A Social Worker's Investigation of Childbirth Injured Women in
Northern Nigeria investigates Vesicovaginal fistula (VVF), a
childbirth injury commonly found among younger adolescent wives in
northern Nigeria. Women with fistulae continuously drip urine.
Their offensive odor often leads to life as social outcasts.
Millions of women across Africa and the developing world suffer
from this condition, but it is preventable and curable. This work
examines the problem from the perspective of a social worker. It is
not intended as a medical treatise, but instead deals with the
condition from an ecological perspective using a systems approach.
Its focus is on VVF as it relates to the social environment of the
affected women. The author defines and describes VVF as it
manifests itself in Africa, along with the history and epidemiology
of the condition and its treatment. It describes the life course of
Hausa women who are most affected by VVF in northern Nigeria and
how their position in society predisposed them to childbirth
injury. Testimonials of the victims about their struggles of
survival and their road to a cure are narrated. Short and long term
preventive measures are given. The empowerment of northern Nigerian
women for the eradication of this condition is a fundamental and
underlying theme of this work.
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