by Zoë Baker, Ben Bellows, Rachel Bach et al.
Tropical Medicine and International Health, Vol. 22, No 8, pp 938–959, August 2017
Results from the review indicate that there are many barriers to ﬁstula treatment, which operate at the individual, community and national levels. The successful treatment of obstetric ﬁstula may thus require targeting several barriers, including depression, stigma and shame, lack of community-based referral mechanisms, ﬁnancial cost of the procedure, transportation difﬁculties, gender power imbalances, the availability of facilities that offer ﬁstula repair, community reintegration and the competing priorities of political leadership.