Obstetric Fistula Survey 2006
Gambia, The, 2006
Identification
GMB_2006_OFS_v01_M
Obstetric Fistula Survey 2006
| Name | Country code |
|---|---|
| Gambia, The | GMB |
Other Household Health Survey [hh/hea]
A nation wide fistula survey was carried out in the Gambia for the first time in 2006. There has been administrative records at the RVH and other health institutions of the Gambia, but the results were never published. This survey is thetrefore the first national credible survey on a specific health issue.
Obstetric Fistula (OF) is an abnormal opening between a woman's vigina and bladder and/or between the rectum and vagina through which urine and /or faeces continually leak. Woman who have OF are constantly soiled and wet and in many instances may have repugnant odour. According to a WHO report obstructed labour occurs in about 5% of live births which is the cause for 8 % of maternal deaths. The WHO estimates that through out the world more than 2 million women live with untreated obstetric fistula and that between 50000 and 100000 women develop OF each year.
In the Gambia health facilities are not fully equipped for treating OFs. A number of women who live with OF are very much depressed because of the lack of treatment . This survey was carried out to determined the level of OF in the Gambia so that one can take appropriate measures for preventing and/or treating OFs. The prevalence of obstetric fistula in the Gambia was found to be 0.5 per 1000 women agede 15-49 years of age. The estimated number of women aged 15-49 in the Gambia for the year 2006 was 393911.
The findings of the situational analysis show that there is a need for establishing continuous fistula repair services and a need for strengthening the three tiered health care delivery system to reduce the high maternal mortality and morbidity including obstetric fistula.
Sample survey data [ssd]
Health Facilities, Households, Individuals
Scope
The OFS 2006 survey covers: Household and housing characteristics of selected households; demographic and social characteristics of women aged 15-49 years; Fistula patients' obstetric history, fistula history; divisional health facilities; divisional training; supervision of staff; coordination of services; emergency transport for referral; logistics; health education and communication; monitoring and evaluation; health facility management; health personnel; complications in facilities; emergency services and referal, infrastructure and equipment; medications; family planning; traditional birth attendants; and traditional healers.
Coverage
National: All local government areas (LGAs) and selected households in each urban and rural area.
The survey covered women aged 15 to 49 years old, Health facilities, traditional birth attendance and traditional healers.
Producers and sponsors
| Name |
|---|
| Department of State for Health |
| Name | Role |
|---|---|
| Gambia Bureau of Statistics | Data Collection and Analysis |
| Name | Role |
|---|---|
| World Health Organization | Funding of Technical Assistance, Data Collection and Analysis |
| United Nations Funding For Population Affairs | Funding of Data Collection and Analysis |
Sampling
The sample design consists of a stratified two stage sampling with PPS systematic sampling for first-stage units (FSUs), i.e. (EAs/clusters); and simple linear systematic sampling for the second stage units (SSUs), i.e. households. In each urban and rural stratum in each Local Government Area , EAs selected had their households listed, by the use of prescribed household listing forms; 17 households were selected in each EA. A total of 325 EAs and 5482 households were selected.
The household response rate was 90.7 percent. This is obtained from the fact that 5482 households were sampled and only 4958 were successfully interviewed.
Survey instrument
Six different and structured questionnaires were used for the survey: Household Listing, Untreated Fistula, Treated Fistula, Health Facilities, Traditional Birth attendants and traditional healers. There was a Focus Group Discussion (FDG) checlist.
Data collection
| Start | End |
|---|---|
| 2006-11-18 | 2006-11-26 |
| Name |
|---|
| Gambia Bureau Of Statistics |
Two staff from GBOS were recruited to Supervise the coding, Mr Edirissa Ceesay and Mrs Lolly Jallow.
The field Supervisors were personnels from DOSH and GBOS.
The number of teams of enumerators was 7. Each team had 6 enumerators and a supervisor. One of the team was responsible for the Banjul and part Kanifing LGA and the remaining 6 teams were posted to the remaining 6 LGS. The average duration of an interview was 25 minutes if respondents are not fistula patients, if they are fistula patients an interview may last 45 minutes. The field work took about 33 days.
Data processing
Data processing and coding manuals were prepared . The data processing manual has detailed editing instructions in addition to instructions on how to use the data entry applications. Intensive trainings were given to the data entry clerks, coders and editors. Census and Survey program (CSpro3.1) was used for the data entry application.
Ten main data entry clerks and 10 verifiers were appointed, and they completed the entry and verification in about 3 weeks. The coders appointed were 15 in numbers and they completed coding in two weeks. Before analysis started the datasets were free from all structural and consistency errors.
Data Access
| Name | Affiliation | URL | |
|---|---|---|---|
| DPI | DOSH | www.dosh.gm | dpi@dosh.gm |
| Is signing of a confidentiality declaration required? | Confidentiality declaration text |
|---|---|
| yes | Confidentiality of respondents is guaranteed and protected by both the old (1977)and the new Statistics Act (2005). |
The Gambia Bureau of Statistics (GBoS) is committed to achieving excellence in the provision of timely, reliable and affordable official statistics for informed decision making in order to maximize the welfare of all Gambians. This is achieved through the collection and analysis of censuses, surveys and the use of administrative data as well as the dissemination of a range of statistical products and providing assistance and services to users. The GBoS which is currently undergoing restructuring is yet to put in place a microdata dissemination policy to address the conditions and the manner in which anonymized microdata files may be released to users for research purposes. The policy should be available at the GBoS website and it should clearly specify the terms and conditions of use of public data files.
As at now the data and/or metadata should not be made available in soft or hard copies to any other user without prior written authorization from GBOS and UNICEF.
Use of the dataset must be acknowledged using a citation which would include:
- the Identification of the Primary Investigator
- the title of the survey (including acronym and year of implementation)
- the survey reference number
- the source and date of download
Disclaimer and copyrights
The user of the data acknowledges that the original collector of the data, the authorized distributor of the data, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses.
Contacts
| Name | |
|---|---|
| Department of State for Health | musukomma@yahoo.co.uk |
| Gambia Bureau of Statistics | lolsaka@yahoo.co.uk |
| Gambia Bureau of Statistics | idi_csay@yahoo.co.uk |
Metadata production
DDI_GMB_2006_OFS_v01_M
| Name | Role |
|---|---|
| World Bank, Development Economics Data Group | Generation of DDI documentation |
2007-06-20
Metadata version
Version 02: Adopted from DDI (DDI-GMB-DOSH-FISTULA2006v1.1) that was done by MUSU KUTA KOMMA.