Related Experiment Videos
Pathways Towards Prevention-Stakeholders' Perspective in Eliminating Obstetric Fistula in Seharti District, Tigray,
Hanna Tesfaye Sisay1,2, Helena Lindgren3,4, Bisan Abdul Hadi4
1Department of Women's and Children's Health, Karolinska Institute, Tomtebodavägen 18A, 171 77, Solna, Sweden. hanna.tesfaye.sisay@ki.se.
Introduction And Hypothesis:
Multifaceted interventions, within Project Zero, are aimed at preventing obstetric fistula through community engagement, capacity building, patient identification and treatment, and strengthening maternal health care services. Although these approaches are promising, effectiveness in practice depends on underexplored contextual factors. Understanding stakeholders' perspectives is essential for identifying factors that influence the effectiveness of interventions. The goal is to explore contextual factors affecting the implementation of a multifaceted intervention with the purpose of eliminating obstetric fistula from the perspectives of key stakeholders.
Methods:
A qualitative study was conducted using semi-structured individual interviews (n = 27) and focus group discussions (n = 6) with purposively selected stakeholders, including health care personnel, midwives, health extension workers, community leaders and beneficiaries, and the data were analysed using reflexive thematic analysis following Braun and Clarke's six-phase framework.
Results:
Stakeholders identified key contextual factors influencing intervention effectiveness in 1 overarching theme, 4 themes and 11 sub-themes, such as raising awareness and promoting health-seeking behaviour, capacity building and mentorship of health care personnel, midwives' leadership in monitoring and managing maternal care, accessibility of services, including free transportation and referrals, and multisectoral collaboration and community engagement. Effective implementation relied on combining community education, health-system strengthening, and supportive referral pathways.
Conclusions:
Preventing obstetric fistula requires holistic and integrated interventions that address both social determinants and health system limitations. Sustainable impact depends on community-informed approaches integrated into existing the maternal health system, strengthened workforce capacity, midwifery leadership and improved access to maternal health services.
Related Concept Videos
01:22Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
01:30Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
01:26Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:26Levels of Health Promotion and Illness Prevention
In primary prevention, actions taken before disease onset prevent the disease from...
01:30Preventive Healthcare Services
01:28International Nursing Organizations II
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...