Decline of Fistula Infection among Women

Cases of urine fistula among women in Sudan have declined due to the intensification of awareness campaigns, Khartoum State Ministry of Health disclosed.
Khartoum State Minister of Health Prof. Mamoun Humeida said over 95% of pregnant women have obtained primary healthcare and have been enlightened on visiting heath units at least three or four times, a matter that significantly contributed to reducing mothers  mortality  and infection with urine fistula.

He disclosed 529 surgical operations were carried out, with a success rate of 71% along with around 326 operations in the states of Darfur and Kordofan and East Sudan, with a success rate of 86%.
Humeida affirmed there is no big difference between conducting surgery in Khartoum or in other states.
He asserted, while addressing the celebration of the international day of urine fistula 2015 under the motto “What is your role in stopping urine fistula?” the full commitment of the state to providing the treatment of fistula diseases as well as  intensifying health awareness and rehabilitate the patients to reintegrate into the community.

The state Minister added that women more prone to fistula disease are those who are exposed to obstruction in child delivery and pregnancy complications, noting that their ages ranges between 20 to 30-years-old.
Humeida further underlined the importance of care for pregnant women and intensification of awareness as well as training midwives, particularly in remote places from service centres, together with the existence of ambulances or means of transport to the service center and the immediate early reference in the cases of difficulty of delivery.
He disclosed that a new batch of midwives graduated from the midwifery hospital in Khartoum North on 30 May.

For her part, Representative of the United Nations Population Fund Lina Mousa called for the elimination of delivery fistula which is considered as a case linked to delivery that can be prevented and treated among women and young girls in the developing countries, stressing that woman infection with this disease will cause huge effects and it has social dimensions in the psychology of women.
Mousa outlined that the United Nations Population Fund cooperation with the federal Ministry of Health, the organisations, the British embassy at the regional level were able during the years 2013 and 2014 to treat 288 cases, while 150 cases were treated and reintegrated back into their communities.
She said in her message on the occasion of international day of eliminating delivery fistula: “The continuation of the cases of delivery fistula is due to denying human rights and a refllection of violating these rights.”

Mousa went on to say that “it reflects inequality and disparity in accessing healthcare and restrictions imposed on health systems in addition to other challenges like gender inequality  and social and economic inequality, marriage of young children, pregnancy during childhood age which can undermine women and young ladies lives and denies them basic human rights.”
She further added in a statement to Sudan Vision daily: “Despite our talk on the possibility of curbing the spread of fistula disease, estimates indicate that nearly 3 million women and young ladies are suffering from delivery fistula worldwide along with the increase of the number every year as per the reports the United Nations Populating Fund and the World Health Organisation.”

Delivery fistula is a hole in the vaginal canal caused by pressure from the child’s head to the bones of mother’s pelvis during contractions, predominantly in the absence of sufficient healthcare during obstructed delivery. The hole is located between the vagina, the bladder or the rectum which will cause inability to control urine and excrement and reduces opportunity of delivery again and humiliation, suffering, violence, poverty and marginalisation in society.

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