scholarly journals Health seeking and sexual behaviour of men presenting with sexually transmitted infections in two primary health care clinics in Durban

Author(s):  
M Nyalela ◽  
T Dlungwane ◽  
M Taylor ◽  
N Nkwanyana
2018 ◽  
Vol 33 (5) ◽  
Author(s):  
M. Nyalela ◽  
T. Dlungwane ◽  
M. Taylor ◽  
N. Nkwanyana

Background: Sexually transmitted infections (STIs) remain a major public health problem globally, with men being the main transmitters of infections. A high prevalence of curable STIs is reported in adults aged between 15 and 49 years, and the delay in seeking treatment has adverse consequences for both the individual and population.Objective: A study was undertaken to assess the factors associated with the health seeking and sexual behaviour of men presenting with STIs at the two primary health care sites in eThekwini metropolitan area.Method: A cross-sectional study design with systematic random sampling was used. Data were collected using an intervieweradministered questionnaire and analysed using STATA.Results: Some 23% of the 134 participants delayed coming to the clinic after noticing the signs and symptoms of an STI. Participants were 5.89 (95% CI 1.49–23.32) times more likely to delay seeking treatment if they sought medical help only when perceiving an illness to be severe, and three times more likely to delay (borderline result) if they only used a condom when sober (OR 3.16; 95% CI 0.99–10.06). Staff stigma and the bad attitude of nurses were factors that delayed men visiting the clinic for STI treatment and this was reported by 76 (56.7%) of the participants.Conclusion: Delayed health seeking behaviour amongst men with STIs remains a major challenge. Appropriate interventions are required to deal with factors associated with delayed health seeking behaviour amongst men with STIs.


Author(s):  
Mariana Arantes Nasser ◽  
Maria Ines Battistella Nemes ◽  
Marta Campagnoni Andrade ◽  
Rogério Ruscitto do Prado ◽  
Elen Rose Lodeiro Castanheira

OBJECTIVE The objective of this study is to assess performance in sexual and reproductive health of primary health care services of the Brazilian Unified Health System, in the State of São Paulo, Brazil. METHODS An evaluative framework was built for sexual and reproductive health with the categorization of 99 indicators in three domains: sexual and reproductive health promotion (25), sexually transmitted infections/AIDS prevention and care (43), and reproductive health care (31). This framework was applied to assess the services responses to the questionnaire of Quality Evaluation of Primary Health Care in the Municipalities of São Paulo State (QualiAB), in 2010. Percentages were calculated for positive responses to indicators and performance in the sexual and reproductive health dimension, according to domains, and their contribution to the overall score in sexual and reproductive health (Friedman), relative participation (Dunn), and correlation (Spearman) was verified. RESULTS Overall, 2,735 services participated in the study. They were located in 586 municipalities (distributed throughout the 17 regional health departments of São Paulo), of which 70.6% had fewer than 100,000 inhabitants. The overall average performance of these services for sexual and reproductive health is 56.8%. The actions are characterized by: prenatal with adequate beginning and exams, better organization for immediate rather than for late postnatal care, and selective reproductive planning for some contraceptives; prevention based on specific protection, limitations in the prevention of congenital syphilis, in the treatment of sexually transmitted infections, and in the screening of cervical and breast cancer; specific educational activities, with a restricted vulnerability approach, focus on sexuality over reproduction. The domain of reproductive health has greater participation in the overall score, followed by prevention/care and promotion. The three domains are correlated; the domain of prevention/care has the highest correlation with the other ones. CONCLUSIONS The implementation of sexual and reproductive health in primary health care in the services studied is incipient. The revision of the purpose of the work, the dissemination of technologies, and the investing in permanent education are needed. The evaluative framework built can be used by the sexual and reproductive health program services and management in primary health care, thereby contributing to their actions.


Curationis ◽  
2007 ◽  
Vol 30 (4) ◽  
Author(s):  
T.J. Molapo ◽  
T.M.M. Maja ◽  
S.C.D. Wright

Sexually transmitted infections are a major public health problem in South Africa. The high incidence and prevalence of sexually transmitted infections in South Africa pose a serious threat to public health for two main reasons. Firstly, the long-term consequences of these infections are a major cause of loss of health or life, and secondly, sexually transmitted infections are important co-factors in driving the human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) epidemic. The control and prevention of sexually transmitted infections has become an urgent priority. At a primary health care clinic, the nursing personnel experienced an increasing number of persons daily seeking treatment for sexually transmitted infections. The purpose of the study was therefore to investigate the knowledge, attitudes and perceptions of people seeking treatment at Stanza Bopape Clinic regarding sexually transmitted infections. The study was a contextual, quantitative survey. The population was all patients (15 years and older) who visited the clinic for a health-related problem during November 2004 to January 2005. The sampling method was convenient. The data gathering method was self-report using a structured questionnaire basic on current knowledge. The data analysis was done with descriptive statistics.


Curationis ◽  
2007 ◽  
Vol 30 (4) ◽  
Author(s):  
S.T.J. Molapo ◽  
T.M.M. Maja ◽  
S.C.D. Wright

Sexually transmitted diseases are the second highest cause of death among women aged 15-44 years. The incidence and prevalence of sexually transmitted diseases is on the increase at many health care centres despite their dreadfulness and many preventative measures. According to the Scope of Practice of registered professional nurses working in a community health clinic, the registered professional nurse has a responsibility to prevent disease and promote health as well as do research. This paper aims to describe guidelines to reduce sexually transmitted infections at primary health care centres based on research done to investigate the community specific knowledge, attitudes and perceptions regarding sexually transmitted infections. Structured interviews were used to collect data from 1694 participants (males and females) who were consulted at a primary health care clinic in Mamelodi, Gauteng province. Existing patients’ records were also utilised to calculate the incidence rate of sexually transmitted infections. Data were computerised and analysed quantitatively to reflect the results in frequencies and percentages as reported in Part 1 of this research. Guidelines to direct the practice of registered professional nurse were developed based on the findings of the results. These guidelines must underpin community specific interventions to reduce the incidence of sexually.


2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Elani Graça Ferreira Cavalcante ◽  
Maria Alix Leite Araújo ◽  
Marli Teresinha Gimeniz Galvão ◽  
Heber José de Moura ◽  
Ana Paula Soares Gondim ◽  
...  

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