Rehabilitation and reintegration programming adjunct to female genital fistula surgery: A systematic scoping review.
Int J Gynaecol Obstet
; 148 Suppl 1: 42-58, 2020 Jan.
Article
em En
| MEDLINE
| ID: mdl-31943181
ABSTRACT
BACKGROUND:
Female genital fistula is associated with significant physical, psychological, and economic consequences; however, a knowledge and practice gap exists around services adjunct to fistula surgery.OBJECTIVES:
To examine rehabilitation and reintegration services provided adjunct to genital fistula surgery, map existing programming and outcomes, and identify areas for additional research. SEARCH STRATEGY We searched the published and grey literature from January 2000 to June 2019. Two reviewers screened articles and extracted data using standardized methods. SELECTION CRITERIA Research and programmatic articles describing service provision in addition to female genital fistula surgery were included. DATA COLLECTION ANDANALYSIS:
Of 3047 published articles and 2623 unpublished documents identified, 26 and 55, respectively, were analyzed. MAINRESULTS:
Programming identified included combinations of health education, physical therapy, social support, psychosocial counseling, and economic empowerment, largely in sub-Saharan Africa. Improvements were noted in physical and psychosocial health.CONCLUSIONS:
Existing literature supports holistic fistula care through adjunct reintegration programming. Improving the evidence base requires implementing robust study designs, increasing reporting detail, and standardizing outcomes across studies. Increased financing for holistic fistula care is critical for developing and supporting programming to ensure positive outcomes.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Fístula Vesicovaginal
Tipo de estudo:
Prognostic_studies
/
Systematic_reviews
Limite:
Female
/
Humans
País/Região como assunto:
Africa
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article