelle, Tigray, Ethiopia.

Abstract summary 

Obstetric fistula is a major public health concerns in Ethiopia. It is the most devastating cause of all maternal morbidities.Data from the 2016 Ethiopian Demographic Health Survey (EDHS) was analyzed. A community-based unmatched case control study was conducted. Seventy cases and 210 non cases were selected using random number table. Data were analyzed by using STATA statistical software version 14. Multivariable logistic regression model was applied to determine the factors associated with fistula.The majority of fistula cases were from rural residences. The multivariable statistical model showed that rural residence (Adjusted OR (AOR) = 5, 95% CI 4.26, 7.52), age at first marriage (AOR = 3.3, 95% CI 2.83, 4.60), poorest wealth index (AOR = 3.3, 95% CI 2.24, 5.01) and decision making for contraceptive use by husband alone (AOR = 1.3, 95% CI 1.124, 1.67) were factors significantly associated with obstetric fistula.Age at first marriage, rural residence, poorest wealth index and decision making for contraceptive use by husband alone were significantly associated factors for obstetric fistula. Intervening on these factors will reduce the magnitude of obstetrics fistula. In this context there is in-need to improve on avoiding early marriage through awareness creation to the community and developing legal framework by the policymakers. Furthermore, information about the joint decision making to use contraceptives should be disseminated though mass-media and interpersonal channels.

Authors & Co-authors:  Woldegebriel Ataklti Gebretsadik AG Gebrehiwot Gebremedhin Gebreegziabiher GG Desta Abraham Aregay AA Ajemu Kiros Fenta KF Berhe Asfawosen Aregay AA Woldearegay Tewolde Wubayehu TW Ghebremedhin Kiros Demoz KD Bezabih Nega Mamo NM

Study Outcome 

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Statistics
Citations :  Bulletin of the World Health Organization (WHO) 2015; 93:60–62. 10.2471/BLT.14.141473.
Authors :  8
Identifiers
Doi : 78
SSN : 1742-4755
Study Population
Women
Mesh Terms
Female
Other Terms
Ethiopia;Maternal morbidity;Obstetric fistula
Study Design
Case Control Trial,Case Study,Cross Sectional Study
Study Approach
Country of Study
Ethiopia
Publication Country
England