Awareness on obstetric fistula and its associated factors among reproductive age women in Asella town Oromia Region, Ethiopia
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Date
2018-06
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Addis Ababa University
Abstract
Background: Obstetric fistula is an abnormal connection between the vagina, rectum and/or
bladder, which leads to continuous urinary or fecal incontinence, and Vesico-vaginal Fistula
(VVF) is the commonest type of obstetric fistula. Awareness is the state of being conscious of
something. Currently Percentage of reproductive age women who have ever heard of
obstetrical fistula is lowest in Oromia Region (28.6%).Objective: To assess awareness on
obstetric fistula and its associated factors among reproductive age women in Asella town
Oromia region, 2018. Methods: Community based cross sectional study design was
conducted from March 01-30/2018 using adapted structured questionnaires.Systematic
sampling technique was used to assign households, all kebeles were included in the study.
Kebele registration was used as a sampling frame. Data was entered and cleaned using Epi
data version3.1 and analyzed by SPSS version 21. Both descriptive and regressions was
computed. Result: The mean age of participants were 30.26 years old and 63.5% of
respondents are married. The study showed those who had no history of pregnancy were 60%
less likely to have good awareness on obstetrics fistula prevention than their counter parts
(AOR=0.399:95% CI (0.241-0.661)). Those who lived above thirty (30)minutes foot distance
from health facility were 65% less likely to have good awareness than those living near to
health center(AOR=0.355:95% CI (0.212-0.594)). In addition, awareness to birth related
complication (AOR=0.458:95% CI (0.368-0.678)) and women education (AOR=0.162:95%
CI (0.081-0.364)) had significant association with awareness on obstetric fistula. Conclusion
and Recommendation: The finding indicates 50% of women’s have Poor awareness on
obstetrics fistula in the area. Educational level of women, exposure for pregnancy, awareness
on obstetrics complications, and distance to the nearby health center were the factors
associated with awareness of women on obstetrics fistula. Health office of the city and
Nongovernmental organizations, which are engaged in reproductive health program in the
area, should give special attention for women to increase their awareness on obstetrics fistula.
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Keywords
Obstetric Fistula, Awareness, Reproductive age women