FISTULA REPAIR THROUGH OUTREACH MANAGEMENT AND CAMPAIGNS ZALLINGIE HOSPITAL WEST DARFUR, SUDAN May 2 - PowerPoint PPT Presentation

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FISTULA REPAIR THROUGH OUTREACH MANAGEMENT AND CAMPAIGNS ZALLINGIE HOSPITAL WEST DARFUR, SUDAN May 2

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FISTULA REPAIR THROUGH OUTREACH MANAGEMENT AND CAMPAIGNS. ZALLINGIE ... Vesical stone complicated VVF. DURATION OF FISTULA (between occurrence and treatment) ... – PowerPoint PPT presentation

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Title: FISTULA REPAIR THROUGH OUTREACH MANAGEMENT AND CAMPAIGNS ZALLINGIE HOSPITAL WEST DARFUR, SUDAN May 2


1
FISTULA REPAIR THROUGH OUTREACH MANAGEMENT AND
CAMPAIGNSZALLINGIE HOSPITAL WEST DARFUR,
SUDAN (May 2005-October 2007)
  • Dr. Abdelrahman Eltyeb
  • A. Urogyn Fistula expert.
  • Dr. Salih E. Salih
  • Obs/Gyn Fistula surgeon.
  • Dr.Maison A. Mohd.
  • Obs/Gyn Fistula surgeon.

2
ZALINGI
3
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4
Background
  • -Obstructed labor leads to maternal mortality and
    morbidity
  • -Darfur most affected region

5
Background contd
  • Fistula surgery in West-Darfour
  • -Geneina hospital (1998-2007),
  • -Zallingie hospital (2005-2007),
  • -Dr.Abos fistula centre in Khartoum
  • UNFPA support to Zallingie hospital
  • -Establishment of Fistula Unit

6
Background contd
  • Zallingie fistula campaign (May 2007)
  • -Mass surgery 52 patients
  • -2 weeks
  • -Advocacy and awareness raising
  • -Fistula surgical teams training
  • Actors
  • -UNFPA
  • -State Ministry of Health
  • -Surgeons from Dr. Abo fistula center
  • -MSF-F

7
Background contd
  • Fistula surgery in West-Darfour
  • -Geneina hospital (1998-2007),
  • -Zallingie hospital (2005-2007),
  • -Dr.Abos fistula centre in Khartoum
  • UNFPA support to Zallingie hospital
  • -Establishment of Fistula Unit

8
OBJECTIVES
  • 1- Reduce waiting time
  • 2- Outreach management
  • 3- Raise awareness

9
CLASSIFICATION
10
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11
DURATION OF FISTULA (between occurrence and
treatment)
12
PATIENTS BY AGE GROUP
13
PATIENTS BY PARITY
14
RESULTS
15
LESSONS LEARNED
  • 1- High prevalence in Sudan , especially Darfur
    region
  • 2-Significant number of women, long waiting
    period
  • 3- Sudden displacement -gt breakdown of limited
    health infrastructures, increased maternal
    morbidity

16
LESSONS LEARNED contd.
  • 4- Limited resources in district hospitals
  • 5- Psycho-social efforts needed
  • 6- Campaigns have a great impact in reducing the
    number of fistula patients on waiting lists.

17
RECOMMENDATIONS
  • 1-Fistula Outreach to reduce waiting time
  • 2- Rehabilitation and reintegration
  • 3-Prevention programs
  • Access to health care
  • Functioning hospitals and centers
  • Skilled birth attendants
  • Education
  • Poverty reduction and
  • Community stabilization
  • 4- Access to free treatment
  • .

18
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19
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20
  • In the end, nothing can be compared to the smile
    and happiness of a cured fistula patient.

Fistula patients were very happy during the
campaign. Ending silence.
21
THANK YOU
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