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ASSESSMENT OF VESICO VAGINAL FISTULA AMONG WOMEN ACCESSING HEALTHCARE IN FAMILY LIFE CENTRE ITAM, AKWA-IBOM STATE, NIGERIA FROM 2014-2017

Vesico vaginal fistula has become a societal burden and health problem that affects women’s health. The aim of the
study is to determine the prevalence of vesico vaginal fistula among women accessing Family Life Centre, Itam, Uyo
from 2014-2017. A retrospective descriptive research design was used with a checklist to obtain data from the case files
and medical records of the patients between the period of study. Analysis and interpretation of data was done with the
aid of IBM SPSS version 24.0. Data analysis was presented with descriptive statistics using tables and means to represent
information. Findings revealed a rising and falling trend of prevalence over the study period thus, a prevalence rate of
103 (7.7%) in 2014, 160 (8.4%) in 2015, 125 (7.4%) in 2016, 145 (9.6%) in 2017 respectively. The age group with
highest prevalence of VVF is 24-34 years. Primiparous woman had the highest prevalence outcome of management
which was successful and dry with 88 (85.4%) in 2014, 128(80.0%) in 2015, 102(81.6%) in 2016, 133(91.7%) in
2017, unsuccessful and wet 12 (11.7%) in 2014, 6 (3.8%) in 2015, 7(5.6%) in 2016, 7(4.8%) in 2017 respectively. In
conclusion, the study revealed an unstable rise and fall prevalence of VVF with low prevalence in 2014 and high in 2017
at the centre. It affects age group 24-34 years. Primiparous women exhibited higher cases of VVF and a majority of the
women had successful outcome of repair. It was recommended that sensitization and some measure of prevention,
improvement in status of women and access to prompt medical services be emphasized.

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