Explanipedia

Patient Counseling Strategies at Female Genital Fistula Repair: A Qualitative Study among Ugandan Fistula Care Providers Open

Alison M. El Ayadi, Hadija Nalubwama, Umar Senoga, M L Wong, Monica Getahun , et al. · 2025

Objective:Ensuring high-quality provider counseling is needed to protect the health and well-being of women affected by genital fistula. We sought to understand Ugandan providers counseling practices and strategies. Methods: We conducted i…

Understanding Women’s Pregnancy Intentions, Decision-Making, and Factors Influencing Reproductive Choices After Genital Fistula Repair in Uganda: A Qualitative Study Open

Mekaleya Tilahun, Hadija Nalubwama, Monica Getahun, Justus K. Barageine, Alison M. El Ayadi · 2025

Female genital fistula is a debilitating injury that may affect as many as two million women globally. While studies have examined women’s fertility intentions in Uganda and sub-Saharan Africa broadly, few have explored the factors influen…

Pregnancy outcomes following surgical repair of female genital fistula in Uganda Open

Abner Korn, Justus K. Barageine, Hadija Nalubwama, Jaffer Okiring, Florence Nalubega , et al. · 2025

Our results demonstrate that in the study setting, greater attention to high-quality, comprehensive pregnancy care and birth planning are critical for improving outcomes among women who have undergone fistula repair, including facilitation…

Prevalence and factors associated with second trimester pregnancy loss among women admitted at a National Referral Hospital in Uganda: a cross-sectional study Open

Charles Irumba, Dan K. Kaye, Justus K. Barageine, Rodgers Ampwera, Hope Atwiine · 2025

Background: Second trimester pregnancy loss (abortion) refers to induced or spontaneous termination of pregnancy from 13 to the end of 26 weeks of gestation. Second trimester abortions contribute to a high proportion of maternal morbidity,…

Predictors of Post-Caesarean Surgical Site Infections at Mubende Regional Referral Hospital, Central Uganda: Prospective Cohort Study (July–September 2023) Open

Samuel Omara, Musa Kasujja, Geoffrey Okot, Peter Okello, Maxwell Okello , et al. · 2024

The post-caesarean SSI rate at Mubende Regional Referral Hospital is notably high, with key risk factors including unstable referral status, obstructed labor, prolonged labor, chorioamnionitis, and prolonged premature rupture of membranes …

Development and Pilot Test of a Multi-Component Intervention to Support Women’s Recovery from Female Genital Fistula Open

Justus K. Barageine, Hadija Nalubwama, Susan Obore, Esther Mirembe, Dianah Mubiru , et al. · 2024

Introduction and hypothesis We evaluated a pilot multi-component reintegration intervention to improve women’s physical and psychosocial quality of life after genital fistula surgery. Methods Twelve women undergoing fistula repair at Mulag…

Identifying opportunities for prevention of adverse outcomes following female genital fistula repair: protocol for a mixed-methods study in Uganda Open

Alison M. El Ayadi, Susan Obore, Fred Kirya, Suellen Miller, Abner Korn , et al. · 2024

Risk Factors for Neonatal Mortality in Rural Iganga District, Eastern Uganda: A Case Control Study Open

Bruce Donald Ndyomugyenyi, Betty Nabukeera, Davis Natukwatsa, Justus K. Barageine, Dan Kajungu · 2023

The risk factors for NM are: - giving birth to 5 or more children, attendance of less than 4 antenatal care visits and giving birth to twins. To reduce the risk of NM, the study re-emphasises the need to put more focus on neonatal care dur…

Contraceptive preferences and adoption following female genital fistula surgery in Uganda: a mixed-methods study Open

Alison M. El Ayadi, Hadija Nalubwama, Caitlyn E. Painter, Othman Kakaire, Suellen Miller , et al. · 2023

Background Female genital fistula, largely caused by prolonged obstructed labour, is treated by surgical repair. Preventing pregnancy for a minimum period post-repair is recommended to ensure adequate healing and optimize post-repair outco…

Factors associated with reintegration trajectory following female genital fistula surgery in Uganda Open

Rachel Bigley, Justus K. Barageine, Hadija Nalubwama, John Neuhaus, Ashley Mitchell , et al. · 2023

