Skip to main content
padlock icon - secure page this page is secure

Open Access High loss to follow-up following obstetric fistula repair surgery in rural Burundi: is there a way forward?

Download Article:
(PDF 304.2 kb)
SETTING: Gitega Fistula Centre (GFC), a dedicated obstetric fistula repair centre providing comprehensive care at the Gitega District Hospital, rural Burundi.

OBJECTIVES: To describe 1) the proportion who returned for scheduled 3- and 6-month follow-up visits and 2) outcomes (fistula closure rates and continence status) at discharge from hospital and after 3 and 6 months among patients who underwent fistula repair surgery.

DESIGN: Retrospective cohort analysis using programme data from April 2010 to December 2011.

RESULTS: A total of 475 women with obstetric fistula underwent surgical repair. At discharge from hospital, 415 (87%) had a closed fistula, of whom 318 (77%) were continent of urine and/or faeces, while 97 (23%) remained incontinent despite closure. Of the 415 patients with closed fistula, only 244 (59%) were followed up at 3 months and 73 (18%) at 6 months (2 for linear trend 576, P < 0.0001). This indicates progressive loss to follow-up, reaching 82% by 6 months.

CONCLUSION: Women undergoing obstetric fistula repair surgery at GFC achieve good hospital exit outcomes. Thereafter, substantial and progressive loss to follow-up hinder the ability to judge programme success over time. Steps to address this operational problem are discussed.
No References
No Citations
No Supplementary Data
No Article Media
No Metrics

Keywords: Burundi; loss to follow-up; obstetric fistula; operational research

Document Type: Research Article

Affiliations: 1: Médecins Sans Frontières, Operational Center Brussels, Burundi-Gitega, Burundi 2: Medical Department (Operational Research), Operational Center Brussels, Médecins Sans Frontières–Luxembourg 3: University of Bergen, Bergen, Norway 4: Institute of Tropical Medicine, Antwerp, Belgium 5: Médecins Sans Frontières, Bujumbura, Burundi 6: Ministry of Health, Bujumbura, Burundi

Publication date: June 21, 2013

More about this publication?
  • Public Health Action (PHA), The Union's quarterly open access on-line journal, provides a platform for its mission 'Health solutions for the poor'. PHA addresses the need for show-casing operational research that addresses issues in health systems and services. It publishes high-quality scientific research that provides new knowledge to improve access, equity, quality and efficiency of health systems and services.

  • Editorial Board
  • Information for Authors
  • International Journal of Tuberculosis and Lung Disease
  • Public Health Action
  • Ingenta Connect is not responsible for the content or availability of external websites
  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more