Preventing fistula: transport’s role in empowering communities for health in Ethiopia

Preventing fistula: transport’s role in empowering communities for health in Ethiopia

Published Jan 2004

Author

C. Hamlin

Publisher

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Working locally to improve emergency access to maternal health services

This World Bank mission report addresses the role of transport in preventing obstetric fistula caused by obstructed labour, and providing emergency access to health services in Ethiopia. It argues that obstetric fistulas are a preventable through a combination of access to adequate transport services, effective management of child delivery services and empowerment of communities through, among others, promotion of reproductive health at the community level.

Suggested measures to improve transport include: the introduction of Emergency Access Cards with the transport service providers; liaising with NGOs on the provision of emergency vehicles; working with communities on local construction projects of footbridges and drainage to improve access; and the synchronization of rural road construction and rehabilitation efforts nationally. Regarding health services, the report recommends providing appropriate healthcare equipment; creating an appropriate monitoring system and database to better understand the prevalence of fistula throughout the country; and improving communication between the different levels of the health care referral system. It also recommends working with local communities on reproductive health issues and the identification of risk factors [adapted from author].

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