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dc.contributor.authorMaheu-Giroux, Mathieu
dc.contributor.authorFilippi, Véronique
dc.contributor.authorSamadoulougou, Sékou
dc.contributor.authorCastro, Marcia C.de
dc.contributor.authorMaulet, Nathalie
dc.contributor.authorMeda, Nicolas
dc.contributor.authorKirakoya-Samadoulougou, Fati
dc.date.accessioned2015-07-10T19:17:50Z
dc.date.issued2015
dc.identifier.citationMaheu-Giroux, Mathieu, Véronique Filippi, Sékou Samadoulougou, Marcia C Castro, Nathalie Maulet, Nicolas Meda, and Fati Kirakoya-Samadoulougou. 2015. “Prevalence of Symptoms of Vaginal Fistula in 19 Sub-Saharan Africa Countries: a Meta-Analysis of National Household Survey Data.” The Lancet Global Health 3 (5) (May): e271–e278. doi:10.1016/s2214-109x(14)70348-1.en_US
dc.identifier.issn2214-109Xen_US
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:17224845
dc.description.abstractBackground Vaginal fistula is a serious medical disorder characterised by an abnormal opening between the vagina and the bladder or rectum, which results in continuous leakage of urine or stool. The burden of this disorder in sub-Saharan Africa is uncertain. We estimated the lifetime and point prevalence of symptoms of vaginal fistula in this region using national household surveys based on self-report of symptoms. Methods We considered all Demographic and Health Surveys (DHS) and Multiple Indicators Cluster Surveys (MICS) from sub-Saharan Africa and included data for women of reproductive age (15–49 years). We estimated lifetime prevalence and point prevalence of vaginal fistula with use of Bayesian hierarchical meta-analysis. Findings We included 19 surveys in our analysis, including 262 100 respondents. Lifetime prevalence was 3·0 cases (95% credible interval 1·3–5·5) per 1000 women of reproductive age. After imputation of missing data, point prevalence was 1·0 case (0·3–2·4) per 1000 women of reproductive age. Ethiopia had the largest number of women who presently have symptoms of vaginal fistula. Interpretation This study is the first to estimate the burden of vaginal fistula in 19 sub-Saharan Africa countries using nationally representative survey data. Point prevalence was slightly lower than previously estimated but these earlier estimates are within the prevalence's credible intervals. Although vaginal fistula is relatively rare, it is still too common in sub-Saharan Africa.en_US
dc.language.isoen_USen_US
dc.publisherElsevier BVen_US
dc.relation.isversionofdoi:10.1016/S2214-109X(14)70348-1en_US
dash.licenseOAP
dc.titlePrevalence of symptoms of vaginal fistula in 19 sub-Saharan Africa countries: a meta-analysis of national household survey dataen_US
dc.typeJournal Articleen_US
dc.description.versionAccepted Manuscripten_US
dc.relation.journalThe Lancet Global Healthen_US
dash.depositing.authorCastro, Marcia C.de
dc.date.available2015-07-10T19:17:50Z
dash.hope.year2015en_US
dc.identifier.doi10.1016/S2214-109X(14)70348-1*
workflow.legacycommentsHOPEen_US
dash.contributor.affiliatedCastro, Marcia


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