Global efforts for effective training in fistula surgery

Area of Science:

• Obstetrics and Gynecology
• Global Health
• Surgical Education

Background:

• Obstetric fistulas remain a significant issue in low- and middle-income nations, causing severe urinary and/or fecal incontinence in women.
• Historically, this condition was prevalent in high-income countries before the mid-20th century, highlighting its link to economic and health development.

Purpose of the Study:

• To describe the evolution of global initiatives aimed at improving obstetric fistula prevention and treatment.
• To introduce a unified, competency-based learning tool developed by field surgeons in partnership with FIGO and global collaborators.
• To align fistula management strategies with the World Health Organization's objective of ensuring women's health security.

Main Methods:

• Development of a unified, competency-based surgical training and education tool.
• Collaboration between field surgeons, the International Federation of Gynecology and Obstetrics (FIGO), and global partners.
• Implementation of modern approaches to fistula management.

Main Results:

• Global initiatives have been established over the last two decades to enhance training and education in fistula care.
• A standardized learning tool has been created to improve surgical skills in managing obstetric fistulas.
• These efforts contribute to advancing the WHO's goal of health security for women.

Conclusions:

• Modern approaches and improved surgical training are crucial for managing obstetric fistulas effectively.
• Global collaboration is key to addressing this public health challenge and improving outcomes for affected women.
• Enhanced strategies support the achievement of universal health security for women, particularly in resource-limited settings.