Enhancing primary health care providers’ capacity in screening and referral of women with fistula

Authors

  • Charity Ndwiga
  • Pooja Sripad
  • George Odwe
  • Charlotte Warren

Keywords:

capacity, fistula, screening referral

Abstract

Aims: To describe PHC providers’ perspectives on the intervention and differences between intervention and comparison districts in PHC providers’ fistula-related capacity.

Methods: At intervention endline, structured interviews were conducted across 50 PHCs in intervention (n=22) and comparison (n=28) districts with 100 providers on their knowledge of fistula screening, counseling and referral, perceived access barriers and experience implementing the intervention.

Results: More than a third of trained providers used the job aid to screen for OF, while 25% used the hotline at least once. Half thought the transportation voucher was the most important intervention component, while 70% selected community agents. Awareness of emergency obstetric care as a prevention strategy was significantly higher in intervention than comparison district (56% v. 16%; p <0.001).  A higher proportion of providers in intervention sites recognize and refer women with fistula symptoms (38% v. 26%).

Conclusions: Strengthening PHC provider capacity can improve screening and referral of fistula patients in marginalized areas, reducing barriers to repair. 

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Abstract
6359

Published

2018-11-29

How to Cite

Ndwiga, C., Sripad, P., Odwe, G., & Warren, C. (2018). Enhancing primary health care providers’ capacity in screening and referral of women with fistula. Nepal Journal of Obstetrics and Gynaecology, 13(2). Retrieved from https://www.nepjol.info/index.php/NJOG/article/view/21847

Issue

Section

CME