scholarly journals Female reproductive tract infections: understandings and care seeking behaviour among women of reproductive age in Lagos, Nigeria

2010 ◽  
Vol 10 (1) ◽  
Author(s):  
Kabiru A Rabiu ◽  
Adeniyi A Adewunmi ◽  
Fatimat M Akinlusi ◽  
Oluwarotimi I Akinola
Author(s):  
Preety Doley ◽  
Geeta Yadav ◽  
Monika Gupta ◽  
Sumathi Muralidhar

Background: Reproductive tract infections including sexually transmitted infections are an important public health problem among women of reproductive age group in developing countries. The perceptions or taboos related to RTIs act as an obstacle for seeking treatment ultimately leading to complications. The aim of the study was to assess the knowledge, health seeking behavior and barriers for treatment of reproductive tract infections among married women of reproductive age in Delhi.Methods: A community based cross-sectional study was undertaken in an urban field practice area of department of Community Medicine of VMMC and Safdarjung Hospital, New Delhi from November 2017 to April 2019. Sample size of 270 was collected using predesigned and pre- tested questionnaire by systematic random sampling.Results: Mere 16.6% of the women knew about symptoms of RTI/STIs. Out of 81 women having RTI/STI in past 3 months 30% did not seek treatment and out of 70% who took treatment for RTI, 30% did not complete treatment. Majority of the women who sought treatment preferred government hospital. The main barrier for seeking treatment was embarrassment, not considering it as an important health problem, lack of time.Conclusions: The overall knowledge about symptoms, mode of spread of RTIs/STIs was very poor among the study participants. Women seeking treatment are not completing it. Thus, there is need to emphasize on spreading knowledge about symptoms, mode of spread, need for treatment and its completion and clearing barriers related to RTI/STI among women. 


2013 ◽  
Vol 3 (4) ◽  
pp. 1-7
Author(s):  
Damaru Prasad Paneru

Objectives: Reproductive Tract Infections (RTIs) are common morbidities among women during reproductive age. These may lead to adverse health consequences including life threatening conditions. This study aims to identify prevalence and factors associated with RTIs among married women of reproductive age. Methods: Cross sectional study was conducted in 7 randomly selected Primary Health Care Centres and Health Posts of Kaski district, Nepal. 282 participants attending in aforementioned health facilities were probed for RTI symptoms according to WHO syndromic case management guideline. Data were collected by using pretested semi-structured schedule and analyzed by SPSS (16.0 Version). Chi square, Fisher’s Exact Test, Odds ratio were calculated and P <0.05 was considered significant. Results: Prevalence of RTI symptoms was estimated to be 78.9 percent. Common reported symptoms were backache (71%), low abdominal pain (67%), watery vaginal discharge (56%), genital itching (51%), burning urination (44%) and curdy discharge per vagina (26%). Most women with RTI were ?30 year’s age, ?19 year’s age at first pregnancy, had monthly income (NRs) <10000 and parity ?2, had sex during menstruation and did not clean genitalia after sex. Consistently, more than nine out of every ten illiterates, high parity (?4), having irregular menstrual cycle and abnormal bleeding had more RTIs as compared to their counterparts respectively. Illiterates, those who had sexual contacts during menstrual periods and those who do not clean genitalia after sexual act were significantly more at risk (OR=5.35,8.33 and 3.11) of having RTIs than those who do not had these attributes correspondingly. Illiterates, those who had sexual contacts during menstrual periods and those who do not clean genitalia after sexual act were significantly more at risk (OR=5.35,8.33 and 3.11) of having RTIs than those who do not had these attributes correspondingly. Conclusions: Burden of the RTIs among women is unexpectedly high; indicating the women’s vulnerability to reproductive morbidities, limited service accessibility and their reproductive fates. Further, majority were modifiable factors; reflecting the needs of information and empowerment and behavior changes for the effective prevention and management of RTIs.DOI: http://dx.doi.org/10.3126/ajms.v3i4.6066 Asian Journal of Medical Science Vol.3(4) 2012 pp1-7