Understanding the prominent factors associated with differences in reintegration trajectories across the year after genital fistula surgery has the potential to inform interventions that mitigate challenges and improve women's postrepair r…

Identifying Opportunities for Prevention of Adverse Outcomes Following Female Genital Fistula Repair: Protocol for a Mixed-Methods Study in Uganda Open

Alison M. El Ayadi, Susan Obore, Fred Kirya, Suellen Miller, Abner Korn , et al. · 2023

Background. Female genital fistula is a traumatic debilitating injury, frequently caused by prolonged obstructed labor, affecting between 500,000–2 million women in lower-resource settings. Vesicovaginal fistula causes urinary incontinence…

Maternal and umbilical cord blood lactate for predicting perinatal death: a secondary analysis of data from a randomized controlled trial Open

Milton W. Musaba, Brendah Nambozo, David Mukunya, Julius Wandabwa, Justus K. Barageine , et al. · 2023

“…Our support is not enough”: a qualitative analysis of recommendations from informal caregivers of women with female genital fistula in Uganda Open

Ashley Mitchell, Hadija Nalubwama, Justus K. Barageine, Suellen Miller, Abner Korn , et al. · 2023

Informal caregivers remain critical across the care continuum for complex and stigmatized conditions including female genital fistula, particularly in lower-resource settings burdened by underfunded health systems and workforce shortages. …

Women’s sexual activity and experiences following female genital fistula surgery Open

Alison M. El Ayadi, Hadija Nalubwama, Suellen Miller, Ashley Mitchell, Abner Korn , et al. · 2023

Background Surgical repair has a transformative impact on the lives of women affected by female genital fistula; however, various physical, social, and economic challenges may persist postrepair and prevent complete reengagement in relatio…

The social, economic, emotional, and physical experiences of caregivers for women with female genital fistula in Uganda: A qualitative study Open

Alison M. El Ayadi, Ashley Mitchell, Hadija Nalubwama, Suellen Miller, Wagahta Semere , et al. · 2023

ABSTRACTThis study aimed to explore the firsthand experiences of informal primary caregivers of women with female genital fistula in Uganda. Caregivers that accompanied women for surgery at Mulago National Teaching and Referral Hosp…

The gendered socioeconomic impact of the COVID-19 pandemic on women with fistula repair in Uganda Open

Mekaleya Tilahun, Mariko Costantini, Hadija Nalubwama, Justus K. Barageine, Florence Nalubega , et al. · 2023

Public health mitigation strategies for SARS-COV-2 are effective in limiting the spread of COVID-19; however, these restrictions can create gendered socioeconomic impacts and further isolate marginalized communities from essential resource…

Contraceptive Preferences and Adoption Following Female Genital Fistula Surgery in Uganda: A Mixed- Methods Study Open

Alison M. El Ayadi, Hadija Nalubwama, Caitlyn E. Painter, Othman Kakaire, Suellen Miller , et al. · 2022

Background: Female genital fistula, largely caused by prolonged obstructed labour, is treated by surgical repair. Avoiding pregnancy for a minimum period post-repair is generally recommended to ensure adequate healing, so contraceptive pre…

Social support among women with genital fistula in Uganda Open

Emily Hotchkiss, Hadija Nalubwama, Suellen Miller, Nessa Ryan, Justus K. Barageine , et al. · 2022

Resulting from prolonged obstructed labour, iatrogenic and traumatic aetiologies, female genital fistula in low-resource settings causes a significant physical and psychosocial burden. Social support is an important mechanism to build resi…

Incidence and determinants of perinatal mortality among women with obstructed labour in eastern Uganda: a prospective cohort study Open

Milton W. Musaba, Grace Ndeezi, Justus K. Barageine, Andrew Weeks, Julius Wandabwa , et al. · 2021

Effect of pre-operative bicarbonate infusion on maternal and perinatal outcomes among women with obstructed labour in Mbale hospital: A double blind randomized controlled trial Open

Milton W. Musaba, Julius Wandabwa, Grace Ndeezi, Andrew Weeks, David Mukunya , et al. · 2021

