Journal of Development Communication And Applied Theatre

Obstetric fistula remains a major public health challenge in Nigeria, with devastating physical, psychosocial, and social consequences. Despite advancements in surgical repair, continence outcomes remain uneven, and stigma continues to hinder reintegration. Awareness of fistula is alarmingly low, particularly in rural and low-literacy communities, where ignorance and misconceptions persist. The Health Belief Model, Diffusion of Innovations Theory, and Social Ecological Model provided a multi-level framework for interpreting results, highlighting the interplay between individual beliefs, community dynamics, and systemic determinants. This study explored the role of radio-based health education in shaping perceptions, reducing stigma, and influencing maternal health behaviours in Abuja Municipal Area Council. Using a qualitative design, data were collected through focus group discussions and key informant interviews, and analysed thematically. Findings revealed that survivor testimonies, expert interviews, and drama segments broadcast on radio acted as cues to action, shifting beliefs from supernatural to biomedical explanations and motivating care-seeking. However, structural barriers such as poverty, weak health systems, and cultural norms constrained adoption. The study recommends radio as a subset of media for the dissemination of information regarding obstetric fistula dangers especially in the rural areas. The study concludes that radio is a powerful catalyst for awareness, and behaviour change, but sustainable impact requires integration with psychosocial support, health system strengthening, and policy reforms.

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