2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Anuradha Narayankhedkar ◽  
Anahita Hodiwala ◽  
Arati Mane

Vaginitis is one of the commonest reproductive tract infections in sexually active women. In the present study clinicoetiological characterization of infectious vaginitis amongst 380 women of reproductive age group (18–45 years) was done. Bacterial vaginosis (BV) was detected by Nugent’s scoring, Candida infection by culture, and trichomoniasis (TV) by wet mount. One hundred and ten (28.9%) women presented with symptoms of vaginitis. The presenting symptoms were vaginal discharge 106 (96.4%), vulval itching/irritation 19 (17.3%), malodor 5 (4.5%), pain in abdomen 3 (2.7%), and dysuria 1 (0.9%). The commonest etiology detected was Candida in 33 (30%) cases, of which 18 (54.5%) were C. albicans and 15 (45.5%) non-albicans Candida (NAC) infections. The NAC isolates were C. glabrata (n=10), C. tropicalis (n=3), and C. krusei (n=2). BV and TV were observed in 19 (17.3%) and 2 (1.8%) cases, respectively. A statistically significant association between Candida infection and presence of curdy-white discharge (p=0.001) and vulval itching/irritation (p=0.007) was noted. To conclude, we observed the etiological predominance of Candida infection, with considerable prevalence of NAC, indicating the need for microbiological investigation up to species level in cases of Candida infections, to ensure appropriate management.


Author(s):  
Aman Dev Singh ◽  
Rajinder Singh Balgir ◽  
Simmi Oberoi ◽  
Ira Jain ◽  
Ankur Jain

Background: Reproductive tract infections (RTIs) represent a vast reservoir of infections among women of reproductive age group observed more often in developing countries.Besides being a major public health problem RTIs and STDs are responsible for infections in post abortion & puerperal period, fetal and perinatal deaths, infertility and cervical cancer. These are a reason for emotional distress in women and a reason for their social rejection.Despite the ability to cure these infections, they continue to be a major public health problem worldwide especially in developing countries.Hence, a hospital based study was done amongst women of reproductive age group reporting to Rajindra Hospital Patiala with RTI, in terms of their socio-demographic profile, myths and misconceptions related to RTIs.Methods: This study was conducted with the objective of evaluating the socio-demographic profile, myths and misconceptions related to RTIs among reproductive age group women in Suraksha Clinic, Gynae OPD in Rajindra Hospital, Patiala from January 2014 to December 2014. A pretested structured Performa was used to collect data from 500 women with RTIs in 15-45 age group. Data was collected, compiled and analyzed statistically.Results: Out of 500 diagnosed patients of RTIs, only 120 (i.e. 24%) had various myths and misconceptions about reproductive tract infections and among them 40% had believe that vaginal discharge was normal phenomena. Majority of RTI patient 12% had bad physical hygiene. However 49.20% among them had poor menstrual hygiene.Conclusions: The influence of socio-demographic factors like age, educational status, socioeconomic status, menstrual hygiene also has its direct effect on occurrence of RTI in community.


Author(s):  
Anmol K. Gupta ◽  
Anita Thakur ◽  
Tripti Chauhan ◽  
Nidhi Chauhan

Background: Reproductive tract infection (RTI) is a public health problem, especially in developing country like India. The associated odium with this reproductive morbidity is often a stumbling block in seeking health care. The aim was to study the prevalence of RTI symptoms and its socio-demographic corelates.Methods: A cross-sectional study was undertaken in the rural field practice area of department of community medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India, from July 2018 to September 2018. Total sample size calculated was 410. Random sampling was used to select eligible couple to whom a predesigned, pretested, semi-structured and anonymous interview schedule was administered after taking consent.Results: The prevalence of self-reported reproductive tract infections was found to be 41.2%. The prevalence was more in lower socio-economic classes, and it was statistically significant. Other socio-demographic corelates (age, education, occupation) did not showed any significant association.Conclusions: The reproductive tract infections prevalence is found to be considerably high in the women of reproductive age group. The frequency was higher among multigravida women and those using cloth during menstrual periods. RTIs are usually spurned by women and even the health care providers, so there is a need to give due consideration to this aspect of reproductive health.


