scholarly journals To assess the prevalence of STI/RTI using syndromic case management in the urban health centre area of greater Visakhapatnam municipal corporation, Andhra Pradesh

Author(s):  
Srinivas Rao Ganta ◽  
K. K. L. Prasad ◽  
P. J. Srinivas

Background: Sexually transmitted diseases remain a major public health problem in many parts of the world. 340 million new cases of curable STIS occur every year. 75 to 85% are seen in developing countries and rank second as the cause of healthy life lost among women of reproductive age group, after maternal morbidity and mortality. Methods: The study was conducted at Rama Murthy Pantulu Peta in the field area of urban health centre of greater Visakhapatnam Municipal Corporation, Visakhapatnam during September 2015 to October 2016. The study design was a community based descriptive study. Based on the prevalence of STI as stated by National AIDS Control Organization, a sample of 1541 is calculated.Results: The overall prevalence of RTI/STI in our study is 18.88%. The prevalence of symptoms suggestive of STI/RTI among female respondents is found to be 27.97%. Majority of females complained of vaginal discharge (26.68%),vulvas itching (10%), lower abdominal pain (6.34%) followed by abnormal vaginal bleeding (5.91%).The prevalence of symptoms suggestive of RTI/STI is found to be 9.75% among male respondents and majority complained of Urethral Discharge (8.4%) followed by inguinal/scrotal swelling (5.2%). Conclusions: The prevalence of Reproductive tract infections is more in females when compared to males in our study. Health education regarding the sexual and personal hygiene should be targeted to both males and females so as to decrease the prevalence of Sexual transmitted diseases in the urban health centre areas of Visakhapatnam. 

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.


2020 ◽  
Vol 15 (2) ◽  
pp. 218-220
Author(s):  
ABM Belayet Hossain ◽  
Quazi Md Rashid Un Nabi ◽  
Md Julfikkar Alam ◽  
Sheikh Shahidul Islam ◽  
Shaikh Mohammad Edi Ameen

Introduction: Reproductive tract infections (RTIs) are being increasingly recognized as a serious global health problem with impact on individual women and men, their families and communities. RTIs are a group of disease that cause infection of the genital tract and include both those that are sexually transmitted and those that are not. RTIs are a significant cause of morbidity and mortality in both men and women, especially in women of reproductive age. Objectives: To determine the socio-demographic characteristics among women with RTIs attending at gynecology outpatient department, CMH, Dhaka. Materials and Methods: This descriptive cross-sectional study was carried out with a view to find out the socio-demographic characteristics of women with RTIs and their common clinical presentations. The study was conducted among women of reproductive age group of Bangladesh Armed Forces attending at Gynecology OPD, CMH Dhaka, for the period of 1st march to 30th June 2011. A total of 128 women (114 married and 14 were unmarried) were interviewed with the help of structured question and checklist. Data was collected through clinical diagnostic approach made by gynecologists. Results: It was found that highest percentage of respondents (32.8%) were in the age group of 30-34 years, mean age at marriage was 17.79 years. The highest percentage of respondents (46.5%) was married at the age range of 16-18 years. Among the respondents, 89.1% were married and 10.9% were unmarried. The women with higher education level had lower occurrence of RTIs than women with lower education. In relation to status of spouse of married women, RTIs were significantly more among the wife of other ranks. Practice of personal hygiene during menstruation showed safe positive impact on RTIs. It was found that 50% respondents were presenting with vaginal discharge (Leucorrhoea). Most of the causes were vaginitis (38.3%). Conclusion: Study findings indicate that high prevalence of RTIs among women is due to the influence of less educational status, low income and also husband's educational background and employment status. JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 218-220


