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Other Resources : Fistula Care Country Specific Tools :


Community-Based Screening for Genito-Urinary Fistula in Nigeria: A Novel Approach
The true prevalence and incidence of obstetric fistula remains difficult to determine, for several reasons. To respond to this lack of data, in collaboration with Stanton-Hill Research LLC, Fistula Care designed a study to (1) quantify the backlog of obstetric fistula cases within selected local government areas (LGAs) of Kebbi and Cross River states, by conducting community-based screenings in these LGAs; (2) explore the feasibility of reporting minimum estimates of prevalence and incidence of fistula at the district and state levels; (3) assess the questions in the Demographic and Health Surveys (DHS) fistula module; and (4) document the methodology for use in other districts or states. The prevalence in the study for current fistula-like symptoms was 28% (n=75). Verification assessment by clinical exam shows that the DHS question combined with the follow-up questions in the DHS fistula module has 92% sensitivity and 83% specificity, with 47% positive predictive value and 98% negative predictive value. These results suggest that it is a fairly good measurement of identifying the women who currently have fistula. This strategy for identifying the backlog of women in need of fistula repair surgery seems feasible, including use of trained nurse-midwives to conduct the screening.
Files: English (PDF, 940KB) and French (PDF, 248KB)

"Do you know your family planning choice?” Leaflet
This brochure was produced in Nigeria and provides basic information about a number of family planning methods, while also providing some guidance on which methods may be best for people with certain conditions.
Files: English (PDF, 650KB)

Estimating Costs to Provide Fistula Services in Nigeria and Ethiopia: Key Findings
This summary of studies carried out in Nigeria and Ethiopia introduces a cost analysis tool to assist facility managers in assessing the costs for fistula repair services, which could then help them make decisions about resource allocation. Measuring, understanding, and documenting the costs of services can help managers improve the cost-efficiency of services and demonstrate funding needs to facilities, governments, and donors. Analyzing financial inputs is an important step in increasing the institutional and financial sustainability of fistula services.
Files: English (PDF, 297KB) and French (PDF, 311KB)

Nigeria Fistula and Family Planning Awareness Posters
These posters, in Yoruba and pidgin English, encourage facility births, girls’ education, family planning, and other behaviors to promote safe motherhood.
Files: English (PDF, 5.5MB)

© 2013 EngenderHealth.

This resource was made possible by the generous support of the American people through the U.S. Agency for International Development (USAID), under the terms of the cooperative agreement GHS-A-00-07-00021-00. The information provided on this resource is not official U.S. Government information and does not represent the views or positions of the USAID or the U.S. Government.