Introduction Oral bicarbonate solution is known to improve both maternal and perinatal outcomes among women with abnormal labour (dystocia). Its effectiveness and safety among women with obstructed labour is not known. Objective To determi…

Feasibility and acceptability of mobile phone data collection for longitudinal follow-up among patients treated for obstetric fistula in Uganda Open

Alison M. El Ayadi, Hadija Nalubwama, Justus K. Barageine, Suellen Miller, Susan Obore , et al. · 2020

Rapid dissemination of mobile technology provides substantial opportunity for overcoming challenges reaching rural and marginalized populations. We assessed feasibility and acceptability of longitudinal mobile data capture among women unde…

Validation of an adapted instrument to measure female genital fistula-related stigma Open

Alison M. El Ayadi, Justus K. Barageine, Torsten B. Neilands, Nessa Ryan, Hadija Nalubwama , et al. · 2020

Female genital fistula results in severe physical, psychological, and social sequelae. Qualitative research confirms stigma pervasiveness; however, no quantitative instrument exists to measure fistula-related stigma. We adapted an existing…

Perceived Causes of Obstetric Fistula and Predictors of Treatment Seeking among Ugandan Women: Insights from Qualitative Research. Open

Hadija Nalubwama, Alison M. El Ayadi, Justus K. Barageine, Josaphat Byamugisha, Othman Kakaire , et al. · 2020

Many obstetric fistula patients remain untreated or present late to treatment despite increasing surgical availability in Uga nda. We explored women's perceptions of the cause of their obstetric fistula and their treatment seeking behaviou…

Risk factors for obstructed labour in Eastern Uganda: A case control study Open

Milton W. Musaba, Grace Ndeezi, Justus K. Barageine, Andrew Weeks, Victoria Nankabirwa , et al. · 2020

Rehabilitation and reintegration programming adjunct to female genital fistula surgery: A systematic scoping review Open

Alison M. El Ayadi, Caitlyn E. Painter, Alexandre Délamou, Jill Barr‐Walker, Abner Korn , et al. · 2020

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 rehabilitat…

Rehabilitation and reintegration programming adjunct to female genital fistula surgery: a scoping review protocol Open

Alison M. El Ayadi, Caitlyn E. Painter, Alexandre Délamou, Jill Barr‐Walker, Susan Obore , et al. · 2019

Introduction Female genital fistula is a debilitating traumatic injury, largely birth-associated, globally affecting up to 2 million women, mostly in sub-Saharan Africa. Fistula has significant physical, psychological and economic conseque…

Women’s experiences of fistula-related stigma in Uganda: a conceptual framework to inform stigma-reduction interventions Open

Alison M. El Ayadi, Justus K. Barageine, Suellen Miller, Josaphat Byamugisha, Hadija Nalubwama , et al. · 2019

Fistula-related stigma is common. The absence of a unifying conceptual framework prevents a nuanced understanding of the nature of fistula-related stigma, comparison across contexts and the ability to contrast with other stigmas. It also h…

Effect of preoperative bicarbonate infusion on maternal and perinatal outcomes of obstructed labour in Mbale Regional Referral Hospital: a study protocol for a randomised controlled trial Open

Milton W. Musaba, Justus K. Barageine, Grace Ndeezi, Julius Wandabwa, Andrew Weeks · 2019

Introduction To improve maternal and fetal outcomes among patients with obstructed labour (OL) in low-resource settings, the associated electrolyte and metabolic derangements must be adequately corrected. Oral fluid intake during labour an…

Reintegration needs of young women following genitourinary fistula surgery in Uganda Open

Alice Emasu, Bonnie Ruder, L. Lewis Wall, Alphonsus Matovu, Godfrey Alia , et al. · 2019

Young women recovering from genitourinary fistula surgery require individualized assessment of their social reintegration needs. Postoperative social reintegration services must be strengthened to do this effectively.

Reducing barriers to accessing fistula repair: Implementation research in Uganda Open

Justus K. Barageine, Charity Ndwiga, Hassan Kanakulya, Pooja Sripad · 2019

The Population Council, in collaboration with Fistula Care Plus and EngenderHealth, conducted implementation research to understand whether a comprehensive information, screening, and referral intervention reduces transportation, communica…

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