Knowledge of obstetric fistula prevention amongst young women in urban and rural Burkina Faso: a cross-sectional study
Obstetric fistula is a sequela of complicated labour, which, if untreated, leaves women handicapped and socially excluded. In Burkina Faso, incidence of obstetric fistula is 6/10,000 cases amongst gynaecological patients, with more patients affected in rural areas. This study aims to evaluate knowle...
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| description | Obstetric fistula is a sequela of complicated labour, which, if untreated, leaves women handicapped and socially excluded. In Burkina Faso, incidence of obstetric fistula is 6/10,000 cases amongst gynaecological patients, with more patients affected in rural areas. This study aims to evaluate knowledge on obstetric fistula among young women in a health district of Burkina Faso, comparing rural and urban communities. This cross-sectional study employed multi-stage sampling to include 121 women aged 18-20 years residing in urban and rural communities of Boromo health district. Descriptive statistics and multiple logistic regression analysis were used to compare differences between the groups and to identify predictors of observed knowledge levels. Rural women were more likely to be married (p |
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In Burkina Faso, incidence of obstetric fistula is 6/10,000 cases amongst gynaecological patients, with more patients affected in rural areas. This study aims to evaluate knowledge on obstetric fistula among young women in a health district of Burkina Faso, comparing rural and urban communities. This cross-sectional study employed multi-stage sampling to include 121 women aged 18-20 years residing in urban and rural communities of Boromo health district. Descriptive statistics and multiple logistic regression analysis were used to compare differences between the groups and to identify predictors of observed knowledge levels. Rural women were more likely to be married (p<0.000) and had higher propensity to teenage pregnancy (p=0.006). The survey showed overall poor obstetric fistula awareness (36%). Rural residents were less likely to have adequate preventive knowledge than urban residents [OR=0.35 (95%-CI, 0.16-0.79)]. This effect was only slightly explained by lack of education [OR=0.41 (95%-CI, 0.18-0.93)] and only slightly underestimated due to previous pregnancy [OR=0.27 (95%-CI, 0.09-0.79)]. Media were the most popular source of awareness amongst urban young women in contrast to their rural counterparts (68% vs. 23%). Most rural young women became 'aware' through word-of-mouth (68% vs. 14%). All participants agreed that the hospital was safer for emergency obstetric care, but only 11.0% believed they could face pregnancy complications that would require emergency treatment. There is urgent need to increase emphasis on neglected health messages such as the risks of obstetric fistula. In this respect, obstetric fistula prevention programs need to be adapted to local contexts, whether urban or rural, and multi-sectoral efforts need to be exerted to maximise use of other sectoral resources and platforms, including existing routine health services and schools, to ensure sustainability of health literacy efforts.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0085921</identifier><identifier>PMID: 24392032</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Analysis ; Burkina Faso - epidemiology ; Cities - epidemiology ; Complications ; Cross-Sectional Studies ; Educational Status ; Emergency medical services ; Emergency medicine ; Epidemiology ; Ethics ; Family planning ; Female ; Fertility ; Fistula ; Fistula - epidemiology ; Fistula - prevention & control ; Fistulae ; Fistulas ; Health ; Health Knowledge, Attitudes, Practice ; Hospitals ; Humans ; Life Sciences ; Low income groups ; Marginalized groups ; Marriage ; Maternal & child health ; Medical research ; Obstetric Labor Complications - epidemiology ; Obstetric Labor Complications - prevention & control ; Obstetrics ; Patients ; Population ; Pregnancy ; Pregnancy complications ; Prevention ; Regression analysis ; Rural areas ; Rural Population - statistics & numerical data ; Rural populations ; Santé publique et épidémiologie ; Schools ; Statistical analysis ; Studies ; Surveys and Questionnaires ; Sustainability ; Systematic review ; Teenage pregnancy ; Urban areas ; Women's health ; Womens health ; Young Adult ; Young women</subject><ispartof>PloS one, 2013-12, Vol.8 (12), p.e85921-e85921</ispartof><rights>COPYRIGHT 2013 Public Library of Science</rights><rights>2013 Banke-Thomas et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><rights>2013 Banke-Thomas et al 2013 Banke-Thomas et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c619t-899addc584860b02c993987df44507333283f35943cc56cb659f22d10f72e6d03</citedby><cites>FETCH-LOGICAL-c619t-899addc584860b02c993987df44507333283f35943cc56cb659f22d10f72e6d03</cites><orcidid>0000-0003-0797-9971</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3877393/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3877393/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79569,79570</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24392032$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://ehesp.hal.science/hal-03034162$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Banke-Thomas, Aduragbemi O</creatorcontrib><creatorcontrib>Kouraogo, Salam F</creatorcontrib><creatorcontrib>Siribie, Aboubacar</creatorcontrib><creatorcontrib>Taddese, Henock B</creatorcontrib><creatorcontrib>Mueller, Judith E</creatorcontrib><title>Knowledge of obstetric fistula prevention amongst young women in urban and rural Burkina Faso: a cross-sectional study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Obstetric fistula is a sequela of complicated labour, which, if untreated, leaves women handicapped and socially excluded. In Burkina Faso, incidence of obstetric fistula is 6/10,000 cases amongst gynaecological patients, with more patients affected in rural areas. This study aims to evaluate knowledge on obstetric fistula among young women in a health district of Burkina Faso, comparing rural and urban communities. This cross-sectional study employed multi-stage sampling to include 121 women aged 18-20 years residing in urban and rural communities of Boromo health district. Descriptive