scholarly journals Factors associated with symptoms of reproductive tract infection/sexually transmitted infection and treatment seeking behavior among men in Tamil Nadu, India

2015 ◽  
Vol 4 (2) ◽  
pp. 7-15
Author(s):  
Ramesh Chellan
Keyword(s):  
Public Health ◽  
Health Care ◽  
Logistic Regression ◽  
Reproductive Health ◽  
Tamil Nadu ◽  
Sexual And Reproductive Health ◽  
Treatment Seeking ◽  
Factors Associated ◽  
Study Results ◽  
Seeking Behavior

The International Conference on Population and Development (ICPD) Programme of Action paid attention to male sexual and reproductive health issues including RTI/STI as well as infertility, sexual dysfunction and sexual violence. In India, male reproductive health problems had been recognized as a public health issue. This paper is an attempt to examine the determinants of prevalence of RTI/STI and treatment seeking behavior and their socio-economic and demographic characteristics in Tamil Nadu, India by using the data of the District Level Household Survey-Reproductive and Child Health Survey, 2002-04. The logistic regression and multinomial logistic regression models were used to determine factors associated with symptoms of RTI/STI and treatment seeking behavior for RTI/STI symptoms respectively. The study results indicated that about 2.8% of respondents reported at least one symptom of RTI/STI. One-fifth (19.5%) of them had reported two or more symptoms. Among those who reported symptoms, 45.5% of men sought treatment from some sources. Multivariate analysis revealed that men residing in the Inland region, belonging to Muslim, men with high standard of living, and aware about HIV/AIDS were sig-nificantly less likely to report symptoms of RTI/STI. Men whose wife reported experience of symptoms of RTI/STI are significantly more likely to report symptom of RTI/STI. Further, men whose wife experienced symptoms of RTI/STI, and who ever discussed RTI/STI symptoms with their wife were significantly more likely to seek treatment from pubic as well as private health facility. The study suggests that there is an urgent need to address public health care services and a need to take necessary steps to provide quality health care and user friendly sexual and reproductive health care services.South East Asia Journal of Public Health Vol.4(2) 2014: 7-15

scholarly journals Prevalence and Factors Associated with Early Sexual Initiation among College Students in Southwest Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Tewodros Yosef ◽  
Tadesse Nigussie ◽  
Dawit Getachew ◽  
Melkamsew Tesfaye
Keyword(s):  
College Students ◽  
Logistic Regression ◽  
Reproductive Health ◽  
Sexual Intercourse ◽  
Sexual And Reproductive Health ◽  
Sexual Initiation ◽  
Outcome Variable ◽  
Southwest Ethiopia ◽  
Factors Associated ◽  
Early Sexual Initiation

Background. Early age at first sexual practice is a public health issue and now common around the world especially in the developing countries. The development of effective strategies to reduce the adverse consequences of early sexual initiation becomes real when sufficient data is available. Therefore, this study is aimed at assessing the prevalence and factors associated to early sexual initiation among college students in southwest Ethiopia. Methods. A cross-sectional study was conducted among 453 college students in southwest Ethiopia from April to May 2018. A two-stage stratified sampling technique was used to select the study participants. The data were collected using structured pretested self-administered questionnaire. The collected data were entered using Epi-Data version 4.2.0.0 and analyzed using SPSS version 20. Logistic regression models were fitted to assess the effect of independent variables on the outcome variable. Significance was declared at p < 0.05 in the multivariable logistic regression analysis. Results. The proportion of early sexual initiation among college students was 17.9%, 95% CI (14.4%-24.4%). The mean age of sexual intercourse was 17.6 (±2 SD) years. Nearly three-fourths (73.4%) of the respondent’s reason for early sexual intercourse was falling in love. More than half (62.2%) of the respondents used a condom for their first sexual intercourse. The factors associated with early sexual initiation were being female ( AOR = 2.09 and 95% CI [1.17-2.35]), chewing khat ( AOR = 7.05 and 95% CI [3.81-13.1]), exposed to pornographic materials at age < 18 years ( AOR = 3.57 and 95% CI [1.94-6.89]), and poor knowledge of sexually transmitted diseases ( AOR = 8.69 and 95% CI [3.52-21.5]). Conclusion. The prevalence of early sexual initiation among college students was alarmingly high. This may be associated with a huge burden of poor sexual and reproductive health. Therefore, creating awareness of the factors and related negative sexual and reproductive health effect of early sexual initiation for young peoples through the use of mass media (television and radio), school teachers, and parents plays a paramount importance.

