Preventive measures of obstetric Fistula: knowledge and practice among service providers in two Nigerian Health Institutions.

Chikaodili Ndidiamaka Ihudiebube-Splendor, Nonyelum Nnenna Jisieike-Onuigbo, Paulina Chigwara Chikeme, Onyinyechi Lilian Utazi, Anulika Jennifer Nnamani
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Abstract

Background: Obstetric fistula remains a major public health problem which serves as a proxy indicator of the status of Nigerian women and of the availability and accessibility to quality maternal health services. This study aims to assess the knowledge, practice and perceived factors that might hinder preventive interventions to reduce obstetric fistula by service providers in Abakaliki, Ebonyi State Nigeria.

Methods: A cross-sectional survey of 169 service providers (doctors (49) and nurses (120)) in selected health facilities in Abakaliki was conducted using a validated self-administered questionnaire.

Results: Majority (71%) of the participants were registered nurse/midwife while only 29% were doctors. Most (87.0% & 89.9%) of the participants had both adequate knowledge and good practice of preventive measures of obstetric fistula respectively. Major factors perceived to hider the practice of obstetric fistula preventive measures were patient-related factors (mean=2.97) and institutional factors (mean = 2.51). There was significant association between age (p = 0.008), marital status (p = 0.029), profession (p = 0.039), years of experience of work (p = 0.003) and the knowledge of obstetric fistula while none of the demographic characteristics had association (p > 0.05) with the practice of obstetric fistula preventive measures.

Conclusion: Although most participants in this study had adequate knowledge and good practice of obstetric fistula preventive measures, there is still a great need to train and retrain doctors and nurses on current guidelines for obstetric fistula prevention and conservative management. Government should also strengthen the health facilities at all levels to provide emergency obstetric and newborn care.

产科瘘的预防措施:尼日利亚两家医疗机构中服务提供者的知识和实践。
背景:产科瘘管病仍然是一个主要的公共卫生问题,是尼日利亚妇女地位以及优质产妇保健服务的可得性和可及性的代理指标。本研究旨在评估知识,实践和感知的因素,可能会阻碍预防性干预措施,以减少产科瘘在Abakaliki,尼日利亚埃邦伊州的服务提供者。方法:对Abakaliki选定卫生机构的169名服务提供者(49名医生和120名护士)进行横断面调查,采用有效的自我管理问卷。结果:大多数(71%)的参与者是注册护士/助产士,只有29%的参与者是医生。大多数(87.0%和89.9%)的参与者分别对产科瘘的预防措施有足够的知识和良好的实践。被认为隐藏产科瘘预防措施实践的主要因素是患者相关因素(平均=2.97)和制度因素(平均= 2.51)。年龄(p = 0.008)、婚姻状况(p = 0.029)、职业(p = 0.039)、工作年限(p = 0.003)与产科瘘知识之间存在显著相关性,而人口统计学特征与产科瘘预防措施的实施均无相关性(p = 0.05)。结论:虽然本研究大多数参与者对产科瘘预防措施有足够的知识和良好的实践,但仍有很大的需要对医生和护士进行培训和再培训,以现行的产科瘘预防和保守管理指南。政府还应加强各级保健设施,提供产科急诊和新生儿护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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