Assessment of the impact of non-state actors in the support for obstetric fistula care: Matters arising


  • RA Abduls-Salam
  • OO Lawal
  • IO Morhason-Bello
  • OO Bello
  • TO Babawarun
  • AO Ojengbede


commitment, health workers, obstetric fistula


Aims: To review the impact of support of non-state actors on communal OF repair effort in fistula repair Centre.

Methods: We reviewed the support given for OF repairs at Adeoyo Maternity Hospital, Ibadan from 2013 to 2018. The type of support was either Partial or Full support; involved support from various organizations such as Extended Hands, GWIN, Faith Hookes Foundation, Engenderhealth/USAID. Partial support was provided by above-listed organizations between 2013- 2016. However, sustained Full support was provided by Fistula carePlus/Engenderhealth/USAID between 2017 and 2018.

Results: Partial support involved supply of equipment, health education, radio jingles, fistula repairs; while Full support included supply of medical consumable, mobilization of fistula clients/client mobilization using social workers, feeding of clients for minimum of 2 weeks, provision of power backup, mobilization and remuneration of OF surgeons and manpower, in addition to those listed above. One hundred, eighty-seven women benefitted from support. Fistula types ranging from obstetric, iatrogenic and traumatic fistula were repaired using both pooled effort and routine repair models. During partial support, 70(37.4%) women were repaired compared to 117 (62.6%) when sustained full support was provided. All women freely accepted participation in the supported repair program.

Conclusions: There is a compelling improvement in patronage, access to care and opportunity to develop the skills of enthusiast among the health-workers; and thus a need for more commitment in our quest to eliminate obstetric fistula.


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How to Cite

Abduls-Salam, R., Lawal, O., Morhason-Bello, I., Bello, O., Babawarun, T., & Ojengbede, A. (2018). Assessment of the impact of non-state actors in the support for obstetric fistula care: Matters arising. Nepal Journal of Obstetrics and Gynaecology, 13(2). Retrieved from