Factors Associated With Obstetric Fistula Among Reproductive Age Women in Ethiopia, Community Based, Case Control Study

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Abstract Background: Obstetric fistula is major public and reproductive health concerns in Ethiopia .It are most disturbing among all maternal morbidities.Method: A community-based unmatched case control study was conducted from the EDHS, 2016 dataset. All 70 cases and 210 non cases were selected using random number table from the dataset. Reproductive age mothers who had experiencing lifelong obstetric fistula were considered as cases .Logistic regression was used to identify factors associated with obstetric fistula at 95% confidence interval. Factors significant at p value of ≤ 0.05 were included into multivariable logistic regression model to generate adjusted odds ratios.Results: The majority of fistula cases were from rural residences. Independent risk factors associated with obstetric fistula included age at first marriage, rural residence, poorest wealth index and decision making for contraceptive use mainly husband partner.ConclusionObstetric fistula is a major public and reproductive health concern in Ethiopia. Majority of women with obstetric fistula were from rural areas. Comprehensive intervention strategies should be in place customized to different government hierarchies (national, regional and district level) including household and individual level interventions for combating obstetric fistula by giving an emphasis on the identified risks.

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