Achieving Integrated Approach: Moving From Repair to Comprehensive Reintegration of Obstetric Fistula Survivors in Kisii County

Abstract

This study explored the availability and access to comprehensive reintegration support services for obstetric fistula survivors in Kisii County. It was a phenomenological qualitative study. Data was collected using in-depth interviews and case narratives with obstetric fistula survivors and key informant interviews. The study was guided by the general systems theory. Survivors were recruited through the Kisii Teaching and Referral Hospital and interviewed in their places of preference including residence. The findings show that although there is support in treatment (repair) there are no formal support structures for reintegration of obstetric fistula survivors. Survivors have formed informal networks, including groups of fistula survivors. Further, the survivors rely on family and neighbours for support. Survivors face stigma and isolation and financial challenges in the reintegration process. These challenges can be addressed through support groups, sensitization and creating awareness, as well as economic empowerment and capacity building. The study concludes that treatment and repair of fistula is not matched with proper reintegration for comprehensive fistula management. Therefore, the study recommends appropriate ways of responding to the barriers to reintegration of obstetric fistula survivors that should be adopted and reinforced with willingness and deliberate actions from key stakeholders involved in fistula response management