2020 ◽  
Vol 8 (1) ◽  
pp. 29-33
Author(s):  
Saleha Afreen ◽  
Vidhya Wilson ◽  
Sai Surendranath

Introduction: Reproductive tract infections (RTIs) are recognized as public health problem and rank second after maternal morbidity and mortality because of loss of healthy life among women of reproductive age. National family Health Survey-4 (2015-2016) has reported that 23.5% of the women were suffering from reproductive tract infections. RTIs are considered not just a medical problem but also seen as a symptom of wider social pathology in the community. Objectives: To study the prevalence of reproductive tract infections and its socio-demographic determinants among the women of reproductive age group (15-49 years) in urban slums. To assess the health seeking behavior among the women suffering from reproductive tract infections. Methodology: A cross-sectional study was conducted among the women of reproductive age group (15-49 yrs) residing in slums of urban field practice area of tertiary care teaching hospital during the period from June 2017 to October 2018. A total of 300 women were selected by simple random sampling technique. A pre designed and pre tested semi-structured questionnaire was used for collecting the data.Thedata was analyzed using SPSS 20.0 Soft ware. Results and Conclusion: The prevalence of RTIs among the women was 22.3%. Vaginal discharge, 57(85%) and pain abdomen 39 (58.2%) were the most common symptoms. The socio demographic factors significantly associated with RTIs were illiteracy and low socio economic status. Women using cloth during menstruation and having dysmenorrhea were found to be associated risk factors for RTIs. Women having > 3 children, 26(29.2%) and using IUCD, 16(50%) as a method of contraception were found to be at risk of RTIs. Health seeking behavior of the women suffering from RTI was found to be poor, 13(19.4%)


Author(s):  
Padmalaya Das ◽  
Danielle Lisnek ◽  
Krushna Chandra Sahoo ◽  
Shalini Sinha ◽  
JyotiRanjan Mohanty ◽  
...  

A large proportion of women in Odisha, India, use reusable absorbents to manage their menstruation. Yet, the risk factors for lower reproductive tract infections (RTIs) related to menstrual hygiene management (MHM) have not been studied among reusable absorbent users. Women of reproductive age attending one of two hospitals from two different cities in Odisha during two separate study intervals were recruited for the study. Laboratory diagnosis of bacterial vaginosis (BV) and vulvovaginal candidiasis (VVC) were conducted. A questionnaire was used to collect information on MHM practices, water, sanitation, and socio-demographic factors. Among the 509 women who used reusable absorbents, 71.7% were diagnosed with at least one infection. After adjusting for confounders, women with BV were more likely to identify as being a housewife (aOR: 1.8 (1.1–2.9)). Frequent absorbent changing was protective against BV (aOR: 0.5 (0.3–0.8)), whereas frequent body washing increased the odds of BV (aOR: 1.5 (1.0–2.2)). Women with VVC were more likely to be older (aOR: 1.6 (1.0–2.5)), live below the poverty line (aOR: 1.5 (1.1–2.2)), have a non-private household latrine (aOR: 2.2 (1.3–4.0)), dry their absorbents inside the house (aOR: 3.7 (2.5–4.5)), and store absorbents in the latrine area (aOR: 2.0 (1.3–2.9)). Washing absorbents outside the house was protective against VVC (aOR: 0.7 (0.4–1.0)). This study highlights the importance of improving MHM practices among reusable absorbent users to prevent lower RTIs among women reusing menstrual materials in Odisha.


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