Social reintegration of fistula survivors in North Central Nigeria: A case for rehabilitation

Abstract

Obstetric fistula remains one of the neglected forms of chronic maternal morbidity that occurs mainly in low- and middle-income countries. We explored the rehabilitation and reintegration experiences of 15 fistula survivors in North Central Nigeria. We employed a qualitative research design, guided by Constructivist Worldview, involving narrative interviewing technique in conducting in-depth interviews. Key benefits of rehabilitation reported by the participants included socioeconomic-financial empowerment and autonomy, improved social status, and freedom from self-isolation. Additionally, participants experienced positive psychological effects, such as increased self-worth and self-confidence. However, prolonged recovery periods and stigmatization issues were noted as barriers to successful reintegration post rehabilitation. On the other hand, the presence of family and community support, along with the resolution of stigma, were found to be facilitators of social reintegration. Considering the holistic benefits of rehabilitation, we recommend implementing a comprehensive care management program for fistula survivors to facilitate successful social reintegration.

Acknowledgment

We acknowledge all the courageous women that shared their stories and the staff working at the rehabilitation center. And our appreciation goes to the director of Evangel Vesico vaginal Center (EVVF), Bingham University Teaching Hospital, Jos- Nigeria, Dr Sunday Lengmang who motivated this research. We equally appreciate the research assistants, Godspower Dalokom, Sarnatu Sarma, and Kate Bala who supported data collection process, and the transcriber and translator, Nehemiah Ghata.

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

The author(s) reported there is no funding associated with the work featured in this article.