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Abstract
ABSTRACT
Introduction. The World Health Organization (WHO) estimated an annual incidence of 50,000–100,000 new cases of obstetric fistula. In Cameroon, it is estimated that about 19,000 women suffer from obstetric fistula. Affected women remain with anatomical, functional and social defects. This study aimed at analyzing knowledge, attitude and practice of professional of communication with regards to obstetric fistula. Methodology. This was a multicentric analytic KAP study conducted in twenty-three medias structures in Yaoundé from 10 January to 30 May 2016. Data were collected on knowledge, attitude and practice of communicators towards obstetric fistula. Data were analyzed using Epi Info Version 7.1.4.0. The mean and the frequencies were calculated, odds ratio with 95% confidence interval was used to quantify the strength of associations. A difference within two group was considered statistically significant if p value ˂ 0,05. Results. Among 101/133 (75.94%) communicators who were informed, only 60/101 (45.11%) had satisfactory knowledge. This knowledge influenced positively the attitudes of public sector communicators towards obstetric fistula (OR=8.3[1.6-41.5]; p value = 0.01). The proportion of satisfactory attitudes of communicators with regards to obstetric fistula was 79/101 (78.22%) and the practices were 19/101 (18.81%). Knowledge and attitude did not influence the practice regardless of the working sector. Conclusion. The management of obstetric fistula in Cameroon suffers from little knowledge, attitude and practice of mass communicators. There is a need better involvement of communicator about challenges about obstetric `fistula
RÉSUMÉ
Introduction. L’OMS estime à 50 000 - 100 000 nouveaux cas de fistules obstétricales (FO) par an dans le monde. Au Cameroun on estime que plus de 22 000 femmes souffrent de FO. Cette pathologie est responsable de complications anatomiques, fonctionnelles et sociales. Cette étude visait à analyser les connaissances, attitudes et pratiques des professionnels de la communication vis-à-vis des FO. Méthodologie. Il s'agissait d'une étude CAP analytique multicentrique dans vingt-trois structures médiatiques de Yaoundé en 2016. Les moyennes et les fréquences ont été calculées, le rapport de cote (Odds ratio) a été utilisé avec un intervalle de confiance de 95% pour quantifier la force des différentes influences. Une différence entre deux groupes était considérée comme statistiquement significative si la valeur p était ˂ 0,05. Résultats. Parmi 101/133 communicateurs qui avaient été informés seuls 45,11% avaient des connaissances satisfaisantes. Ces connaissances influençaient les communicateurs du secteur public à adopter des attitudes satisfaisantes face aux fistules obstétricales (OR :8,3[1,6-41,5] ; p = 0,01). La proportion des attitudes satisfaisantes des communicateurs face aux fistules obstétricales était de 78,22% et celle des pratiques était de 18,81%. Les connaissances n’avaient pas d’influence sur les pratiques quel que soit le secteur de pratique. Conclusion. La prise en charge des fistules obstétricales au Cameroun souffre des limites des connaissances, des attitudes et des pratiques des communicateurs de masse. Ceci justifie la nécessité d’impliquer les communicateurs formels dans l’éducation de la population pour un meilleur relais des messages de prévention et le traitement précoce des fistules obstétricales.
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References
- (1) Tebeu PM, de BL, Boisrond L, Le DA, Mbassi AA, Rochat CH. [Knowledge, attitude and perception about obstetric fistula by Cameroonian women]. Prog Urol 2008 Jun;18(6):379-89.
- (2) Falandry L. La fistule vésico-vaginale en Afrique, 230 observations. Presse Med 1992;21(6):241-45.
- (3) Gueye SM, Diagne BA, Mensah A. Les fistules vesico-vaginales, aspects etio-pathogeniques et therapeutiques au Senegal. Med Afr N 2008;39(8/9):559-63.
- (4) Zoung-Kanyi J, Sow M. [Focus on vesicovaginal fistulas at the Yaounde Central Hospital. Apropos of 111 cases seen in 10 years]. Ann Urol (Paris) 1990;24(6):457-61.
- (5) Browning A. Obstetric fistula: current practicalities and future concerns. Int Urogynecol J Pelvic Floor Dysfunct 2008 Mar;19(3):333-4.
- (6) Tebeu PM, Kemfang Ngowa JD, Noa Ndoua C, Ekono MR, Maninzou SD, Rochat CH. Causes of Obstetric Genito-urinary Fistula: an experience from the University Hospital, Yaounde, Cameroon. Int J Curr Res 2015;7(9):20589-93.
