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Table 7 Programmatic recommendations for community-based fistula screenings

From: Community-based screening for obstetric fistula in Nigeria: a novel approach

Recommendation 1

Transportation should be an essential element of community-based fistula screening programs.

Recommendation 2

Stronger ties with communities and better messaging strategies are crucial for success in identifying backlog in community-based fistula programs.

Recommendation 3

Facilities providing fistula surgery and national fistula programmes (including training programs for surgeons) should consider a) the feasibility of incorporating prolapse repair surgery into the services they offer; b) the implications that such changes might make in how they operate on prolapse; and c) provision of appropriate treatment regimens for women with post-surgery leakages without directing attention away from established fistula services.