{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T00:16:09Z","timestamp":1792282569084,"version":"4.4.0"},"reference-count":40,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T00:00:00Z","timestamp":1695600000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To retrospectively assess changes in economic status, psychosocial status and empowerment among women who participated in Beyond Fistula reintegration programming following fistula repair.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective study among 100 Beyond Fistula program participants capturing sociodemographic characteristics, obstetric and fistula history, program participation, and our primary outcomes: economic status, psychosocial status, and empowerment via quantitative survey at two time points: before program participation and currently. Data were collected from November 2020 to July 2021 from 2013 to 2019 program participants. We compared outcomes across these two time points using paired <jats:italic>t<\/jats:italic> tests or McNemar's tests.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The proportion of individuals owning property (28.0% vs. 38.0%, <jats:italic>P<\/jats:italic>\u2009=\u20090.006), having a current source of income (19.0% vs. 56.0<jats:italic>%, P<\/jats:italic>\u2009&lt;\u20090.001), and saving or investing income (11.0% vs. 37.0<jats:italic>%, P<\/jats:italic>\u2009&lt;\u20090.001) increased significantly from pre\u2010 to post\u2010programming. We also identified statistically significant increases from pre\u2010 to post\u2010programming in self\u2010esteem (5.0 [IQR 4.0\u20135.0] vs. 5.0 [IQR 5.0\u20135.0], <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), reintegration (53.0 [IQR 43.0\u201369.0] vs. 65.0 [IQR 51.0\u201372.0], <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) and level of input into household economic decision making (2.0 [SD 1.0] vs. 2.3 [SD 1.0], <jats:italic>P<\/jats:italic>\u2009=\u20090.004).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Beyond Fistula programming likely improved economic status, psychosocial status, and empowerment of participants. Post\u2010surgical interventions incorporating a holistic approach can advance recovery through supporting psychosocial and economic wellbeing and should be offered to women undergoing genital fistula repair.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.15133","type":"journal-article","created":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T06:54:01Z","timestamp":1695624841000},"page":"1064-1073","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Impact of Beyond Fistula programming on economic, psychosocial and empowerment outcomes following female genital fistula repair: A retrospective study"],"prefix":"10.1002","volume":"164","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2674-4887","authenticated-orcid":false,"given":"Alison M.","family":"El\u00a0Ayadi","sequence":"first","affiliation":[{"name":"Department of Obstetrics, Gynecology and Reproductive Sciences University of California  San Francisco California USA"},{"name":"Department of Epidemiology and Biostatistics University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Alway","sequence":"additional","affiliation":[{"name":"School of Public Health University of California  Berkeley California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debra","family":"Matityahu","sequence":"additional","affiliation":[{"name":"Beyond Fistula  Eldoret Kenya"},{"name":"The Permanente Medical Group  Redwood City California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Celine","family":"Kichwen","sequence":"additional","affiliation":[{"name":"Moi University  Eldoret Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Wilson","sequence":"additional","affiliation":[{"name":"Capital Ob\/Gyn  Sacramento California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hillary","family":"Mabeya","sequence":"additional","affiliation":[{"name":"Beyond Fistula  Eldoret Kenya"},{"name":"Moi University School of Medicine  Eldoret Kenya"},{"name":"Gynocare Women's and Fistula Hospital  Eldoret Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,9,25]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2007.06.010"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.14.141473"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2007.06.032"},{"key":"e_1_2_11_5_1","volume-title":"Intensifying Efforts to End Obstetric Fistula within a Decade. 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