- (7) Tebeu PM, Fomulu JN, Khaddaj S, de BL, Delvaux T, Rochat CH. Risk factors for obstetric fistula: a clinical review. Int Urogynecol J 2012 Apr;23(4):387-94.
- (8) Tebeu PM, Rochat CH, Kasia JM, Delvaux T. Perception anf attitude of obstetric fistula patients about their condition:a report from the regional hospital of Maroua, Cameroon. Urogynaecologia 2010;24(e2):5-6.
- (9) Goh JTW, Sloane KM, Krause HG, Browning A, Akhter S. Mental health screening in women with genital tract fistulae. B J O G 2005;112:1328-30.
- (10) Nafiou I, Idrissa A, Ghaichatou AK, Roenneburg ML, Wheeless CR, Genadry RR. Obstetric vesico-vaginal fistulas at the National Hospital of Niamey, Niger. Int J Gynaecol Obstet 2007 Nov;99 Suppl 1:S71-4.
- (11) Moudouni S, Nouri M, Koutani A, Ibn AA, Hachimi M, Lakrissa A. [Obstetrical vesico-vaginal fistula. Report of 114 cases]. Prog Urol 2001 Feb;11(1):103-8.
- (12) UNFPA [homepage on the Internet]. New York: Campaign to end fistula.[Updated 2004; cited 02 November 2008]. Available from: http//www endfistula org/q_a htm 2008
- (13) Waaldijk K. The immediate surgical management of fresh obstetric fistulas with catheter and/or early closure. Int J Gynaecol Obstet 1994 Apr;45(1):11-6.
- (14) Sefrioui O, Aboulfalah A, Taarji HB, Matar N, el Mansouri A. Profil actuel des fistule svesicovaginales obstétricales à la maternité universitaire de Casablanca. Ann Urol (Paris) 2001 Sep;35(5):276-9.
- (15) UNFPA [homepage on the Internet]. Yaoundé: Minding the gap: ending fistula. [updated......; cited 2008 June 12 ]. Available from: http://cameroon unfpa org/docs/Flyer_on_Fistula pdf 2007
- (16) DHS cameroon 2011, Ngono G, Evina F. Enquete Demographique et de Sante et a Indicateurs Multiples du Cameroun. 133-4. 2011. Claverton, Maryland, USA: INS et ICF International. Connaissance et Prevalence de la Fistule Obstetricale. Ref Type: Edited Book
- (17) Nindordra W, Capitant, S, Ndarugirire, T. Rapport final-version final Audit des par les medias. 2013. 2016. Ref Type: Online Source
- (18) Biadgilign S, Lakew Y, Reda AA, Deribe K. A population based survey in Ethiopia using questionnaire as proxy to estimate obstetric fistula prevalence: results from demographic and health survey. Reprod Health 2013;10:14.
- (19) Tebeu PM, de BL, Doh AS, Rochat CH, Delvaux T. Risk factors for obstetric fistula in the Far North Province of Cameroon. Int J Gynaecol Obstet 2009 Oct;107(1):12-5.
- (20) Tebeu PM, Maninzou SD, Kengne FG, Jemea B, Fomulu JN, Rochat CH. Risk factors for obstetric vesicovaginal fistula at University Teaching Hospital, Yaounde, Cameroon. Int J Gynaecol Obstet 2012 Jun 20.
- (21) Laschinger HK, Goldenberg D. Attitudes of practicing nurses as predictors of intended care behavior with persons who are HIV positive: testing the Ajzen-Fishbein Theory of Reasoned Action. Res Nurs Health 1993 Dec;16(6):441-50.
- (22) Laschinger HK, Goldenberg D. Attitudes of practicing nurses as predictors of intended care behavior with persons who are HIV positive: testing the Ajzen-Fishbein Theory of Reasoned Action. Res Nurs Health 1993 Dec;16(6):441-50.
- (23) Thrasher RG, Andrew DP, Mahony DF. The efficacy of a modified Theory of Reasoned Action to explain gambling behavior in college students. J Gambl Stud 2011 Sep;27(3):499-516.
References
(1) Tebeu PM, de BL, Boisrond L, Le DA, Mbassi AA, Rochat CH. [Knowledge, attitude and perception about obstetric fistula by Cameroonian women]. Prog Urol 2008 Jun;18(6):379-89.
(2) Falandry L. La fistule vésico-vaginale en Afrique, 230 observations. Presse Med 1992;21(6):241-45.
(3) Gueye SM, Diagne BA, Mensah A. Les fistules vesico-vaginales, aspects etio-pathogeniques et therapeutiques au Senegal. Med Afr N 2008;39(8/9):559-63.
