Project Details :
The Urology Incontinence Project was funded and designed to raise awareness to reduce the stigma surrounding urinary incontinence, improve understanding of causes and symptoms, promote bladder-strengthening behaviours, and support adults particularly women from Black, Asian and Minority Ethnic communities to manage symptoms confidently. These conditions are often under-discussed due to stigma or embarrassment, leading to delayed diagnosis and poorer outcomes.
Understanding What’s Happening
Practical Tools to Reduce Symptoms
Support Without Embarrassment
What We Did :
Awaiting Update
Tackling inequalities in women’s bladder health by encouraging help-seeking behaviour for stigmatised conditions. Improves confidence, mobility, social participation and supports long-term preventative health and wellbeing.
- Educational workshops explaining bladder function and types of incontinence
- Stigma-reduction discussions in safe, supportive groups
- Pelvic floor training (Kegel exercises) with guided practice
- Guidance on referral pathways (GP, continence services, physiotherapy)
Final Results :
Urinary Incontinence Programme Report
QALYCOM Health CIC – Pilot Program Report
Programme Name: Urinary Incontinence Awareness & Symptom Management Workshops
Date / Duration: 2024/2025
Location: Rochdale Borough (Central and Heywood)
Programme Overview
Objective:
To reduce the stigma surrounding urinary incontinence, improve understanding of causes and symptoms, promote bladder-strengthening behaviours, and support adults particularly women from Black, Asian and Minority Ethnic communities to manage symptoms confidently.
Target Population:
Adults aged 30–75 from African, Caribbean, South Asian and BAME communities who experience urinary leakage, urgency, frequency, or pelvic floor concerns.
Expected Outcomes:
- Improved knowledge of urinary incontinence
• Increased pelvic floor strength and symptom reduction
• Greater emotional confidence and reduced stigma
• Increased help-seeking behaviour
• Improved quality of life
• QALY gains
Baseline Data
Metric | Baseline (Avg) | Participants | Notes |
Symptom Severity | 6.2 / 10 | 74 | Leakage, urgency, frequency |
Knowledge of Incontinence | Low | 74 | Causes & treatment poorly understood |
Pelvic Floor Strength | Low | 74 | Self-reported difficulty |
Confidence in Help-Seeking | Low | 74 | Stigma & embarrassment |
Hydration Habits | Poor | 74 | Low water intake, high caffeine |
Programme Activities
- Educational workshops explaining bladder function and types of incontinence
• Pelvic floor training (Kegel exercises) with guided practice
• Hydration and bladder-friendly diet sessions
• Stigma-reduction discussions in safe, supportive groups
• Guidance on referral pathways (GP, continence services, physiotherapy)
• Culturally sensitive materials and peer support groups
Attendance: 83% attended at least two sessions
Outcomes & Impact
Quantitative Results
Metric | Follow-up | Change |
Symptom Severity | 3.8 / 10 | ↓2.4 |
Knowledge | High | ↑45% |
Pelvic Floor Strength | Improved | ↑40% |
Help-Seeking Confidence | Improved | ↑38% |
Hydration Habits | Improved | ↑50% |
QALYs Gained: 2.1
This reflects meaningful improvements in daily functioning, dignity, and quality of life.
Qualitative Feedback
- “I thought leaking was normal after childbirth, now I know how to manage it.”
• “The exercises really helped and I feel less embarrassed.”
• “Knowing when to ask for help gave me confidence.”
Case Study — “Amina” (Urinary Incontinence Programme)
“I used to avoid going out because of leakage. After learning the exercises and getting support from the group, my symptoms reduced and I feel more confident. It changed my daily life.”
Lessons Learned
Successes:
- Pelvic floor training produced fast, noticeable improvements
• Safe spaces made talking about a stigmatised topic possible
• Many participants went on to seek GP or started engaging in Kegel exercise
Challenges:
- High stigma meant some participants joined only after 1-to-1 reassurance
• Some found the exercises difficult at first and needed repeated guidance
Recommendations:
- Provide ongoing monthly pelvic floor refresher sessions
• Develop video demonstrations for home practice
• Strengthen referral links with continence physiotherapy teams
• Offer more one-to-one initial consultations
Alignment With Council Goals
- Tackles inequalities in women’s and bladder health
• Encourages help-seeking for stigmatised conditions
• Improves confidence, mobility, and social participation
• Supports long-term preventative health and wellbeing
Sign-Off
Prepared by: QALYCOM HEALTH CIC
Date: November 2025




