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- W2342236936 abstract "Until recently the problem of gynecological fistula has been a low-priority issue on international agendas in part because its prevalence is perceived to be low. In fact however the true prevalence of fistula is not known. This report represents an effort to begin to fill the gaps in knowledge about the prevalence and covariates of fistula a condition that causes immense suffering and yet is completely preventable. Increasing knowledge about the condition its prevalence and its risk factors improves the chances that maternal health in general and the issue of fistula specifically will receive appropriate political financial and programmatic attention. Establishing a baseline for prevalence will allow for the possibility of an assessment of programmatic and policy interventions. The Demographic and Health Surveys (DHS) program has therefore initiated the collection of data on the problem of fistula. This document reports on that effort including a critique of data collection methods and an analysis of the collected data on fistula symptoms and their covariates. This report demonstrates the effects that methodological approaches to survey implementation have on self-reported prevalence of severe incontinence and its covariates and it underscores the need for careful consideration in sample selection and questionnaire construction. As a remedy for the suboptimal approaches to data collection that have been used in the past in the DHS program this report presents a newly developed fistula survey module. Above all it must be understood that all women are at risk for developing fistula and therefore in the collection of prevalence data on symptoms of fistula all women must have the opportunity to respond to a carefully considered set of questions such as the module presented here. While the findings highlight the difficulties of data collection on fistula specifically and on maternal morbidity in general they also indicate that where data were correctly collected the majority of the reported risk factors found in the literature on fistula in the developing world were indeed correlated with womens reported symptoms. Further the fact that the prevalence of any incontinence in an unselected population of women can be quite high when compared with the lower prevalence of fistula symptoms reported here suggests that over-reporting of these symptoms in DHS surveys may not be egregious. This report also serves to establish baseline levels of symptoms of fistula in several countries. Only through establishing the prevalence of fistula can contributing factors be identified appropriate and sufficient resources be allocated and interventions be evaluated at the national level. As the effort to collect data on fistula evolves more standardized and appropriate data for analysis will become available which will further assist the development of programmatic interventions (focused both on prevention and on repair and rehabilitation) and will better guide policymaking." @default.
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- W2342236936 date "2008-11-01" @default.
- W2342236936 modified "2023-09-23" @default.
- W2342236936 title "Incontinence data from the Demographic and Health Surveys: Comparative analysis of a proxy measurement of vaginal fistula and recommendations for future population-based data collection" @default.
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