Female Genital Fistula Repair Performance of Ad-din Hospitals 2013-2018


  • Nahid Yesmin
  • Farzana Yesmin
  • Sheela Podder
  • Lucky Ghose


Ad-din hospital, community health, rehabilitation


Aims: The aim of this paper is to document the female genital fistula repair services at Ad-din hospitals and to describe the etiology of fistula cases and care outcomes.

Methods: Data from fistula services provided by Ad-din Hospitals in Dhaka, Khulna and Jashore were regularly captured using an aggregated DHIS2 established by the Fistula Care Plus project since December 2013. In January 2017, the FC+ project introduced a Safe Surgery Tool Kit (SST) to capture and analyze individual client data.

Results: During the period of data collection, the Ad-din Hospitals have provided repair surgery to 259 clients including 134 female genital fistula cases, and 95 cases of complete perineal tear. Out of the fistula cases, 25% were iatrogenic. There is a trend of increasing iatrogenic fistula over this period. Over the data collection period, the closed and dry rate among fistula cases was 80%.

Conclusions: Ad-din hospitals are a major provider of fistula surgery to women suffering from fistula in Bangladesh. Ad-din institutions are linked with social financing and community health system. Ad-din community networks made significant contribution in case identification at field level, case referral and community based rehabilitation of fistula cases.


Download data is not yet available.



How to Cite

Yesmin, N., Yesmin, F., Podder, S., & Ghose, L. (2018). Female Genital Fistula Repair Performance of Ad-din Hospitals 2013-2018. Nepal Journal of Obstetrics and Gynaecology, 13(2). Retrieved from https://www.nepjol.info/index.php/NJOG/article/view/21857