{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T17:30:01Z","timestamp":1787247001156,"version":"build-2736575974"},"reference-count":35,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T00:00:00Z","timestamp":1763942400000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Obstetric fistulas are one of the most serious and catastrophic complications that occur during childbirth. Increasing awareness among women may contribute positively to its reduction and prompt treatment initiation. Although limited studies have been conducted on the knowledge of obstetric fistulas, they were mainly conducted among women who sought care at health institutions. This study aimed to assess the knowledge of obstetric fistulas and associated factors in Southwestern Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a community\u2010based cross\u2010sectional study of women of reproductive age in the Buno Bedele Zone between August 26 and September 26, 2021. Multistage sampling techniques were employed to select 612 participants. Data were collected using structured questionnaires administered through interviews. Data were analyzed using SPSS version 26. Binary logistic regression analyses were conducted to identify associated factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>About 48.3% (95% CI\u2009=\u200943.9, 52.2) of women of childbearing age were found to have good overall knowledge of obstetric fistula. Factors influencing the knowledge of obstetric fistula included urban residency (AOR\u2009=\u20094.23, 95% CI: 2.09, 8.57), attending primary school (AOR\u2009=\u20094.43, 95% CI: 2.25, 8.69), presence of media in the household (AOR\u2009=\u20093.65, 95% CI: 1.84, 7.25), attending postnatal care (AOR\u2009=\u20092.65, 95% CI: 1.22, 5.74), participation in pregnant women's conferences (AOR\u2009=\u20092.24, 95% CI: 1.19, 4.21), and receiving education on obstetric fistula (AOR\u2009=\u20093.64, 95% CI: 1.95, 6.79).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Less than half of the women had good knowledge of obstetric fistulas. Residence, educational status, media access, history of postnatal care, and pregnant women's conferences were identified as factors affecting the knowledge of obstetric fistula. Thus, health managers and professionals must work together to provide health education on obstetric fistula at each maternal service delivery point, at pregnant women's conferences, and through the media.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.71567","type":"journal-article","created":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T08:23:21Z","timestamp":1763972601000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge of Obstetric Fistula and Its Associated Factors Among Women of Childbearing Age in Buno Bedele Zone, Southwest Ethiopia: A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"8","author":[{"given":"Bashatu Berkessa","family":"Tola","sequence":"first","affiliation":[{"name":"Department of Midwifery, Faculty of Public Health and Health Sciences Mettu University Mettu Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4390-1418","authenticated-orcid":false,"given":"Gizachew Abdissa","family":"Bulto","sequence":"additional","affiliation":[{"name":"Department of Midwifery, College of Health Sciences and Referral Hospital Ambo University Ambo Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6382-5988","authenticated-orcid":false,"given":"Eden Girmaye","family":"Tefera","sequence":"additional","affiliation":[{"name":"Department of Midwifery, College of Health Sciences and Referral Hospital Ambo University Ambo Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fikadu Wondimu","family":"Abdissa","sequence":"additional","affiliation":[{"name":"Department of Midwifery, College of Health Sciences and Referral Hospital Ambo University Ambo Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,24]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"G.Lewis andL.deBernis World Health Organization \u201cObstetric fistula: Guiding Principles For Clinical Management And Programme Development [Internet] \u201d inIntegrated management of pregnancy and childbirth(Geneva PP\u2010Geneva: World Health Organization 2006) https:\/\/apps.who.int\/iris\/handle\/10665\/43343."},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1701-2163(16)32305-2"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.2205-0140.2013.tb00165.x"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-011-1622-x"},{"key":"e_1_2_13_6_1","first-page":"104","volume-title":"Trends in Maternal Mortality: 2000 to 2017: Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division","author":"World Health Organization","year":"2019"},{"key":"e_1_2_13_7_1","unstructured":"UNFPA \u201cTransformative Result: Ending Preventable Maternal Deaths [Internet]\u201d Cost of Funding Preventable Maternal deaths(2020) https:\/\/www.humanitarianlibrary.org\/sites\/default\/files\/2021\/08\/Costing_of_Transformative_Results_Chapter_1_-_Cost_of_Ending_Preventable_Maternal_Deaths1.pdf."},{"key":"e_1_2_13_8_1","unstructured":"United Nations Intensifying Efforts to end Obstetric Fistula Within a Generation Report of the Secretary\u2010General [Internet]. 2018 https:\/\/www.unfpa.org\/sites\/default\/files\/resource-pdf\/SG_Report_Fistula_2018_FINAL.pdf."},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(14)70348-1"},{"key":"e_1_2_13_10_1","unstructured":"Ministry of Health Ethiopia National Strategic Plan for Elimination of obstetric Fistula [Internet]. Vol. 2025 Moh. 2021 https:\/\/www.moh.gov.et\/sites\/default\/files\/2024-07\/NationalStrategicPlanforEliminationofObstetricFistula_2021-2025.pdf."},{"key":"e_1_2_13_11_1","unstructured":"Catherine Hamlin Fistula Foundation Introducing the Catherine Hamlin Fistula Foundation [Internet]. 2020 https:\/\/catherinehamlin.org\/."},{"key":"e_1_2_13_12_1","unstructured":"Catherine Hamlin Fistula Foundation \u00a0Our Vision Is Simple: To Eradicate Obstetric Fistula. Forever [Internet]. 2020 https:\/\/catherinehamlin.org\/."},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-020-58036-0"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s41182-022-00443-2"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.4236\/arsci.2017.53005"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0283666"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.3389\/fgwh.2023.1151083"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-022-02001-8"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-021-01228-2"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-053221"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/7306108"},{"issue":"509","key":"e_1_2_13_22_1","first-page":"1","article-title":"Awareness of Obstetric Fistula and Its Associated Factors Among Reproductive\u2010Age Group Women in Bench Sheko Zone, Southwest, Ethiopia. Community Based Cross\u2010Sectional Study","volume":"9","author":"Asefa Z.","year":"2020","journal-title":"Journal of Women's Health Care"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.21203\/rs.3.rs-208656\/v1"},{"key":"e_1_2_13_24_1","first-page":"1033","volume-title":"International Journal of Women's Health","author":"Gebresilase Y.","year":"2013"},{"key":"e_1_2_13_25_1","unstructured":"C.Bakundane Knowledge Attitude and Practice of Women Regarding Prevention of Obstetric Fistula at Kabale Regional Referral Hospital (Doctoral dissertation International Health Sciences University). 2016;1\u201327."},{"issue":"1","key":"e_1_2_13_26_1","first-page":"1","article-title":"Young Women's Knowledge on Prevention of Obstetrics Fistula and Its Associated Factors in Delanta District","volume":"42","author":"Seteamlak A.","year":"2016","journal-title":"Amhara Region, North\u2010East Ethiopia (Doctoral dissertation, Harmaya University)"},{"key":"e_1_2_13_27_1","volume-title":"Buno Bedele Zone Health Office: Health Management Information System Report","author":"Buno Bedele zone Health office","year":"2021"},{"issue":"8","key":"e_1_2_13_28_1","first-page":"37","article-title":"Are Community Members Aware of Obstetric Fistula?Obstetric Fistula? 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