scholarly journals Adolescent Sexual and Reproductive Health Care Service Availability and Delivery in Public Health Facilities of Plateau State Nigeria

2021 ◽  
Vol 18 (4) ◽  
pp. 1369
Author(s):  
Esther Awazzi Envuladu ◽  
Karlijn Massar ◽  
John de Wit
Keyword(s):  
Public Health ◽  
Health Care ◽  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Care Service ◽  
Health Care Service ◽  
World Health ◽  
Primary Data ◽  
Reproductive Health Care ◽  
Plateau State

To assess the availability, accessibility, appropriateness and quality of adolescent sexual and reproductive health (ASRH) services in primary health care (PHC) facilities in Plateau State, Nigeria, a cross-sectional study was conducted in 230 PHC facilities across the three senatorial zones of Plateau state. Primary data were obtained through face-to-face interviews with heads of facilities from December 2018 to May 2019. An adapted questionnaire from the World Health Organization (WHO) was used, covering five domains, to ascertain the extent that ASRH services were available and provided. Very few PHC facilities in the state had space (1.3%) and equipment (12.2%) for ASRH services. The proportion of PHC facilities offering counselling on sexuality was 11.3%, counselling on safe sex was 17%, counselling on contraception was 11.3% and management of gender-based violence was 3%. Most facilities were not operating at convenient times for adolescents. Only 2.6% PHC facilities had posters targeted at ASRH and just 7% of the PHCs had staff trained on ASRH. These findings underscore that the majority of PHC facilities surveyed in Plateau State, Nigeria, lacked dedicated space, basic equipment, and essential sexual and reproductive health care services for ASRH, which in turn negatively affect general public health and specifically, maternal health indices in Nigeria. Structural changes, including implementation of policy and adequate additional training of healthcare workers, are necessary to effectively promote ASRH.

scholarly journals What methods and challenges for taking account of context when transferring complex interventions?

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Villadsen ◽  
S Dias
Keyword(s):  
Public Health ◽  
Health Care ◽  
Reproductive Health ◽  
Health Care Providers ◽  
Complex Interventions ◽  
Health Interventions ◽  
Care Providers ◽  
Public Health Interventions ◽  
Reproductive Health Care

Abstract For complex public health interventions to be effective their implementation needs to adapt to the situation of those implementing and those receiving the intervention. While context matter for intervention implementation and effect, we still insist on learning from cross-country comparison of implementation. Next methodological challenges include how to increase learning from implementation of complex public health interventions from various context. The interventions presented in this workshop all aims to improve quality of reproductive health care for immigrants, however with different focus: contraceptive care in Sweden, group based antenatal care in France, and management of pregnancy complications in Denmark. What does these interventions have in common and are there cross cutting themes that help us to identify the larger challenges of reproductive health care for immigrant women in Europe? Issues shared across the interventions relate to improved interactional dynamics between women and the health care system, and theory around a woman-centered approach and cultural competence of health care providers and systems might enlighten shared learnings across the different interventions and context. Could the mechanisms of change be understood using theoretical underpinnings that allow us to better generalize the finding across context? What adaption would for example be needed, if the Swedish contraceptive intervention should work in a different European setting? Should we distinguish between adaption of function and form, where the latter might be less important for intervention fidelity? These issues will shortly be introduced during this presentation using insights from the three intervention presentations and thereafter we will open up for discussion with the audience.

scholarly journals The role of self-care interventions on men’s health-seeking behaviours to advance their sexual and reproductive health and rights

