Health seeking attitude of women regarding reproductive tract infections in a rural area of Surendranagar district

Komal P. Thekdi, Nita K. Patel, K. G. Patel, Pukur I. Thekdi

Abstract


Background:In the recent years, the issue of gynaecological problems of poor women in the developing countries has been receiving increasing attention. High levels of gynaecological morbidity, especially reproductive tract infections and sexually transmitted infections may turn out to be fatal if not treated properly. The objective of this study was to assess the health seeking attitude of women regarding reproductive tract infections, to elicit the past history pertaining to it, to assess the personal hygiene measures relevant to it.

Methods: Various community based studies carried out in the different regions world showed the prevalence of reproductive tract infections 36-84%. The sample size of study as per statistical calculation (4pq/l2, where p =50, q=100-p and l= 10% of p) came out to be 400. Prior enlisting all villages of Surendranagar district, one village was selected randomly. After random selection the village found was Khodu.

Results: 75.3% of women narrated treatment was necessary; 44% told that preferably to be taken from doctor and 24.7% told treatment should not be taken because of social and personal reason. 56.5% of women having one or the other kind of symptom of reproductive tract infections. Women with poor menstrual and personal hygiene has got 2.5 times chances of reproductive tract infections (OR= 2.35, CI= 1.374-4.01, P value: 0.001). Thus the overall prevalence in our study is 56.5%. On statistical analysis it was found that women who used clothes were two times more symptomatic as compared to women who used sanitary pads, a significant association between women having symptoms of reproductive tract infections and their sexual history. The present study showed 61.94% of women had taken treatment which shows that the health seeking behavior had improved.

Conclusions: Women who used sanitary pads during menstrual periods had lower prevalence. Women with complaints of dyspareunia, bleeding during and or after intercourse and history of forceful intercourse had maximum prevalence of reproductive tract infections. 19.8% of women gave past history of reproductive tract infections and out of that 15.16% of women had taken treatment for it. Regarding health seeking attitude of symptomatic women, 61.94% of women had taken treatment and majority of them had taken treatment from doctors. This implies that health intervention measures directed towards reducing morbidity from reproductive tract infections need not focus mainly on treatment of reproductive tract infections but rather on disease preventing strategies.


Keywords


Women, Reproductive tract infections

Full Text:

PDF

References


Zurayk, Huda, Hind Khattab, Nabil Younis, Mawaheb El-Mouelhy and Mohmad Fadle, Concepts and Measures of Reproductive Morbidity. Health Transition Review 1993; Volume 3; Issue 1: Page No:17-39.

Oomman, Nandini, A decade of research on reproductive Tract Infection and other Gynaecological Morbidity in India: What We Know and What We Do Not Know. In Radhika Ramasubban, and Shireen J. Jejeebhoy (Eds). Women’s reproductive health in India. Rawat Publication, Jaipur India 2000a; 236-379.

Ramesh Chellan, Gynaecological morbidity and treatment seeking behavior in South India: Evidence from the Reproductive and Child Health survey 1998-1999; Available at http://www.jhpdc.unc.edu.

Thakur JS, Swami HM, Bhatia SPS. Efficacy of syndromic approach in management of reproductive tract infections and associated difficulties in a rural area of Chandigarh. Indian Journal of Community Medicine. 2002; Issue – 27; Page No: 110-113.

Passey M, Mgnoe CS, Lupiva S, Tiwara S. Screening for sexually transmitted diseases in rural women in Papua New Guinea: Are WHO therapeutic algorithms appropriate for case detection. Bull world Health Organ. 1998; Issue – 76; Page No: 401-411.

Garcia PJ, Chavez S et al. Reproductive tract infections in rural women from the highlands, jungle, and coastal region of Peru. Bull World Health Organization 2004; Volume 82; Issue 7; Page no. 483-492.

Sangeetha S. Balamurugan ND Bendigeri, Community based study of reproductive tract infections among women of reproductive age group in the Urban Health Training Centre Area in Hubli:, Karnataka Indian journal of community medicine January-March 2012/Volume 37/Issue 1/Page no. 34- 38.

Singh MM, Devi R, Garg S, Mehra M. Effectiveness of syndromic approach in management of reproductive tract infections in women. Indian Journal of Medical Science 2001; volume 55: 209-214.

Parikh I, Tasar V, Dharap N, Mulgaonkar V. Gynecological morbidity among women in a Bombay slum. Streethitakarini, A working paper. Churchgate: SNDT; 1989. P 1-26.

Shantha Kanbergi, Prevalence of reproductive tract infections in Rural Mysore, Government Agency/ Ministry of health and Family Welfare, Government of India.

V Patel, H A Weiss, D Mabey, S D’Souza, V Patil. The burden and determinants of reproductive tract infections in India: a population based study of women in Goa, India. Sexually Transmitted Infections, June 2006, volume 82, issue 3, Page no. 243-249.

Vikas Rao, Deepali Savargaonkar, Anup Anvikar, Manoj k. Bhondeley, B.K. Tiwary et al. Reproductive tract Infections in Tribal Infections in Tribal women of Central India. Proceeding of National Symposium on Tribal health. 2004; vol 22, page no. 275-277.

Latha K, Kanani SJ, Maitra N. Prevalence of clinically detectable gynaecological morbidity in India: Results of four community based studies. Family Welfare. 1997; Issue 43; Page No: 8-16.

Bhatti LI, Fikree FF, Health seeking behavior of Karachi women with reproductive tract infections; Social Science Medicine, 2002, volume 54, page no. 105-117.