Experiences Of Women Living With Obstetric Fistula In The Mfantseman Municipality Of Ghana

ABSTRACT Background: Obstetric Fistula is an abnormal opening between a woman‟s vagina and bladder (Vesico Vagina Fistula (VVF)) and or rectum (Recto Vagina Fistula (RVF)) through which her urine and or faeces continually leaks. This condition often leads to psychosocial, economic or medical care challenges and a potential threat to quality of life. Objective: The aim of the study was to explore the experiences of women living with Obstetric Fistula at the Mfantseman Municipal Area (MMA). Methods: This was an exploratory cross-sectional study using qualitative method. Purposive and snowball sampling methods were employed in recruiting participants in the study. Data were collected using in-depth interviews. Thirty-two (32) females living with fistula in the MMA were interviewed. The qualitative data were analysed using thematic content analysis. Results: Stigmatization, including internal, external and caregiver bias were some of the major challenges encountered by women living with fistula leading to isolation and suicidal tendencies. Women felt either shameful or abnormal because of the leaking and accompanying odour. Interpersonal experiences of stigma occurred such as separation from partners and confrontations with family and community members. Family members of the women were also stigmatized. Many of the women living with fistula developed both positive and negative coping strategies including problem solving (using any available materials to absorb urine or withdrawing from others) and emotional responses (self-encouragement or restlessness and self-worrying) . v Conclusion: The study established that women living with fistula in the study area are vulnerable to stigma and some live a life of isolation. However, some develop ways of coping with their condition. Keywords: Obstetric Fistula, experience, coping strategies.