Capacity building in female pelvic medicine and reconstructive surgery: Global Health Partnership beyond fistula care in Ethiopia

Rahel Nardos, Fekade Ayenachew, Renate Roentgen, Melaku Abreha, Laura Jacobson, Amanuel Haile, Yibrah Berhe, Karen Gold, W. Thomas Gregory, Theresa Spitznagle, Christopher K. Payne, L. Lewis Wall

Research output: Contribution to journalReview article

Abstract

Objective: Obstetric fistula is a devastating childbirth injury that leaves women incontinent, stigmatized and often isolated from their families and communities. In Ethiopia, although much attention has focused on treating and preventing obstetric fistula, other more prevalent childbirth-related pelvic floor disorders, such as pelvic organ prolapse, non-fistula-related incontinence and post-fistula residual incontinence, remain largely unattended. The lack of international and local attention to addressing devastating pelvic floor disorders is concerning for women in low- and middle-income countries. The objective of this article is to highlight the need for a more comprehsive approach to pelvic floor care and to share our experience in addressing it. Methods: Here, we share our experience launching one of the first formal training programs in Female Pelvic Medicine and Reconstructive Surgery (FPMRS) in Ethiopia. Results: This fellowship program provides quality care while strengthening the health system in its local context. This program has positioned Ethiopia to be a regional leader by providing comprehensive training of surgeons and allied health professionals, building appropriate health system and research infrastructure, and developing a formal FPMRS training curriculum. Conclusion: We hope that sharing this experience will serve as a template for others championing comprehensive pelvic floor care for women in low- and middle-income countries.

Original languageEnglish (US)
JournalInternational Urogynecology Journal
DOIs
StateAccepted/In press - Jan 1 2020

Fingerprint

Reconstructive Surgical Procedures
Capacity Building
Ethiopia
Pelvic Floor Disorders
Fistula
Pelvic Floor
Medicine
Obstetrics
Parturition
Pelvic Organ Prolapse
Allied Health Personnel
Quality of Health Care
Health
Curriculum
Education
Wounds and Injuries
Research
Global Health

Keywords

  • Capacity building
  • Medical training
  • Obstetric fistula
  • Pelvic floor disorders
  • Urogynecology

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Urology

Cite this

Capacity building in female pelvic medicine and reconstructive surgery : Global Health Partnership beyond fistula care in Ethiopia. / Nardos, Rahel; Ayenachew, Fekade; Roentgen, Renate; Abreha, Melaku; Jacobson, Laura; Haile, Amanuel; Berhe, Yibrah; Gold, Karen; Gregory, W. Thomas; Spitznagle, Theresa; Payne, Christopher K.; Wall, L. Lewis.

In: International Urogynecology Journal, 01.01.2020.

Research output: Contribution to journalReview article

Nardos, Rahel ; Ayenachew, Fekade ; Roentgen, Renate ; Abreha, Melaku ; Jacobson, Laura ; Haile, Amanuel ; Berhe, Yibrah ; Gold, Karen ; Gregory, W. Thomas ; Spitznagle, Theresa ; Payne, Christopher K. ; Wall, L. Lewis. / Capacity building in female pelvic medicine and reconstructive surgery : Global Health Partnership beyond fistula care in Ethiopia. In: International Urogynecology Journal. 2020.
@article{c1aa6f4264e045d888490d8b96e74a36,
title = "Capacity building in female pelvic medicine and reconstructive surgery: Global Health Partnership beyond fistula care in Ethiopia",
abstract = "Objective: Obstetric fistula is a devastating childbirth injury that leaves women incontinent, stigmatized and often isolated from their families and communities. In Ethiopia, although much attention has focused on treating and preventing obstetric fistula, other more prevalent childbirth-related pelvic floor disorders, such as pelvic organ prolapse, non-fistula-related incontinence and post-fistula residual incontinence, remain largely unattended. The lack of international and local attention to addressing devastating pelvic floor disorders is concerning for women in low- and middle-income countries. The objective of this article is to highlight the need for a more comprehsive approach to pelvic floor care and to share our experience in addressing it. Methods: Here, we share our experience launching one of the first formal training programs in Female Pelvic Medicine and Reconstructive Surgery (FPMRS) in Ethiopia. Results: This fellowship program provides quality care while strengthening the health system in its local context. This program has positioned Ethiopia to be a regional leader by providing comprehensive training of surgeons and allied health professionals, building appropriate health system and research infrastructure, and developing a formal FPMRS training curriculum. Conclusion: We hope that sharing this experience will serve as a template for others championing comprehensive pelvic floor care for women in low- and middle-income countries.",
keywords = "Capacity building, Medical training, Obstetric fistula, Pelvic floor disorders, Urogynecology",
author = "Rahel Nardos and Fekade Ayenachew and Renate Roentgen and Melaku Abreha and Laura Jacobson and Amanuel Haile and Yibrah Berhe and Karen Gold and Gregory, {W. Thomas} and Theresa Spitznagle and Payne, {Christopher K.} and Wall, {L. Lewis}",
year = "2020",
month = "1",
day = "1",
doi = "10.1007/s00192-019-04197-0",
language = "English (US)",
journal = "International Urogynecology Journal and Pelvic Floor Dysfunction",
issn = "0937-3462",
publisher = "Springer London",