Author(s):  
Rufiat Nasiruddin Kazi ◽  
Mangala M. Bote ◽  
Kedar J. Raikar

Background: Diabetes Mellitus has become a major public health problem in India and also the major cause of disability through complications such as blindness, renal failure, lower limb gangrene etc. People suffering from Diabetes related complications are many times unaware about the measures to curb the onset of the complications. The aim of the study was to assess knowledge, attitude and practices about diabetes and its complications in the diabetic patientsMethods: This was a cross sectional descriptive study conducted at an Urban Health Centre attached to the parent medical college in Mumbai. The knowledge, attitude and practices of the 116 participants who were registered at the non-communicable disease (NCD) OPD were assessed via a pre-designed, pre-tested interviewer administered questionnaire. Statistical analysis used: SPSS version 20.Results: Majority belonged the age groups of 40-60 years (69%), 63.8% were women, 91.4% were married and 44.4% were illiterate. 13.8% of the respondents had correct knowledge about the causes of diabetes and 62.9% could correctly identify the symptoms of diabetes. Knowledge regarding the complications in diabetics was found to be quite low with only 52.6% correctly identifying one or more complications. The most commonly known complication was neuropathy (83.6%) followed by nephropathy (57.3%). The attitude of the patients with respect to screening of complications was found to be poor and the same reflected in their practicesConclusions: There is a lack of understanding of the basics of the disease, its prevention as well as prevention of complications in those suffering from the disease. 


Author(s):  
Jeena Ramesh ◽  
Jose Joseph ◽  
Manjula V. D.

Background: The burden of reproductive tract infections (RTI) among urban women in the reproductive age group (15-49 years) is usually a hidden issue. Earlier studies from Kerala mainly focused on reproductive morbidity among commercial sex workers. A cross-sectional study was conducted to estimate the prevalence of RTI and its association with potential socio-demographic risk factors, based on self reported symptoms among females in the age group 15- 49 years in the Urban training Health Centre field practice area of Government Medical College, Kottayam. Methods: The study was conducted among 643 women of the reproductive age group by single stage cluster sampling technique. A pretested semi structured interview schedule was used for collecting data on the socio demographic profile, clinical symptoms and associated factors after obtaining informed consent. Univariate analysis was done to find association of RTI with various factors followed by a bivariate analysis using binary logistic regression model. Results: The prevalence of RTI was 11.8%. RTI was significantly associated with age at marriage (p=0.02), age at first child birth (p=0.01), type of family (p=0.002), female education (p=0.001), socioeconomic status (p=0.007) and previous history of RTI in last one year (p<0.01) of which 84.1% women with symptoms of RTI had consulted a health personnel. Conclusions: A low prevalence of self reported symptoms of RTI with a high treatment seeking behavior was observed; attributed to the high female literacy. A comparable prevalence in younger age group of 15-24 years (10.9%) and 25-39 years (12.9%) suggesting equal susceptibility of adolescents to RTI was a notable finding. 


Author(s):  
Bodhi Sri Vidya Vennam ◽  
N. G. Nagamani ◽  
R. V. Manasa ◽  
Sanjana P. ◽  
Prasantha Ratna R.

Background: Obesity is becoming an important public health problem in India. The objectives were to know the prevalence of obesity (generalized obesity, abdominal obesity), to know the difference in prevalence of abdominal obesity with respect to waist circumference and waist hip ratio, to know the factors associated with obesity.Methods: Descriptive cross-sectional study done at field practice area of urban health centre. 306 study subjects (15-65 years) were included into the study. A semi-structured schedule was applied. Body mass index ≥25 kg/m2 was considered as generalized obesity. Waist circumference, waist-hip ratio were calculated.Results: The prevalence of generalized obesity was 35.6%. Abdominal obesity was rose from 56.2% to 76.1% when waist-hip ratio was taken as parameter instead of waist circumference. Most of the study subjects were not physically active.Conclusions: The prevalence of obesity is high among study subjects.


Author(s):  
Sreelatha C. Y. ◽  
Sumana M. ◽  
Sundar M. ◽  
Anjan Sreeranga ◽  
Pavithra P.

