scholarly journals Contraceptive use and prevalence of sexually transmitted infections among women seeking termination of pregnancy at a district hospital in KwaZulu-Natal

2013 ◽  
Vol 28 (3) ◽  
pp. 172-176
Author(s):  
Samuel Muruya ◽  
Hannah Sebitloane
Curationis ◽  
2006 ◽  
Vol 29 (3) ◽  
Author(s):  
OA Oyedeji ◽  
R Cassimjee

This study explores contraceptive use among young adult male and female students (aged 18-25) who visit the campus clinic at a university in KwaZulu-Natal. Both a descriptive survey and face to face interviews were used for data collection. In this study, it is affirmed that gender stratification, societal attitudes, and misconceptions about contraceptive use play an important role in the attitudes of young adults, male and female towards contraception and its use. Evidence of this is the high use of condoms amongst both male and female students’ compared with other available methods. Among female students this was highly attributed to personal convenience and comfort with condom use as an unmarried young woman. It was clear from the data collected that respondents themselves attached some stigma to being associated with the use of contraceptive pills or having to visit the clinic regularly for injections as young unmarried women. Male respondents affirmed the use of the condom, although this was hardly with the view of taking reproductive/contraceptive responsibility, but rather, it was attributed to the function of the condom as a safe sex method that offered protection against sexually transmitted diseases and infections. Also evident from the study was the fact that male respondents felt more comfortable with their sexual functioning than the female respondents. This was easily attributed to the role of societal gender stratification in an individual’s life.


2018 ◽  
Vol 60 (5) ◽  
pp. 54
Author(s):  
Charles Uchenna ◽  
Indiran Govender

Background: Sexually transmitted infections (STIs) are a public health problem globally, but especially so in sub-Saharan Africa. They contribute significantly to the burden of disease in South Africa and are recognised as major contributors to the human immunodeficiency virus (HIV) epidemic, with other potential complications when not managed properly. First-line doctors play a critical role in the management of persons suffering from STIs, and need to comply with the national guidelines for STI management.Aim: To determine the knowledge, attitudes and practices of doctors working in Jubilee District Hospital, Metsweding region, Tshwane, regarding the STI syndromic management (SM) guidelines.Setting: Jubilee District Hospital in Tshwane North, Gauteng province, South Africa.Methods: A cross-sectional, descriptive study using a self-administered questionnaire was conducted.Results: Forty-three of the 50 doctors employed at the hospital participated in the study. Fourteen (32.6%) of the doctors were in the 36–40-year age group. Most of the doctors (36 or 83.7%) had only the basic bachelor’s degree, and only 4 (9.3%) attended additional STI training. Only 2 respondents (4.6%) had correct knowledge concerning management of male urethritis syndrome and 10 (23.3%) regarding management of genital ulcer syndrome. In compliance with the national SM guidelines for STIs, 22 (52.4%) of the doctors said they made a diagnosis of STIs using history and physical examination. Only 7 (16.7%) said they asked their patients during every consultation about the number of sexual partners, 21 (51.7%) said they always counsel/ screen patients with STIs for HIV infection, and only 4 (9.5%) said they always filled in partner notification slips after attending to the index patient with STIs. This study demonstrated a relationship between doctors’ knowledge of the SM guidelines for STIs and their age.Conclusion: Overall the knowledge and practices of doctors at Jubilee District Hospital were suboptimal, and training on the SM of STIs should be made available to address this. Management should introduce regular monitoring, evaluation and supportive services for the doctors regarding their management of STIs according to the guidelines.


Author(s):  
Anuj Sharma ◽  
Renu Rattan ◽  
Aditya Sood

Background: Sexually transmitted infections (STIs) are a public health problem, which increase the HIV transmission and are a burden to the individual, his family and community. The prevalence of STIs varies widely across different regions in our country. There is immense need to study the pattern of STIs in various regions for proper planning and implementation of control strategies. The study was conducted with the objective to assess the pattern of STIs and their prevalence in a District hospital of Himachal Pradesh. Methods: A retrospective hospital based study was carried out from clinical records of the STI clinic over a period of one year (January 2016 to December, 2016). Detailed history, demographical data and clinical features were recorded, and STIs were categorized into various syndromes as depicted by National AIDS Control Organization. The data collected was analyzed statistically, and compared with other studies from across the country. Results: Cervical/vaginal discharge (80.4%) was the commonest STI followed by balanoposthitis (33.3%), lower abdominal pain syndrome (LAP) (17.1%), genital scabies (4.2%), herpes genitalis (3.7%), uretheral discharge (1.9%), genital warts (0.98%), chancroid (0.61%), molluscum contagiosum (0.6%), syphilis (0.12%) and inguinal bubo (0.12%). Balanoposthitis was the commonest STI in males, followed by genital scabies, herpes genitalis, genital warts, chancroid and genital molluscum, uretheral discharge and syphilis. In females, cervical/vaginal discharge was the most frequently reported STI followed by LAP, genital herpes, genital scabies, genital warts, chancroid, inguinal bubo and molluscum contagiosum. Conclusions: The increase prevalence of cervical/vaginal discharge was due to increased referral from Gynaecology OPDs. Balanoposthitis was quite commonly reported in males. The increase in the viral STIs has been seen, which is consistent with other studies from different regions. 


2020 ◽  
Vol 58 (4) ◽  
pp. 536-546 ◽  
Author(s):  
Karen J. Derefinko ◽  
Sydney Ashby ◽  
Tristan Hayes ◽  
Cameron Kaplan ◽  
Zoran Bursac ◽  
...  

2019 ◽  
Vol 30 (6) ◽  
pp. 557-568 ◽  
Author(s):  
Rosine Ingabire ◽  
Rachel Parker ◽  
Julien Nyombayire ◽  
Jasmine E Ko ◽  
Jeannine Mukamuyango ◽  
...  

Female sex workers (FSWs) were recruited from known hotspots in Kigali, Rwanda, and offered free, anonymous human immunodeficiency virus (HIV) counseling and testing, diagnosis and treatment of sexually transmitted infections (STIs) and long-acting reversible contraception (LARC). From September 2012 to March 2015, 1168 FSWs sought services, including 587 (50%) who were HIV-positive. More than 90% had previously tested for HIV, and 26% who reported previously testing negative had seroconverted. Of the 349 who already knew their HIV-positive status, 74% were on antiretroviral treatment. The prevalence of serologic syphilis was 43% in HIV-positive and 19% in HIV-negative FSWs (p < 0.0001), and Trichomonas vaginalis was found in vaginal wet mounts in 21% of HIV-positive and 13% of HIV-negative FSWs (p < 0.0001). Signs and symptoms of STIs were found in 35% of HIV-positive compared with 21% of HIV-negative FSWs (p < 0.0001). Only one-third reported consistent condom use in the last month. Modern contraceptive use was reported by 43% of HIV-positive and 56% of HIV-negative FSWs (p < 0.0001). Current pregnancy was reported by 4% of HIV-positive and 6% of HIV-negative FSWs (p = 0.0409). Despite Rwanda’s successes with preventing 70% of new infections in the general population through nationwide couples’ testing in antenatal clinics, prevention and timely treatment in key populations including FSWs are lacking. The prevalence of HIV – including many new cases – and STIs among FSWs in Kigali is high and condom and contraceptive use are low. Tailored and integrated HIV/STIs and family planning programs are urgently needed for FSWs.


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