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In Kisumu, Kenya. JOORTH is a key research and training facility in Western Kenya and is an institute for clinical training for other hospitals. Through the partnership between JOORTH and Direct Relief’s support of the referral hospital and training center in what is formerly Nyanza Province, it was realized that JOORTH was well positioned to take a lead in expanding availability of a particular obstetric treatment, that of fistula repair services, while at the same time improving quality of fistula treatment management among health providers.
The former Nyanza Province is the Western corner of Kenya that surrounds Lake Victoria, 12 districts were within the province. This was the obstetric fistula patient catchment area men from July 2010 thru June 2013. Individual women seen at JOOTRH were asked a variety questions ranging from current age, height and weight to age at menarche, distance from home location to nearest maternal facility and type of birth attendant, if any, present at the labor at which obstetric fistula developed. Medical information such as type of OF, RVF typing and route of repair is also collected. In total 40 variables are collected. As well, outcome of the surgery at 2 weeks, 1 month, 6 months, and one year are projected to be collected. All women’s home locations were geocoded using the given information on home province, district, division and location. When unable to geocode to the home location level the individual was located to the center of their home division.