Lombard Ladeisha, de St Jorre Jenna, Geddes Rosemary, El Ayadi Alison M, Grant Liz
Centre for Population Health Sciences, University of Edinburgh, Edinburgh, UK.
NHS Health Scotland, Edinburgh, UK.
Trop Med Int Health. 2015 May;20(5):554-568. doi: 10.1111/tmi.12469. Epub 2015 Feb 18.
To synthesise evidence on women's experiences surrounding rehabilitation and reintegration after obstetric fistula repair in sub-Saharan Africa and explore recommendations from women and health service providers.
Systematic literature review of qualitative studies surrounding rehabilitation experiences of women in sub-Saharan Africa who have undergone obstetric fistula repair. Using a pre-defined search strategy, seven databases, relevant source publications and grey literature were searched for primary qualitative studies. Data from ten studies were collected, and thematic analysis based on the framework approach was used to analyse the findings.
The most important rehabilitating factor for women was fulfilment of social roles. Health service perspectives were more frequent than women's perspectives. Counselling and health education were the most common recommendations from both perspectives.
Little qualitative evidence is available on rehabilitation after obstetric fistula repair in sub-Saharan Africa. Counselling services and community health education are priorities. Further research should emphasise women's perspectives to better inform interventions aimed at addressing the physical and social consequences of obstetric fistula.
综合关于撒哈拉以南非洲地区产科瘘修补术后妇女康复及重新融入社会经历的证据，并探讨妇女和卫生服务提供者提出的建议。
对撒哈拉以南非洲地区接受产科瘘修补术妇女康复经历的定性研究进行系统文献综述。采用预先确定的检索策略，在七个数据库、相关来源出版物和灰色文献中检索原发性定性研究。收集了十项研究的数据，并采用基于框架法的主题分析法对研究结果进行分析。
对妇女而言，最重要的康复因素是履行社会角色。卫生服务方面的观点比妇女的观点更为常见。从两个角度来看，咨询和健康教育是最常见的建议。
关于撒哈拉以南非洲地区产科瘘修补术后康复的定性证据很少。咨询服务和社区健康教育是优先事项。进一步的研究应强调妇女的观点，以便更好地为旨在解决产科瘘身体和社会后果的干预措施提供信息。
