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Table 3 Facilitators to interventions aimed at the prevention of obstetric fistulas, categorised by the three phases of delay

From: Barriers and facilitators to preventive interventions for the development of obstetric fistulas among women in sub-Saharan Africa: a systematic review

Phase one: Decision to seek care Phase two: Reaching a facility or preventive intervention Phase three: Receiving adequate care through a preventive intervention
• Women with successful treatments acting as ambassadors and advocates for healthcare facilities   Women are provided with training on public speaking and interpersonal communication skills • Increased awareness within communities through training   About maternal/ child morbidities, and the importance of seeking care • Community involvement   Volunteer coordinator provides SMAGs with technical support, and schedule activities and training   Increased involvement of men, community leaders, and religious leaders, as they are decision-makers within these communities • Financial support   Allowing women to participate in income-generating activities   Free healthcare services for pregnant women and children under 5 years old • Financial support   Reimbursement for transport   Insurance plan that provides transport costs   Community generating money to assist with transport costs • Assistance with transport   A politician procured an ambulance, which facilitated the evacuation of labouring women in need   All-terrain motorbikes to facilitate transport to healthcare facilities • Volunteers initiate evacuation by phoning a midwife at a facility that has an ambulance available • Volunteers arrange transport to the closest facility • Relocation of midwives in rural areas where the most at-risk women and girls reside • Improved mobile coverage to arrange evacuation • Mobilisation of recognised experts • Training   On the local needs as a means of improving the morale for the provision of preventive care   On the improved use of the partograph   Of patients so they educate women and their local communities when they return home • Financial support from international foundations and organisations   Insurance plan that covers medical costs for pregnant women • Partnerships that provide funds for research, the purchase of essential equipment, and the development of basic infrastructure   Donation of supplies and volunteers’ time, which improves adequate staffing, space, equipment, and essential medication • Employment of more midwives • Mobile prenatal clinics serve remote villages