Understanding the Reproductive Health of Pavement Dwellers in Pune City, Maharashtra

2017 ◽  
Vol 1 (1) ◽  
pp. 31-36 ◽  
Author(s):  
Saroj Shinde ◽  
Neha Wagh

This article analyses the reproductive health problems and health care seeking behaviour of women pavement dwellers in the Pune Municipal Corporation area (India). This study is based on primary information collected from 258 women of reproductive age group. The study shows that about 45 % women have used formal medical facility for deliveries, 56% lactating women were registered and received TT injections, and 34.7% women were covered complete ANC [Antenatal Care]. Many women have complained about the problems related to the reproductive tract diseases like itching, irritation on the reproductive tract and white discharge. Overall occupational and social conditions are negatively affecting their health. Unstable and invisible citizenship makes them inaccessible to public health services and basic facilities like housing, sanitation, personal hygiene and food also.

2021 ◽  
Vol 16 (2) ◽  
pp. 80-83
Author(s):  
Sangita Mithun ◽  
SM Nurul Irfan

Introduction: Pregnancy and childbirth is an important event in the life cycle of women and their health during this period is very much vital for the mother and children. Maternal mortality ratio (MMR) of a country is an important indicator of the overall health status of mother. Objectives: To assess the health care seeking behaviour of postnatal women in rural Bangladesh.  Materials and Methods: This cross sectional study was conducted at Chaturia in Dhamrai upazilla of Dhaka district from January 2019 to March 2019 among purposively selected 196 rural women of reproductive age who had at least one living child. Data were collected by face-to-face interview using pretested questionnaire. Results: Among 196 respondents average monthly family income was 12561 Taka with SD of 10462 taka. Majority of them were housewives and about two-third (64.8%) were educated above secondary level. 70.9% respondents had their delivery of last child in a government health care center and 37.8% deliveries were conducted by nurses which was followed by government doctors (36.2%). Majority (62.2%) had their health checkup within 42 days, 59.2% of them had checkup for three or more times and the checkup were done by government doctors (60.2%). 47.1% of the respondents experienced high grade fever as postpartum complication. Statistically significant association (p<0.05) were revealed between age group of the respondents with health personnel conducted deliveries and also between educational level of the respondents with place of delivery of last child. Conclusion: Awareness, motivation and infrastructural development play a vital role in utilizing the government healthcare services by the postnatal women in rural Bangladesh. JAFMC Bangladesh. Vol 16, No 2 (December) 2020: 80-83


Author(s):  
Maria Jessy Jose ◽  
Farah Naaz Fathima ◽  
Sincy Treesa Joseph ◽  
Aneurin Cornelius Fernandez ◽  
Shanborlang Siangshai ◽  
...  

Background: Reproductive health plays a significant role in a woman’s life. Women of child bearing age group in developing countries suffer ill health due to lack of knowledge on reproductive health issues. The objective of the present study was to assess the knowledge regarding reproductive health among women and the associated socio-demographic factors.Methods: A total of 345 women of age group 15-44 years were recruited using cluster sampling in 15 clusters from among 28 villages under a Primary Health Center from May to July 2017. Data on sociodemographic details and knowledge of reproductive health under the following domains: menstruation, contraception, reproductive tract infections and marriage and pregnancy were collected using a modified interview schedule.Results: The mean age of the study population was 28.59±9.08 years. Majority of them belonged to age group 15-30 years (60%), attained school level education (55.7%), 45% were gainfully employed, married (65.5%) and from middle class (40.6%). It was found that out of 345 study population; only 19% had adequate knowledge on reproductive health. The proportion of women who had adequate knowledge in each domain was marriage and pregnancy (47.5%), menstruation (29.9%), contraception (17.4%) and least being reproductive tract infections (15%). Knowledge on reproductive health was significantly inadequate among women in the age group 31-44 years, illiterate women, who belongs to lower class and students. Only, socio-economic status and occupation were the significant predictors of knowledge.Conclusions: Knowledge regarding reproductive health was inadequate among women in reproductive age group in rural areas.