}

TY - JOUR

T1 - Capacity building in female pelvic medicine and reconstructive surgery

T2 - Global Health Partnership beyond fistula care in Ethiopia

AU - Nardos, Rahel

AU - Ayenachew, Fekade

AU - Roentgen, Renate

AU - Abreha, Melaku

AU - Jacobson, Laura

AU - Haile, Amanuel

AU - Berhe, Yibrah

AU - Gold, Karen

AU - Gregory, W. Thomas

AU - Spitznagle, Theresa

AU - Payne, Christopher K.

AU - Wall, L. Lewis

PY - 2020/1/1

Y1 - 2020/1/1

N2 - Objective: Obstetric fistula is a devastating childbirth injury that leaves women incontinent, stigmatized and often isolated from their families and communities. In Ethiopia, although much attention has focused on treating and preventing obstetric fistula, other more prevalent childbirth-related pelvic floor disorders, such as pelvic organ prolapse, non-fistula-related incontinence and post-fistula residual incontinence, remain largely unattended. The lack of international and local attention to addressing devastating pelvic floor disorders is concerning for women in low- and middle-income countries. The objective of this article is to highlight the need for a more comprehsive approach to pelvic floor care and to share our experience in addressing it. Methods: Here, we share our experience launching one of the first formal training programs in Female Pelvic Medicine and Reconstructive Surgery (FPMRS) in Ethiopia. Results: This fellowship program provides quality care while strengthening the health system in its local context. This program has positioned Ethiopia to be a regional leader by providing comprehensive training of surgeons and allied health professionals, building appropriate health system and research infrastructure, and developing a formal FPMRS training curriculum. Conclusion: We hope that sharing this experience will serve as a template for others championing comprehensive pelvic floor care for women in low- and middle-income countries.

AB - Objective: Obstetric fistula is a devastating childbirth injury that leaves women incontinent, stigmatized and often isolated from their families and communities. In Ethiopia, although much attention has focused on treating and preventing obstetric fistula, other more prevalent childbirth-related pelvic floor disorders, such as pelvic organ prolapse, non-fistula-related incontinence and post-fistula residual incontinence, remain largely unattended. The lack of international and local attention to addressing devastating pelvic floor disorders is concerning for women in low- and middle-income countries. The objective of this article is to highlight the need for a more comprehsive approach to pelvic floor care and to share our experience in addressing it. Methods: Here, we share our experience launching one of the first formal training programs in Female Pelvic Medicine and Reconstructive Surgery (FPMRS) in Ethiopia. Results: This fellowship program provides quality care while strengthening the health system in its local context. This program has positioned Ethiopia to be a regional leader by providing comprehensive training of surgeons and allied health professionals, building appropriate health system and research infrastructure, and developing a formal FPMRS training curriculum. Conclusion: We hope that sharing this experience will serve as a template for others championing comprehensive pelvic floor care for women in low- and middle-income countries.

KW - Capacity building

KW - Medical training

KW - Obstetric fistula

KW - Pelvic floor disorders

KW - Urogynecology

UR - http://www.scopus.com/inward/record.url?scp=85077523810&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85077523810&partnerID=8YFLogxK

U2 - 10.1007/s00192-019-04197-0

DO - 10.1007/s00192-019-04197-0

M3 - Review article

C2 - 31900548

AN - SCOPUS:85077523810

JO - International Urogynecology Journal and Pelvic Floor Dysfunction

JF - International Urogynecology Journal and Pelvic Floor Dysfunction

SN - 0937-3462

ER -