scholarly journals Knowledge, health seeking behavior and barriers for treatment of reproductive tract infections among married women of reproductive age in Delhi

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. 

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%)


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


2016 ◽  
Vol 5 (2) ◽  
pp. 65-70
Author(s):  
Poonam P Shingade ◽  
Yasmeen Kazi ◽  
Madhavi LH

Sexually Transmitted Infections/Reproductive Tract Infections (STIs/RTIs) are a major public health problem and a leading cause of morbidity among men and women in developing countries. The aim of the study is to explore treatment seeking behavior among the married women of reproductive age presented with symptoms of STI/RTI. A hospital-based observational study was carried out at the STI/RTI Clinic of Urban Health Centre, Shivaji Nagar, Govandi, Mumbai, India. The study involved a total of 273 married females who attended clinic for their symptoms during January to March 2012. Patients were interviewed using a pretested questionnaire to explore the detail of the treatment seeking behavior regarding STIs/RTIs. Out of total women who participated in the study, only 47.6% of the women with STIs/RTIs symptoms sought health care. Among those who did not seek treatment, 58.65 % females were belonging to 21-25 years of age group. Maximum 65.6% females who were illiterate had not sought any treatment for symptoms of these diseases as compared to 65% who had taken treatment for the presented symptoms who were educated up to higher secondary and above level. 62.5% females belonging to class V had never sought treatment as compared to 100% women who were classified to class I. The poor health seeking behavior was associated with literacy and socioeconomic class of the participants. Private sector was the most favored place for taking treatment by them. Commonest reason for not seeking treatment was no female doctor at clinic. Information, Education and Communication (IEC) sessions, about STI symptoms and the benefits of treat-ment, especially targeted at women and low socioeconomic groups might be an immediately feasible measure that will help to reduce the burden of the disease.South East Asia Journal of Public Health Vol.5(2) 2015: 65-70


Author(s):  
Dilip S. Rathod ◽  
Ashok D. Shelke ◽  
Dhananjay B. Naik ◽  
Pallavi M. Kesari

Background: Reproductive tract infections (RTIs) and sexually transmitted diseases (STDs) represent a major public health problem in developing countries. The consequences of RTIs are numerous and potentially devastating. The present study was conducted to give some indication of the likely burden of RTIs in urban slum of Bidar and also highlight some associated factors.Methods: This study was conducted with the objective of assessing the prevalence of various RTIs among married women in the reproductive age group of 15-44 years in an urban slum of Bidar (Karnataka) during September 2015 to February 2016. Total 357 married women in the reproductive age group of 15-44 years were interviewed.Results: The prevalence of RTI was found 36.1% with maximum prevalence of 42% in the age group of 35 years and above. Also the prevalence was high in illiterate women (53.2%), women having one or two children (54.1%), women using IUD (54.5%) and women having per capita income <Rs. 1000/- (46.35%).Conclusions: The prevalence of reproductive tract infections was most commonly associated with increasing age, illiteracy, low income, use of contraceptive methods and higher parity. The commonest reported symptom of RTI/STI was vaginal discharge. The RTI services should be focused on low income groups and health education regarding prevention and control of RTIs should be widely disseminated. 


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.


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