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Manjulaa Narasimhan ◽  
Carmen H. Logie ◽  
Kevin Moody ◽  
Jonathan Hopkins ◽  
Oswaldo Montoya ◽  
...  
Keyword(s):  
Public Health ◽  
Reproductive Health ◽  
Social Norms ◽  
Sexual And Reproductive Health ◽  
Self Care ◽  
Men’S Health ◽  
Men's Health ◽  
Health Seeking ◽  
Digital Platforms ◽  
Care Practices

Abstract Background Self-care interventions are influencing people’s access to, expectation and understanding of healthcare beyond formal health delivery systems. In doing so, self-care interventions could potentially improve health-seeking behaviours. While many men proactively engage in maintaining and promoting their health, the focus on men’s health comes from the recognition, at least partially, that male socialization and social norms can induce men and boys to have a lower engagement in institutionalized public health entities and systems around their sexual and reproductive health and rights, that could impact negatively on themselves, their partners and children. Main text A research agenda could consider the ways that public health messaging and information on self care practices for sexual and reproductive health and rights could be tailored to reflect men’s lived realities and experiences. Three examples of evidence-based self-care interventions related to sexual and reproductive health and rights that men can, and many do, engage in are briefly discussed: condom use, HIV self-testing and use of telemedicine and digital platforms for sexual health. We apply four core elements that contribute to health, including men’s health (people-centred approaches, quality health systems, a safe and supportive enabling environment, and behaviour-change communication) to each intervention where further research can inform normative guidance. Conclusion Engaging men and boys and facilitating their participation in self care can be an important policy intervention to advance global sexual and reproductive health and rights goals. The longstanding model of men neglecting or even sabotaging their wellbeing needs to be replaced by healthier lifestyles, which requires understanding how factors related to social support, social norms, power, academic performance or employability conditions, among others, influence men’s engagement with health services and with their own self care practices.

scholarly journals Determinants of treatment-seeking behavior during self-reported febrile illness episodes using the socio-ecological model in Kilombero District, Tanzania

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Caroline M. Mburu ◽  
Salome A. Bukachi ◽  
Khamati Shilabukha ◽  
Kathrin H. Tokpa ◽  
Mangi Ezekiel ◽  
...  
Keyword(s):  
Health Care ◽  
Ecological Model ◽  
Febrile Illness ◽  
Sub Saharan Africa ◽  
Differential Diagnostics ◽  
Treatment Seeking ◽  
Zoonotic Infections ◽  
Appropriate Treatment ◽  
Seeking Behavior ◽  
Tract Infections

Abstract Background Febrile diseases in Sub-Saharan Africa cause acute and chronic illness. Co-infections are common and these diseases have a complex etiology that includes zoonoses. For the implementation of appropriate treatment and control strategies, determinants of lay treatment-seeking behavior by the affected communities need to be understood. The objective of this study was to explore, using the socio-ecological model, the determinants of treatment-seeking actions among self-identified febrile illness cases in the Kilombero District of Tanzania. Methods Thirty-nine in-depth interviews were conducted with 28 men and 11 women in three villages in Kilombero district. These villages were purposively selected due to malaria endemicity in the area, animal husbandry practices, and proximity to livestock-wildlife interaction, all risk factors for contracting febrile zoonotic infections. Thematic analysis was conducted on the interviews to identify the key determinants of treatment-seeking actions. Results Study participants attributed febrile illnesses to malaria, typhoid and urinary tract infections. Treatment-seeking behavior was an iterative process, influenced by individual, socio-cultural, ecological and policy factors. Age, expendable income, previous history with a febrile illness, perceptions on disease severity, seasonal livelihood activities and access to timely healthcare were some of the determinants. Self-treatment with pharmaceutical drugs and herbs was usually the initial course of action. Formal healthcare was sought only when self-treatment failed and traditional healers were consulted after the perceived failure of conventional treatment. Delays in seeking appropriate health care and the consultation of medically unqualified individuals was very common. Conclusion The results imply that treatment-seeking behavior is shaped by multiple factors across all levels of the socio-ecological model. Public policy efforts need to focus on facilitating prompt health care seeking through community education on the complicated etiology of febrile illnesses. Improved access to timely treatment and better differential diagnostics by health professionals are essential to ensure correct and appropriate treatment and to reduce reliance of patients on unqualified persons.

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