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

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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.

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ZALINGI
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Background

• -Obstructed labor leads to maternal mortality and
  morbidity
• -Darfur most affected region

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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

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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

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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

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OBJECTIVES

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

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CLASSIFICATION
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DURATION OF FISTULA (between occurrence and
treatment)
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PATIENTS BY AGE GROUP
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PATIENTS BY PARITY
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RESULTS
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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

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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.

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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
• .

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• 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.
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THANK YOU