Background: STI/RTIs have been recognized as major public and reproductive health challenges worldwide. In developing countries, RTI/STIs are the second or third most common public health problem of young people. A variety of factors that put women at risk of reproductive tract infection, such as socio- economic, demographic, sexual, medical, behavioral practices, personal hygiene behavior  have not been adequately explored in India. An objective of the study was to estimate prevalence of STI/RTI among married reproductive age group women in selected CHCs/PHCs of Hassan District and to understand the influence of various factors on STI/RTI among women.Methods: A community based cross sectional study undertaken over a period of 3 months from May 2016 to July 2016, in rural areas of Hassan. Total of 400 married women in the age group 15-49 years were included in the study. Household survey was done in the selected clusters till 20 women per cluster were identified. Married women of reproductive age group of 15 to 49 years, residing in the study area for past 6 months were included in the study.  Results: The prevalence of STI/RTI among married reproductive women was 32%. Prevalence of vaginal discharge decreased with an increase in age, level of education and income. RTI/STI was observed to be higher in scheduled castes and tribes (35.8% and 33.3%) respectively.  Conclusions: Health education regarding the risk factors of unhygienic menstrual practices, non-institutional deliveries and illegal abortions must be imparted to the women in the study area in order to bring about a behavioral change to protect them from RTI/STI. 


Author(s):  
Komal Patel ◽  
R. N. Hathila ◽  
Pallavi Chaudhri ◽  
Siddhi M. Patel

Background: Reproductive tract infection represents major public health problem in developing countries. Cervical infections are common problems among women of reproductive age and associated with clinical complaints of vaginal discharge. Pap smear is a screening test to diagnose various abnormal pathology of cervix. Aims and objectives of this study was to identify various causes of vaginal discharge and frequency of various pathogenic microorganisms in cervical smear.Methods: This was hospital based descriptive study carried out on 300 female patients who attended obstetrics and gynecology clinic at tertiary care hospital with compliant of vaginal discharge. Cervical smear samples were collected, conventional smears were prepared by trained technical staff and stained using Papanicolaou (Pap) technique.Results: The most common age group affected with vaginal discharge was 26 to 35 years with 115 cases. The most common associated symptom was lower abdominal pain seen in 75 cases. Most frequent findings on per speculum examination was thick whitish discharge in 186 cases and the most common pathogenic organism found was Bacterial Vaginosis (BV) in 177 cases.Conclusions: The study emphasizes the need for educating women of rural community to raise the awareness for cervical Pap screening.


2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Sonali Bhattar ◽  
Preena Bhalla ◽  
Sanjim Chadha ◽  
Reva Tripathi ◽  
Ravinder Kaur ◽  
...  

Reproductive tract infection (RTIs)/sexually transmitted infections (STIs) are recognized as a major public health problem, particularly due to their relationship with HIV infection. Early detection and treatment ofChlamydia trachomatisinfection (CTI) among HIV-infected and HIV-uninfected women may impact heterosexual HIV transmission. A total of 120 participants were enrolled: 30 HIV seropositive women with symptoms of RTIs, 30 HIV seropositive women without symptoms of RTIs, 30 HIV seronegative women with symptoms of RTIs, and 30 HIV seronegative women without symptoms of RTIs. One endocervical swab was collected from all participants and CTI was detected by real-time PCR (COBAS TaqMan CT Test, v2.0). CTI was detected in 4 (6.67%) HIV-infected women and in 1 (1.67%) HIV-uninfected woman (OR 4.214; 95% CI 0.457–38.865). Vaginal discharge was present in almost half of HIV-infected and HIV-uninfected women; lower abdominal pain was present in 11 (18.3%) of HIV-infected and in 9 (15%) of HIV-uninfected women. This study showed that CTI is more prevalent among HIV-infected females as compared to HIV-uninfected females. As the use of real-time PCR is not feasible in most hospitals, efforts should be made to develop a simple, sensitive, and specific test to identify women with CTI for prevention of sequelae and HIV transmission.


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