The lived experiences and coping mechanisms of women with obstetric fistula in Ethiopia: A systematic review and meta-synthesis of qualitative evidence.

The way others perceived them became highly significant, creating a basis for internalizing these negative and demeaning views. 35 While women with obstetric fistula have a critical need for sanitary materials to maintain personal hygiene and stay clean, the economic burden of acquiring these materials poses a significant challenge (as also described below under economic challenges).

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