statistics and multiple logistic regression analysis were used to compare differences between the groups and to identify predictors of observed knowledge levels. Rural women were more likely to be married (p<0.000) and had higher propensity to teenage pregnancy (p=0.006). The survey showed overall poor obstetric fistula awareness (36%). Rural residents were less likely to have adequate preventive knowledge than urban residents [OR=0.35 (95%-CI, 0.16-0.79)]. This effect was only slightly explained by lack of education [OR=0.41 (95%-CI, 0.18-0.93)] and only slightly underestimated due to previous pregnancy [OR=0.27 (95%-CI, 0.09-0.79)]. Media were the most popular source of awareness amongst urban young women in contrast to their rural counterparts (68% vs. 23%). Most rural young women became 'aware' through word-of-mouth (68% vs. 14%). All participants agreed that the hospital was safer for emergency obstetric care, but only 11.0% believed they could face pregnancy complications that would require emergency treatment. There is urgent need to increase emphasis on neglected health messages such as the risks of obstetric fistula. In this respect, obstetric fistula prevention programs need to be adapted to local contexts, whether urban or rural, and multi-sectoral efforts need to be exerted to maximise use of other sectoral resources and platforms, including existing routine health services and schools, to ensure sustainability of health literacy efforts.</description><subject>Analysis</subject><subject>Burkina Faso - epidemiology</subject><subject>Cities - epidemiology</subject><subject>Complications</subject><subject>Cross-Sectional Studies</subject><subject>Educational Status</subject><subject>Emergency medical services</subject><subject>Emergency medicine</subject><subject>Epidemiology</subject><subject>Ethics</subject><subject>Family planning</subject><subject>Female</subject><subject>Fertility</subject><subject>Fistula</subject><subject>Fistula - epidemiology</subject><subject>Fistula - prevention & control</subject><subject>Fistulae</subject><subject>Fistulas</subject><subject>Health</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Life Sciences</subject><subject>Low income groups</subject><subject>Marginalized groups</subject><subject>Marriage</subject><subject>Maternal & child health</subject><subject>Medical research</subject><subject>Obstetric Labor Complications - 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In Burkina Faso, incidence of obstetric fistula is 6/10,000 cases amongst gynaecological patients, with more patients affected in rural areas. This study aims to evaluate knowledge on obstetric fistula among young women in a health district of Burkina Faso, comparing rural and urban communities. This cross-sectional study employed multi-stage sampling to include 121 women aged 18-20 years residing in urban and rural communities of Boromo health district. Descriptive statistics and multiple logistic regression analysis were used to compare differences between the groups and to identify predictors of observed knowledge levels. Rural women were more likely to be married (p<0.000) and had higher propensity to teenage pregnancy (p=0.006). The survey showed overall poor obstetric fistula awareness (36%). Rural residents were less likely to have adequate preventive knowledge than urban residents [OR=0.35 (95%-CI, 0.16-0.79)]. This effect was only slightly explained by lack of education [OR=0.41 (95%-CI, 0.18-0.93)] and only slightly underestimated due to previous pregnancy [OR=0.27 (95%-CI, 0.09-0.79)]. Media were the most popular source of awareness amongst urban young women in contrast to their rural counterparts (68% vs. 23%). Most rural young women became 'aware' through word-of-mouth (68% vs. 14%). All participants agreed that the hospital was safer for emergency obstetric care, but only 11.0% believed they could face pregnancy complications that would require emergency treatment. There is urgent need to increase emphasis on neglected health messages such as the risks of obstetric fistula. In this respect, obstetric fistula prevention programs need to be adapted to local contexts, whether urban or rural, and multi-sectoral efforts need to be exerted to maximise use of other sectoral resources and platforms, including existing routine health services and schools, to ensure sustainability of health literacy efforts.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24392032</pmid><doi>10.1371/journal.pone.0085921</doi><orcidid>https://orcid.org/0000-0003-0797-9971</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Analysis Burkina Faso - epidemiology Cities - epidemiology Complications Cross-Sectional Studies Educational Status Emergency medical services Emergency medicine Epidemiology Ethics Family planning Female Fertility Fistula Fistula - epidemiology Fistula - prevention & control Fistulae Fistulas Health Health Knowledge, Attitudes, Practice Hospitals Humans Life Sciences Low income groups Marginalized groups Marriage Maternal & child health Medical research Obstetric Labor Complications - epidemiology Obstetric Labor Complications - prevention & control Obstetrics Patients Population Pregnancy Pregnancy complications Prevention Regression analysis Rural areas Rural Population - statistics & numerical data Rural populations Santé publique et épidémiologie Schools Statistical analysis Studies Surveys and Questionnaires Sustainability Systematic review Teenage pregnancy Urban areas Women's health Womens health Young Adult Young women |
| title | Knowledge of obstetric fistula prevention amongst young women in urban and rural Burkina Faso: a cross-sectional study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-20T17%3A55%3A11IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Knowledge%20of%20obstetric%20fistula%20prevention%20amongst%20young%20women%20in%20urban%20and%20rural%20Burkina%20Faso:%20a%20cross-sectional%20study&rft.jtitle=PloS%20one&rft.au=Banke-Thomas,%20Aduragbemi%20O&rft.date=2013-12-31&rft.volume=8&rft.issue=12&rft.spage=e85921&rft.epage=e85921&rft.pages=e85921-e85921&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0085921&rft_dat=%3Cgale_plos_%3EA477927198%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1477781274&rft_id=info:pmid/24392032&rft_galeid=A477927198&rft_doaj_id=oai_doaj_org_article_ff3801975a6747a79d7ac796a098db34&rfr_iscdi=true |