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

Degge, Hannah M.; Olorunsaiye, Comfort Z.; Laurenson, Mary; Hayter, Mark; Behera, Deepanjali; Behera, Manas Ranjan

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.

Citation

Degge, H. M., Olorunsaiye, C. Z., Laurenson, M., Hayter, M., Behera, D., & Behera, M. R. (2023). Social reintegration of fistula survivors in North Central Nigeria: A case for rehabilitation. Health Care for Women International, https://doi.org/10.1080/07399332.2023.2283424

• Journal Article Type: Article
• Acceptance Date: Oct 25, 2023
• Online Publication Date: Nov 30, 2023
• Publication Date: Nov 30, 2023
• Deposit Date: May 31, 2024
• Journal: Health Care for Women International
• Print ISSN: 0739-9332
• Electronic ISSN: 1096-4665
• Publisher: Routledge
• Peer Reviewed: Peer Reviewed
• DOI: https://doi.org/10.1080/07399332.2023.2283424
• Public URL: https://nottingham-repository.worktribe.com/output/35159918
• Publisher URL: https://www.tandfonline.com/doi/full/10.1080/07399332.2023.2283424