Table1_Systematic review and meta-analysis of women's awareness of obstetric fistula and its determinants in Ethiopia.docx

BackgroundAlthough obstetric fistula has been extensively eliminated in high-income countries due to comprehensive obstetric health care services, in developing countries including Ethiopia, many women and girls are still silently suffering from obstetric fistula due to early marriage, poor socioeconomic status, lack of access to skilled birth attendants, and limited awareness of obstetric fistula.ObjectiveTo determine the magnitude of women's awareness of obstetric fistula and its contributing factors in Ethiopia.MethodsTo perform this analysis, we strictly adhered to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) recommendations. To evaluate publication bias, we employed an Egger's test and an eye assessment of the funnel plot's symmetry. To look for signs of study heterogeneity, the Cochrane Q-test and I2 statistics were used. A Microsoft Excel spreadsheet was used to extract the data, and STATA version 14 was used to analyze it.ResultsA total of six studies involving 3,024 women were included. The pooled prevalence of women's awareness of obstetric fistula in Ethiopia was 41.24% (95% CI; 32.94%−49.54%). Urban residence (AOR = 2.32, 95% CI: 1.40–3.85), giving birth at a health institution (AOR = 2.84, 95% CI: 1.92–4.21), having secondary or above educational status (AOR = 3.27, 95% CI: 2.15–4.97), receiving antenatal care follow-up (AOR = 2.73, 95% CI: 1.71–4.35), and participation in pregnant women's conferences (AOR = 4.64, 95% CI: 2.88–7.49) were factors associated with good awareness of obstetric fistula in women in Ethiopia.ConclusionThe pooled prevalence of women's awareness of obstetric fistula was low. Urban residence, giving birth at a health institution, having secondary and above educational status, having antenatal care follow-up, and participating in pregnant women's conferences were factors associated with women's awareness of obstetric fistula. Therefore, enhancing women's awareness of obstetric fistula and promoting institutional delivery and antenatal follow-up is recommended. Furthermore, policymakers and stakeholders should empower women and pay particular attention to the neglected but important public health problem that is obstetric fistula.

背景：尽管由于综合产科医疗服务，产科瘘在高收入国家已被广泛根除，但在包括埃塞俄比亚在内的许多发展中国家，由于早婚、社会经济地位低下、缺乏获得有资质助产士的服务以及产科瘘认知有限，许多妇女和少女仍在默默忍受着产科瘘的痛苦。目标：旨在确定埃塞俄比亚妇女对产科瘘的认知程度及其影响因素。方法：为了进行此项分析，我们严格遵循了系统评价和荟萃分析优先报告项目（PRISMA）的建议。为了评估发表偏倚，我们采用了Egger检验和漏斗图对称性的目视评估。为了寻找研究异质性的迹象，使用了Cochrane Q检验和I2统计量。使用Microsoft Excel电子表格提取数据，并使用STATA版本14进行分析。结果：共纳入了涉及3,024名妇女的六项研究。埃塞俄比亚妇女对产科瘘的认知的合并患病率为41.24%（95% CI；32.94%−49.54%）。城市居住（AOR=2.32，95% CI: 1.40–3.85）、在医疗机构分娩（AOR=2.84，95% CI: 1.92–4.21）、拥有中学或以上教育程度（AOR=3.27，95% CI: 2.15–4.97）、接受产前护理随访（AOR=2.73，95% CI: 1.71–4.35）以及参与孕妇会议（AOR=4.64，95% CI: 2.88–7.49）是与埃塞俄比亚妇女对产科瘘的良好认知相关的因素。结论：妇女对产科瘘的认知的合并患病率较低。城市居住、在医疗机构分娩、拥有中学及以上教育程度、接受产前护理随访以及参与孕妇会议是与妇女对产科瘘的认知相关的因素。因此，建议提高妇女对产科瘘的认知、促进医院分娩和产前随访。此外，政策制定者和利益相关者应赋权妇女，并特别关注这一被忽视但重要的公共卫生问题——产科瘘。