Evidence map›Paper›PMID 40919015›Full record

ArticleBMJ public health2025

Healthcare needs and treatment-seeking patterns of women living with obstetric fistula: a qualitative study in the Tamale Metropolis, Ghana.

Shaline Agamba, Abdul Razak Abubakari, Adadow Yidana, Vida Nyagre Yakong, Gifty Apiung Aninanya, Gilbert Abotisem Abiiro

Abstract read
In one paragraph

Article in BMJ public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Shaline AgambaDepartment of Population and Reproductive Health, School of Public Health, University for Development Studies, Tamale, Ghana.ORCID https://orcid.org/0009-0004-4450-8161
Abdul Razak AbubakariDepartment of Population and Reproductive Health, School of Public Health, University for Development Studies, Tamale, Ghana.ORCID https://orcid.org/0009-0008-0407-5022
Adadow YidanaDepartment of Social and Behavioural Change, School of Public Health, University for Development Studies, Tamale, Ghana.
Vida Nyagre YakongDepartment of Preventive Health Nursing, School of Nursing and Midwifery, University for Development Studies, Tamale, Ghana.
Gifty Apiung AninanyaDepartment of Global and International Health, School of Public Health, University for Development Studies, Tamale, Ghana.ORCID https://orcid.org/0000-0002-5654-2445
Gilbert Abotisem AbiiroDepartment of Health Services, Policy, Planning, Management and Economics, School of Public Health, University for Development Studies, Tamale, Ghana.ORCID https://orcid.org/0000-0002-3809-2671

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Obstetric fistula is a form of maternal morbidity that can lead to prolonged disability and poor quality of life. This study explored the healthcare needs and treatment-seeking patterns of women living with obstetric fistula in the Tamale Metropolis. Methods: A qualitative phenomenology design was used. The target respondents (women with obstetric fistula and their healthcare providers) were recruited using purposive sampling. 11 in-depth and three key-informant interviews were conducted with the women and healthcare providers, respectively, between January and March 2024. The data were audio-recorded, transcribed and manually analysed using thematic content analysis. Results: The results showed that improved access to quality antenatal care (ANC), skilled healthcare practitioners with expertise in fistula repair, appropriate health facilities and adequate fistula treatment services were the common healthcare needs of the respondents. When seeking treatment for obstetric fistula, the participants tried traditional methods such as spiritual therapies and herbs before finally reporting to the hospital. Extended family members and husbands were the major sources of support for women with obstetric fistula. Conclusion: It is critical to give obstetric fistula treatment a top priority and to allocate enough resources to enhance both the general well-being of women, and the quality and accessibility of fistula treatment. We, therefore, recommend effective education on fistula prevention and treatment during ANC, establishment of more fistula repair centres, increased training and deployment of specialists for fistula management at the regional and district levels, and a dedicated public funding source for obstetric fistula treatment.

Indexed as

Cross-Sectional StudiesQualitative ResearchSexual Health

Identifiers

PMID40919015
PMCPMC12410638

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.