Barriers to obstetric fistula treatment in low-income countries: a systematic review

by Zoë Baker, Ben Bellows, Rachel Bach et al.
Tropical Medicine and International Health, Vol. 22, No 8, pp 938–959, August 2017

22 pp. 462 kB

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.

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