{"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":1792282569061,"version":"4.4.0"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T00:00:00Z","timestamp":1762905600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T00:00:00Z","timestamp":1762905600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100008333","name":"University of Alabama at Birmingham","doi-asserted-by":"publisher","award":["No grant number"],"award-info":[{"award-number":["No grant number"]}],"id":[{"id":"10.13039\/100008333","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and Hypothesis<\/jats:title>\n                    <jats:p>The objective was to characterize psychosocial\u2013economic outcomes after obstetric-related vesicovaginal fistula repair (OFR) and completing a comprehensive psychosocial\u2013economic reintegration service at a dedicated fistula center (Association Renaissance, ARENA) compared with women receiving both services in a multispecialty country hospital (Larry Ebert Medical Center, LEMC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>This retrospective study included women who underwent OFR and re-integration training at ARENA fistula center, Ouagadougou, Burkina Faso, from January 2022 through July 2023, and at LEMC from July 2020 through March 2022. A standardized questionnaire assessing areas of household\/income\/employment\/finance experiences, support resources, and patients\u2019 feelings was completed by in-person interview or phone. Analyses included Wilcoxon\u2019s rank sum tests, Chi-squared, or Fisher\u2019s exact test. Logistic regression models adjusting for age, time living with fistula, and time from surgery were performed to evaluate associations of selected outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Median age and time having a fistula between the ARENA center (\n                      <jats:italic>N<\/jats:italic>\n                      =134) and LEMC (\n                      <jats:italic>N<\/jats:italic>\n                      =146) participants were similar: (age, years, median, [IQR] 32.0 [25, 40] vs 34.0 [27, 41] respectively,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.30; time with fistula, years 1.6 [0.2, 10.0] vs 2.5 [0.8, 11] respectively,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.06). Women undergoing treatment at a dedicated fistula center had greater odds of self-satisfaction (aOR4.6, 95% CI 1.4,15.2), being a person of worth (aOR 12.6, 95% CI 3.7, 42.4), and having income-generating assets (aOR 5.1, 95% CI 1.7, 14.9).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Overall, psychosocial and economic outcomes for women after OFR reflected greater improvement when post-OFR reintegration services were at a dedicated fistula center.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00192-025-06361-1","type":"journal-article","created":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T12:35:25Z","timestamp":1762950925000},"page":"1297-1306","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Outcomes of Two Different Obstetric Social Reintegration Program Approaches After Obstetric-Related Fistula Repair"],"prefix":"10.1007","volume":"37","author":[{"given":"Itengr\u00e9","family":"Ouedraogo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priti","family":"Dutta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7741-5771","authenticated-orcid":false,"given":"Holly E.","family":"Richter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynda","family":"Ugwu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Loada","family":"Landry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,11,12]]},"reference":[{"issue":"12","key":"6361_CR1","doi-asserted-by":"publisher","first-page":"e85921","DOI":"10.1371\/journal.pone.0085921","volume":"8","author":"AO Banke-Thomas","year":"2013","unstructured":"Banke-Thomas AO, Kouraogo SF, Siribie A, Taddese HB, Mueller JE. Knowledge of obstetric fistula prevention amongst young women in urban and rural Burkina Faso: a cross-sectional study. PLoS ONE. 2013;8(12):e85921. https:\/\/doi.org\/10.1371\/journal.pone.0085921.","journal-title":"PLoS ONE"},{"key":"6361_CR2","unstructured":"Axena Health. Urinary incontinence in sub-Sahara Africa: experiences of women and healthcare workers in Nigeria and Kenya and opportunities for expanding care. 2024. https:\/\/axenahealth.com\/wp-content\/uploads\/AH-Report_Urinary-Incontinence-in-Sub-Sahara-Africa-FINAL.pdf. Accessed April 2025."},{"key":"6361_CR3","doi-asserted-by":"publisher","first-page":"e0307021","DOI":"10.1371\/journal.pone.0307021","volume":"19","author":"TZ Debele","year":"2024","unstructured":"Debele TZ, Macdonald D, Aldersey HM, Mengistu Z, Mekonnen DG, Batorowicz B. \u201cI became a person again\u201d: social inclusion and participation experiences of Ethiopian women post-obstetric fistula surgical repair. 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I.O., P.D., L.U. and L.L. have no disclosures.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}}]}}