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May 30, 2026Journal of obstetrics and gynaecology researchOpen Access

Obstetric Fistula in Zambia: A Population‐Based Cross‐Sectional Analysis of Associated Factors Using the 2018 DHS Data

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Authors

SMSianga MutolaSNSinyangwe NondeMMMukuka Mwamba

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Overview

Cross-sectional analysis identifies factors linked to obstetric fistula among women in Zambia, suggesting intervention areas.

Key Points

  • This study examines factors associated with obstetric fistula in Zambian women using 2018 survey data.
  • Cross-sectional analysis of 10,296 women from the 2018 Zambia Demographic and Health Survey (ZDHS)
  • Survey-weighted regression and Firth logistic regression were used to assess associations
  • Outcome measured was self-reported history of continuous leakage of urine or stool
  • Weighted prevalence of obstetric fistula was 0.24%.
  • Women no longer in union had higher odds of obstetric fistula (Firth AOR: 4.81; 95% CI: 1.80–12.86).
  • Poor wealth and lack of antenatal care were linked to higher odds of experiencing obstetric fistula.

Cite This Study

Mutola et al. (2026) studied this question.

synapsesocial.com/papers/6a1a80270307b7850943230ehttps://doi.org/10.1111/jog.70343
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