(4) Zoung-Kanyi J, Sow M. [Focus on vesicovaginal fistulas at the Yaounde Central Hospital. Apropos of 111 cases seen in 10 years]. Ann Urol (Paris) 1990;24(6):457-61.
(5) Browning A. Obstetric fistula: current practicalities and future concerns. Int Urogynecol J Pelvic Floor Dysfunct 2008 Mar;19(3):333-4.
(6) Tebeu PM, Kemfang Ngowa JD, Noa Ndoua C, Ekono MR, Maninzou SD, Rochat CH. Causes of Obstetric Genito-urinary Fistula: an experience from the University Hospital, Yaounde, Cameroon. Int J Curr Res 2015;7(9):20589-93.
(7) Tebeu PM, Fomulu JN, Khaddaj S, de BL, Delvaux T, Rochat CH. Risk factors for obstetric fistula: a clinical review. Int Urogynecol J 2012 Apr;23(4):387-94.
(8) Tebeu PM, Rochat CH, Kasia JM, Delvaux T. Perception anf attitude of obstetric fistula patients about their condition:a report from the regional hospital of Maroua, Cameroon. Urogynaecologia 2010;24(e2):5-6.
(9) Goh JTW, Sloane KM, Krause HG, Browning A, Akhter S. Mental health screening in women with genital tract fistulae. B J O G 2005;112:1328-30.
(10) Nafiou I, Idrissa A, Ghaichatou AK, Roenneburg ML, Wheeless CR, Genadry RR. Obstetric vesico-vaginal fistulas at the National Hospital of Niamey, Niger. Int J Gynaecol Obstet 2007 Nov;99 Suppl 1:S71-4.
(11) Moudouni S, Nouri M, Koutani A, Ibn AA, Hachimi M, Lakrissa A. [Obstetrical vesico-vaginal fistula. Report of 114 cases]. Prog Urol 2001 Feb;11(1):103-8.
(12) UNFPA [homepage on the Internet]. New York: Campaign to end fistula.[Updated 2004; cited 02 November 2008]. Available from: http//www endfistula org/q_a htm 2008
(13) Waaldijk K. The immediate surgical management of fresh obstetric fistulas with catheter and/or early closure. Int J Gynaecol Obstet 1994 Apr;45(1):11-6.
(14) Sefrioui O, Aboulfalah A, Taarji HB, Matar N, el Mansouri A. Profil actuel des fistule svesicovaginales obstétricales à la maternité universitaire de Casablanca. Ann Urol (Paris) 2001 Sep;35(5):276-9.
(15) UNFPA [homepage on the Internet]. Yaoundé: Minding the gap: ending fistula. [updated......; cited 2008 June 12 ]. Available from: http://cameroon unfpa org/docs/Flyer_on_Fistula pdf 2007
(16) DHS cameroon 2011, Ngono G, Evina F. Enquete Demographique et de Sante et a Indicateurs Multiples du Cameroun. 133-4. 2011. Claverton, Maryland, USA: INS et ICF International. Connaissance et Prevalence de la Fistule Obstetricale. Ref Type: Edited Book
(17) Nindordra W, Capitant, S, Ndarugirire, T. Rapport final-version final Audit des par les medias. 2013. 2016. Ref Type: Online Source
(18) Biadgilign S, Lakew Y, Reda AA, Deribe K. A population based survey in Ethiopia using questionnaire as proxy to estimate obstetric fistula prevalence: results from demographic and health survey. Reprod Health 2013;10:14.
(19) Tebeu PM, de BL, Doh AS, Rochat CH, Delvaux T. Risk factors for obstetric fistula in the Far North Province of Cameroon. Int J Gynaecol Obstet 2009 Oct;107(1):12-5.
(20) Tebeu PM, Maninzou SD, Kengne FG, Jemea B, Fomulu JN, Rochat CH. Risk factors for obstetric vesicovaginal fistula at University Teaching Hospital, Yaounde, Cameroon. Int J Gynaecol Obstet 2012 Jun 20.
(21) Laschinger HK, Goldenberg D. Attitudes of practicing nurses as predictors of intended care behavior with persons who are HIV positive: testing the Ajzen-Fishbein Theory of Reasoned Action. Res Nurs Health 1993 Dec;16(6):441-50.
(22) Laschinger HK, Goldenberg D. Attitudes of practicing nurses as predictors of intended care behavior with persons who are HIV positive: testing the Ajzen-Fishbein Theory of Reasoned Action. Res Nurs Health 1993 Dec;16(6):441-50.
(23) Thrasher RG, Andrew DP, Mahony DF. The efficacy of a modified Theory of Reasoned Action to explain gambling behavior in college students. J Gambl Stud 2011 Sep;27(3):499-516.