Author(s):  
Monica Agrawal ◽  
Nitu Nigam ◽  
Ruchica Goel ◽  
J. K. Goel ◽  
Mukesh Shukla

Background: Vaginitis is one of common medical problem in women that often results in frequent medical consultations. Aim was to study the clinico-epidemiological profile and etiopathogenesis of various causes of vaginal discharge among females in age group 18-45 years residing in rural area of Bhojipura district.Methods: This Hospital based cross sectional study was conducted over a period of one year (March 2011 to February 2012) among 150 females aged 18-45 years presenting with the complaint of vaginal discharge. Information on sociodemographic data was obtained with the aid of questionnaires. Samples were obtained with two dry cotton-wool tipped swabs from vaginal fornices and were sending to department of microbiology.Results: The prevalence rate of vaginal discharge was found to be 24.6% among females in reproductive age group attending the outpatient department from rural background. Out of 150 patients who were enrolled for study 86 (57.30%) were diagnosed with non-infective discharge while 64 (42.60%) patients with infective discharge. Bacterial vaginosis was detected in 25 (39.1%), Candida albicans was detected in 23 (35.9%), T. vaginalis in 4 (6.3%) and mixed infections were found in 12 (18.7%). According to vagina flora morphology 85 (56.6%) had normal morphology, 30 (20%) had shift from normal flora and 35 (23.3%) had definitive bacterial vaginosis. About 20.5% females with Candida based etiology were diabetic.Conclusions: Some common reproductive tract infections can be diagnosed and managed at primary level health facilities. This promotes community awareness through behavior change communication which includes safer sex practices, awareness of HIV and appropriate and timely health care seeking behavior.


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):  
Sulagna Das ◽  
Aparajita Dasgupta

Background: RTI/STIs have a profound impact on sexual and reproductive health worldwide, the symptoms of which often goes unnoticed and women suffers from devastating consequences. The present study was conducted to analyse the prevalence of RTIs based on a syndromic approach among women of 15 to 49 years age, supported by both laboratory and clinical diagnosis to measure the actual magnitude of morbidity associated with RTIs among the study population. The objective of the study were to study the prevalence of reproductive tract infection among the women of reproductive age group (15-49 years), to find out the etiological diagnosis and to assess the socio-demographic profile of the study population.Methods: A cross-sectional study was carried out among 312 women aged 15-44 years in a rural area in West Bengal, using the WHO-Syndromic Approach for diagnosis and management of RTIs/STIs.Results: The prevalence of RTIs among the reproductive age group women was 43.6% based on their symptoms of RTI, with majority having abnormal vaginal discharge. According to laboratory investigations the most common cause of RTI was bacterial vaginosis which was 67.4% (using Amsel’s criteria) and 31.7% (as per Nugent’s score), followed by Vulvovaginal candidiasis which was found in 12.4%.Conclusions: RTI among women of reproductive age is quite a common morbidity.It is the need of the hour to educate women about reproductive health issues and encourage them to seek treatment for their problems and wherever possible both clinical and laboratory findings should corroborate self reported morbidity to know the exact prevalence of any disease in the community.


Author(s):  
Patrick T. Adegun ◽  
Eyitope O. Amu

Abstract Background: In Nigeria, adolescents are highly vulnerable to sexually transmitted infections (STIs) which have the potential of jeopardising their future reproductive lives if poorly treated. Objective: To determine the prevalence and health care seeking behaviour for STIs among secondary school adolescents in Ado, South-Western Nigeria. Subjects: Male and female adolescents aged 10–19 years. Methods: The study employed a descriptive cross-sectional design. A pre-tested, self-administered, semi-structured questionnaire was used to elicit information from 560 adolescents selected from public and private secondary schools in Ado Local Government Area (LGA) of Ekiti State, using a multistage sampling technique. The data were analyzed using descriptive and inferential statistics. Analyzed data were presented in the form of tables and charts. Results: Two hundred and fifty-one (47.1%) respondents had previous symptoms of STIs. The commonest symptoms among the males were penile discharge (30.5%), painful micturition (30.5%) and stomach pain with swollen testes (25.4%). The commonest symptoms among the females were genital itching (27.6%), genital sores (14.1%) and painful micturition (13.1%). Only 26.7% sought treatment from a health facility; 37.0% did nothing; 15.9% went to patent medicine stores, 10.0% used herbs; the rest did self-medication or prayed. Conclusion: The prevalence of STI symptoms among adolescents in Ado-Ekiti is high but their health care seeking behaviour is poor. Health education about the dangers of untreated STI and the importance of seeking treatment early, targeted at adolescents, should be intensified.


2005 ◽  
Vol 20 (4) ◽  
pp. 232-242 ◽  
Author(s):  
George Gotsadze ◽  
Sara Bennett ◽  
Kent Ranson ◽  
David Gzirishvili

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


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