Depression among women with obstetric fistula in Kenya |
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Authors: | Khisa Weston Judy W. Mwangi Zahida Qureshi Pavithra Venkat |
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Affiliation: | a African Medical and Research Foundation (AMREF), Nairobi, Kenyab Kenyatta University, Nairobi, Kenyac University of Nairobi, Nairobi, Kenyad Yale School of Medicine, New Haven, CT, USAe Departments of Surgery and Obstetrics and Gynecology, University of California, San Francisco, CA, USA |
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Abstract: | ObjectiveTo establish the prevalence of depression and describe associated factors among fistula patients attending an obstetric fistula surgical camp in Kenya.MethodsA cross-sectional study was conducted focusing on obstetric fistula patients attending a national fistula camp held in August 2008 at Kenyatta National Hospital, Nairobi, Kenya. A structured questionnaire was used to obtain sociodemographic data and medical histories for all consenting patients before surgery. Depression measures were obtained using the Patient Health Questionnaire-9.ResultsOf the 70 women interviewed, 2 (2.9%) and 12 (17.1%) reported a history of psychiatric illness and suicidal ideations, respectively. Depression was present in 51 (72.9%) patients, with 18 (25.7%) meeting criteria for severe depression. Depression was significantly associated with women older than 20 years of age (P = 0.01), unemployment (P = 0.03), lack of social support following fistula (P = 0.04), and living with fistula for over 3 months (P = 0.01).ConclusionWomen with obstetric fistula are predisposed to high levels of depression. A holistic management approach, including mental health care and family support, is recommended. |
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Keywords: | Depression Holistic management Obstetric fistula |
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