Change search
ReferencesLink to record
Permanent link

Direct link
Health Workers’ Assessment of the Frequency of and Caring for Urinary and Fecal Incontinence among Female Victims of Sexual Violence in the Eastern Congo: An Exploratory Study
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.ORCID iD: 0000-0002-9062-8840
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. (FAMN)ORCID iD: 0000-0001-9865-4405
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. The Centre for Women’s, Family and Child Health, Faculty of Health Sciences, Buskerud & Vestfold University, College, Kongsberg, Norway.ORCID iD: 0000-0002-2577-1632
Faculty of Community Health and Development, Université Libre des Pays des Grands Lacs, Goma, Congo Democratic Republic.
2015 (English)In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 5, 354-360 p.Article in journal (Refereed) Published
Abstract [en]

Background: Throughout the long war that the Democratic Republic of Congo (DRC) has endured,women and children have been depicted as the primary victims of widespread sexual violence. Insome settings women have been raped in entire villages, with devastating physical and psychologicalconsequences, which include sexually transmitted infections such as HIV, trauma and fistulas,as well as social isolation and involuntary pregnancies. The aim of this study was to assess theprevalent perceptions of health professionals on the magnitude of urine and/or fecal incontinenceamong assaulted women, caused by sexual violence, as well as the opinions regarding the type ofcare provided to affected women.

Methods: The study was part of a larger pilot study that had across-sectional design and a descriptive approach, which explored health professionals’ views regarding their own levels of competence at responding to the health needs of victims of sexual violence, in the form of a semi-structured questionnaire.

Results: 104 health workers responded to the questionnaire. Nurses reported seeing raped women more frequently on a day-to-day basis (69.2%), in comparison to medical doctors and social workers (11.5%). Urinary incontinence was common according to 79% of health workers, who estimated that up to 15% of the women affected experienced huge amounts of urine leakage. Only 30% of the care seekers underwent in depth investigations, but the majority of the victims were not offered any further examination or appropriate treatments.

Conclusion: Urinary and fecal incontinence due to urogenital or colorectalfistulas among women exposed to sexual violence is a common in the specified setting, but lack of systematic investigation and appropriate treatment means that the quality of life of the victims may be negatively affected. An improvement in the ability of health workers to manage these complex diagnoses is urgently needed, as well as adequately equipping health services in the affected settings.

Place, publisher, year, edition, pages
Irvine, USA: Scientific Research Publishing, 2015. Vol. 5, 354-360 p.
Keyword [en]
Sexual violence, Fistulas, Urinary Incontinence, Congo
National Category
Health Sciences
Research subject
Nursing Science; Caring sciences
URN: urn:nbn:se:oru:diva-44497DOI: 10.4236/ojn.2015.54038OAI: diva2:808677
Available from: 2015-04-29 Created: 2015-04-29 Last updated: 2016-08-10Bibliographically approved

Open Access in DiVA

fulltext(307 kB)32 downloads
File information
File name FULLTEXT01.pdfFile size 307 kBChecksum SHA-512
Type fulltextMimetype application/pdf

Other links

Publisher's full text

Search in DiVA

By author/editor
Andersson, GunnelKaboru, Berthollet BwiraAdolfsson, Annsofie
By organisation
School of Health and Medical Sciences, Örebro University, Sweden
In the same journal
Open Journal of Nursing
Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 32 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 231 hits
ReferencesLink to record
Permanent link

Direct link