A Social Worker's Investigation of Childbirth Injured Women in Northern Nigeria
A Social Worker's Investigation of Childbirth Injured Women in Northern Nigeria investigates Vesicovaginal fistula (VVF), a childbirth injury commonly found among younger adolescent wives in northern Nigeria. Women with fistulae continuously drip urine. Their offensive odor often leads to life as social outcasts. Millions of women across Africa and the developing world suffer from this condition, but it is preventable and curable. This work examines the problem from the perspective of a social worker. It is not intended as a medical treatise, but instead deals with the condition from an ecological perspective using a systems approach. Its focus is on VVF as it relates to the social environment of the affected women. The author defines and describes VVF as it manifests itself in Africa, along with the history and epidemiology of the condition and its treatment. It describes the life course of Hausa women who are most affected by VVF in northern Nigeria and how their position in society predisposed them to childbirth injury. Testimonials of the victims about their struggles of survival and their road to a cure are narrated. Short and long term preventive measures are given. The empowerment of northern Nigerian women for the eradication of this condition is a fundamental and underlying theme of this work.
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The Struggle for a Cure
Strategies for the Eradication of VVF in northern Nigeria
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ABUTH adolescent wives age at marriage Ahmadu Bello University Babbar Ruga Hospital behavior birth boka cause centers childbearing childbirth clinics complications compound condition countries cured delivery developing divorce doctors early marriage family members fistula patients Ghana Hausa girls Hausa women husband illness injury intervention Islamic Kaduna Kano karuwai Katsina Koran live logistic regression majority male mallam marriage married medicine mother Muslim non-VVF women northern Nigeria nutritional obstetric fistula Onolemhemhen participants percent poor predictor pregnancy pregnant women prenatal prevent problems prolonged obstructed labor purdah repair result risk assessment instrument risk factors risk of VVF ROC curve screening score sexual social workers sociomedical status surgery surgical traditional healer treat UNFPA University Teaching Hospital urine vagina variables vesicovaginal fistula village VVF in Africa VVF patients VVF screening wife woman women with fistula women with VVF workshop Zambia Zaria