Knowledge, Attitudes and Practices of Midwives and Birth Attendants in the Kara Region/Togo regarding Obstetric Fistulas in 2025

Introduction: Obstetric fistula is a major public health issue, particularly in West Africa where the prevalence is high (71 per 100,000 women). It is a disease of shame, with a significant psychosocial impact. Objective: To study the knowledge, attitudes and practices of midwives and obstetricians regarding obstetric fistulas. Methodology: This was a multicenter study conducted in the Kara region of northern Togo. It took place from September 1st to November 30th, 2025. A pre-test questionnaire was used, and the data were analyzed using Microsoft Word 2016 and Epi Info 7 software. The response rate was 50.5%. The majority of providers were between 31 and 35 years old (32.1%), with midwives predominating (75.5%). Most had less than 5 years of professional experience (67.9%). Among the 53 healthcare professionals surveyed, 90.4% had good knowledge, 39.6% had good attitudes, and 66% had good practices. Conclusion: Midwives and birth attendants in the Kara region of northern Togo have good knowledge but insufficient attitudes and practices regarding obstetric fistulas. This reflects the inadequate quality of maternal care. It is necessary to strengthen their capacity regarding obstetric fistulas in order to improve the quality of maternal care.