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Health Workers’ Assessment of the Frequency of and Caring for Urinary and Fecal Incontinence among Female Victims of Sexual Violence in the Eastern Congo: An Exploratory Study
Örebro universitet, Institutionen för hälsovetenskap och medicin.ORCID-id: 0000-0002-9062-8840
Örebro universitet, Institutionen för hälsovetenskap och medicin. (FAMN)ORCID-id: 0000-0001-9865-4405
Örebro universitet, Institutionen för hälsovetenskap och medicin. The Centre for Women’s, Family and Child Health, Faculty of Health Sciences, Buskerud & Vestfold University, College, Kongsberg, Norway.ORCID-id: 0000-0002-2577-1632
Faculty of Community Health and Development, Université Libre des Pays des Grands Lacs, Goma, Congo Democratic Republic.
2015 (Engelska)Ingår i: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 5, s. 354-360Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Throughout the long war that the Democratic Republic of Congo (DRC) has endured,women and children have been depicted as the primary victims of widespread sexual violence. Insome settings women have been raped in entire villages, with devastating physical and psychologicalconsequences, which include sexually transmitted infections such as HIV, trauma and fistulas,as well as social isolation and involuntary pregnancies. The aim of this study was to assess theprevalent perceptions of health professionals on the magnitude of urine and/or fecal incontinenceamong assaulted women, caused by sexual violence, as well as the opinions regarding the type ofcare provided to affected women.

Methods: The study was part of a larger pilot study that had across-sectional design and a descriptive approach, which explored health professionals’ views regarding their own levels of competence at responding to the health needs of victims of sexual violence, in the form of a semi-structured questionnaire.

Results: 104 health workers responded to the questionnaire. Nurses reported seeing raped women more frequently on a day-to-day basis (69.2%), in comparison to medical doctors and social workers (11.5%). Urinary incontinence was common according to 79% of health workers, who estimated that up to 15% of the women affected experienced huge amounts of urine leakage. Only 30% of the care seekers underwent in depth investigations, but the majority of the victims were not offered any further examination or appropriate treatments.

Conclusion: Urinary and fecal incontinence due to urogenital or colorectalfistulas among women exposed to sexual violence is a common in the specified setting, but lack of systematic investigation and appropriate treatment means that the quality of life of the victims may be negatively affected. An improvement in the ability of health workers to manage these complex diagnoses is urgently needed, as well as adequately equipping health services in the affected settings.

Ort, förlag, år, upplaga, sidor
Irvine, USA: Scientific Research Publishing, 2015. Vol. 5, s. 354-360
Nyckelord [en]
Sexual violence, Fistulas, Urinary Incontinence, Congo
Nationell ämneskategori
Hälsovetenskaper
Forskningsämne
Vårdvetenskap; Omvårdnadsvetenskap
Identifikatorer
URN: urn:nbn:se:oru:diva-44497DOI: 10.4236/ojn.2015.54038OAI: oai:DiVA.org:oru-44497DiVA, id: diva2:808677
Tillgänglig från: 2015-04-29 Skapad: 2015-04-29 Senast uppdaterad: 2017-12-04Bibliografiskt granskad

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Andersson, GunnelKaboru, Berthollet BwiraAdolfsson, Annsofie

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