IMAN SAVE DIGNITY

ISLAMIC MEDICAL ASSOCIATION OF NIGERIA SAVE DIGNITY COMMITTEE

This Committee is dedicated to maintaining the dignity of the woman by carrying out Vesico-vaginal fistula surgeries and thereby reducing morbidity and mortality

THE TERMS OF REFERENCE

Coordinate provision of dignified and safe care for individual with Vesico-vaginal Fistula (VVF) thereby reducing maternal morbidity and mortality
Organise seminar and capacity building on the cause and prevention of VVF
Write proposal to raise fund for care of VVF
Recommend various programmes and activities on VVF for the government
Carry out regular screening and outreaches

MEMBERS OF THE COMMITTEE

Prof Hajara Umar Suleiman – Kaduna (Chairman) — 08034505318

Dr Sukrah Okesina- Kwara — 08033792869

Dr Mrs Halima Olalere- Lagos — 08070990843

Prof. Mairo Hassan, Urogynaecologic Surgeon- Sokoto

Dr Sadia Nasir- Baban Ruga – Katsina

Sister Aisha Garba – Sokoto

SCORE CARD IMAN SAVE DIGNITY COMMITTEE 30^th DHUL HAJJ 1444AH (18^TH JULY 2023)

The committee carried out VVF Repair camps in July 2016 in Sabon Wuse General Hospital of Niger state as part of the pre-conference activities of the IMAN- FIMA International conference which held in Abuja. Four other camps were held in the Maryam Abacha VVF Hospital in Sokoto, Sokoto State in December 2016 then in February, May and November 2017.

Routine repairs were supported in VVF Hospitals in Katsina, Sokoto and Kwara States in August 2021 and July 2023.

So far, a total of 145 patients have being repaired with an overall success rate of 86%.

Source of funding were Jaiz Charity and Development Foundation, The Wife of the Governor of Niger State, IMAN National body. A total of six million, nine hundred thousand naira only (N6,900,000.00) has been used so far for the above activities.

REPORT ON IMAN SUPPORTED VVF REPAIRS AUGUST 2022 TO JULY 2023

The sum of six hundred thousand naira only (N600,000.00) was received from the National body of the Islamic Medical Association of Nigeria to support routine VVF repairs of 24 patients. The money was sent to two International Federation of Gynaecologists & Obstetrics (FIGO) certified Fistula Surgeons in Kwara and Katsina States; Dr. Shukrah Okeshina and Dr. Sadiya Nasir respectively. The money was used to buy consumables for the repairs, as investigation, admission and feeding were free. Both Muslims and non-Muslims benefitted from these repairs.

The total number of patients were24, 11 in Kwara and 13 in Katsina. The last repair was completed in May 2023.

The details of patients are as shown below:

S/NO	Hosp No	Name	Age (yrs)	Parity	Diagnosis	Sizes	Previous Repair	Route of Repair	Outcome	Location
1	G096	Sakariyau Kafayat	25	P1, NA	Post-repair incontinence. Type 11Ba	2cm	2	vaginal	Wet	Kwara
2	G098	Wasiu Fatimoh	35	P4, 2A	Intracervical fistula + bladder stones	>6cm	0	Vaginal	Wet. Interval repair	Kwara
3	G067	Mohammed Aminat	28	P2, NA	Juxta urethral, Type 2Ba	4cm	1	vaginal	Closed and dry	Kwara
4	G0132	Obalowu Aminat	50	P2, NA	Vault fistula & left Ureteric	2cm	1	abdominal	Interval repair. Died 11DPO	Kwara
5	G157	Veronica Adewumi	30	P1, 1A	RVF. Type IIa	<2cm	0	Vaginal	Closed and dry	Kwara
6	G196	Gbolahan Rahmat	28	P1	RVF with sphincter rupture	4cm	2	vagina	Closed and dry	Kwara
7	G072	Abdulwahab Toyin	60	P2, 2A	Type IIA + Bladder stones	4cm	1	vaginal	Closed and dry	Kwara
8	G060	Uweru Kehinde	41	P3, 3A	RVF with SR	2-3cm	0	vaginal	Closed and dry	Kwara
9.	G0225	Alice Andrew	35	P2+0, 1 alive	Vesico-Uterine Fistula	4cm	0	Vaginal	Closed and Dry	Kwara
10.	G0252	Ganiyat Jimoh	53	P6+0, 4 alive	Intracervical	6cm	1	Vaginal	Dry	Kwara
11.	G0278	Larai Muhammed	20	P2+0	Juxta urethral	4cm	0	Vaginal	Dry	Kwara

S/N	Hosp. No	Name	Age	Parity	Diagnosis	Prev. repair	Complication	Outcome
1	3259975818	Dayyaba Saidu	22	2	Type IIBb	Urethral reconstruction	Nil	Closed and dry	Katsina
2	3301224956	Fatima Samaila	17	1	Type 1	Repair	Nil	Closed and dry	Katsina
3	3305741648	Sahura A. Sale	38	8	Type 1	Repair	Nil	Closed and dry	Katsina
4	3255837998	Zuwaira Bello	21	1	Type 1 VUF	Abdominal Repair	Nil	Closed and dry	Katsina
5	3278780560	Amira Bishir	29	11	Type 11Aa	Repair	Nil	Not closed	Katsina
6	3304351390	Rashida Nasiru	20	1	PPSI	Sling	Nil	Closed and dry	Katsina
7	3302268924	Nana Hamisu	43	10	Ext. Type 11Ab	Repair & Fiaxtion	Nil	Closed with Residual Incontinence	Katsina
8	3286021834	Sahura Amadu	19	1	C/S Fistula	Repair	Nil	Closed and dry	Katsina
9	3292093976	Aisha Yahaya	25	3	4⁰PT	Repair	Nil	Closed and dry	Katsina
10	3302107612	Suwaiba Muazu	21	1	Type 11Aa	Repair	Nil	Closed and dry	Katsina
11	3303624951	Rabi Umar	23	2	Ureteric fistula	Ureteric reimplantation	Nil	Closed and dry	Katsina
12	3252505636	Lariya Idris	18	1	Proximal RVF	Repair	Nil	Closed and dry	Katsina
13	3286562096	Asiya Rabe	31	3	Vault Fistula	Repair	Nil	Closed and dry	Katsina

A total of 26 patients have been successfully repaired, the overall success rate was 18/24 which is 75%. Unfortunately, one patient died in Kwara. All patients were discharged successfully and are still being followed up. Some that were not dry have been rescheduled for repeat surgeries.

Proposed Activities:

1. To expand the collaboration with the National VVF centers and other NGOs. (The Medical Directors of the two of the three National VVF centers in Katsina and Ningi are our members).

2. To widen our scope of activities to include prevention since IMA- Nigeria now hosts the FIMA Save Dignity committee.

3. To look for funding for community outreaches in areas with large number of VVF patients with a view of community sensitization on prevention of VVF. The funding will also be for routine repairs, VVF camps and rehabilitation of these patients after repairs. (Skill acquisition and empowerment).

Jazakumullahu khairan for supporting the restoration of the dignity of our women.

Your Faithfully.