Reproductive morbidity among married Muslim women: a community-based study in an urban slum of Mumbai, India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20244011Keywords:
Health-seeking behavior, Muslim women, Reproductive morbidity, Urban slumAbstract
Background: Reproductive morbidity is prevalent within the community; however maternal mortality remains a key indicator of maternal health. The present study examined the prevalence of reproductive morbidities with a specific emphasis on menstrual problems and RTI among married Muslim women. The paper also explored their health-seeking behavior and its association with socio-demographic and cultural determinant.
Methods: The cross-sectional study was conducted in urban slum of Mumbai, India. Three hundred married Muslim women of reproductive age (15-49) were interviewed. A structured questionnaire was used to collect the data. The data was analyzed using SPSS version 23.0.
Results: About 45% of the respondents had experienced at least one symptom of reproductive morbidity. Painful periods and white discharge were the most common symptoms. Only 43% and 47.4% respondents sought treatment for menstrual and RTIs problems respectively. Around 31% of respondents preferred home remedies for treatment, while 23% went to the government hospitals.
Conclusions: There is a high prevalence of reproductive health morbidities and low health-seeking behavior among Muslim women in the study area.
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References
Graham WJ, Campbell OM. Maternal health and the measurement trap. Soc Sci Med. 1992;35(8):967-77.
Gosalia VV, Verma PB, Doshi VG, Singh M, Rathod SK, Parmar MT. Gynecological morbidities in women of reproductive age group in urban slums of Bhavnagar city. Nat J Community Med. 2012;3(04):657-60.
Inamdar IF, Sahu PC, Doibale MK. Gynaecological morbidities among ever married women: a community based study in Nanded city, India. IOSR J Dent Med Sci. 2013;7(6):5-11.
Gopalakrishnan S, Eashwar VA, Kumar PM, Umadevi R. Reproductive health status of rural married women in Tamil Nadu: a descriptive cross-sectional study. J Fam Med Prim Care. 2019;8(11):3607-13.
World Health Organization (WHO). Postpartum care of the mother and newborn: a practical guide: report of a technical working group (No. WHO/RHT/MSM/. 1998;98(3):1-89.
World Health Organization (WHO). Report on the Regional Reproductive Health Strategy Workshop, South East Asia Region: Book Report on the Regional Reproductive Health Strategy Workshop, South East Asia Region City; 1995: 3.
Zurayk HK, EL-Mouelhy NHY, Mohamed M, Mohamed F. Concepts and measures of reproductive morbidity. Health Transit Rev. 1993;3(1):17-39.
Rahman MM, Kabir M, Shahidullah M. Adolescent self reported reproductive morbidity and health care seeking behaviour. J Ayub Med Coll Abbottabad. 2004;16(2):9-14.
Singh KS, Prasad R, Verma BR, Pandey A. Psychosocial cultural and service factors affecting reproductive morbidity among rural women in Maharashtra. Int Inst Popul Sci. 1995;1-26.
Kambo IP, Singh P, Saxena BN, Saxena NC. Self-reported gynaecological problems from twenty three districts of India (An ICMR Task Force Study). Indian J Community Med. 2003;28(2):67-73.
International Institute for Population Sciences (IIPS) and ICF. National Family Health Survey (NFHS-5), Mumbai, India. 2021. Available from: https://iipsindia.ac.in/content/national-family-health-survey-nfhs-5-india-report. Accessed on 13 July 2024.
Xia DY, Liao SS, He QY, Choi KH, Mandel JS. Self-reported symptoms of reproductive tract infections among rural women in Hainan, China: prevalence rates and risk factors. Sex Transmit Dis. 2004;31(11):643-9.
Rathore M, Vyas L, Bhardwaj AK. Prevalence of reproductive tract infections amongst ever married women and sociocultural factors associated with it. J Indian Med Assoc. 2007;105(2):71-2.
Patel V, Tanksale V, Sahasrabhojanee M, Gupte S, Nevrekar P. The burden and determinants of dysmenorrhoea: a population‐based survey of 2262 women in Goa, India. BJOG. 2006;113(4):453-63.
Bang RA, Baitule M, Sarmukaddam S, Bang AT, Choudhary Y, Tale O. High prevalence of gynecological diseases in rural Indian women. Lancet. 1989;333(8629):85-8.
Sadana R. Measuring reproductive health: review of community-based approaches to assessing morbidity. Bull World Health Organ. 2000;78(5):640-54.
Mawajdeh S. Measuring reproductive morbidity: a community-based approach, Jordan. Health Care Women Int. 2003;24(7):635-49.
Poornima S, Katti SM, Mallapur MD, Vinay M. Gynecological problems of married women in the reproductive age group of urban Belgaum, Karnataka. Al Ameen J Med Sci. 2013;6(3):226-30.
Srivastava L. Reproductive tract infections among women of rural community in Mewat, India. J Health Manage. 2010;12(4):519-38.
Barua A, Kurz K. Reproductive health-seeking by married adolescent girls in Maharashtra, India. Reprod Health Matters. 2001;9(17):53-62.
Alomair N, Alageel S, Davies N, Bailey JV. Factors influencing sexual and reproductive health of Muslim women: a systematic review. Reprod Health. 2020;17(33):1-15.
Patel P. Illness beliefs and health seeking behaviour of the Bhil women of Panchamahal District, Gujarat State. In: Gittelsohn J, Bentley ME, Pelto PJ, Nag M, Pachauri S, Harrison AD, et al, eds. Listening to women talk about their health: issues and evidence from India. 2nd edn. New Delhi: Har-Anand Publications; 1994:55-66.
Mathew L, Francis J, Alma L. Prevalence of gynaecological morbidity and treatment seeking behaviour among married women in rural Karnataka: a cross sectional survey. J Krishna Inst Med Sci. 2017;6(3):85-93.
Sajan F, Fikree FF. Perceived gynecological morbidity among young ever-married women living in squatter settlements of Karachi, Pakistan. J Pak Med Assoc. 1999;49(4):92-7.
Das NP, Shah U. Understanding women’s reproductive health needs in urban slums in India: A rapid assessment. Population Research Center, Baroda. 2001.
Koenig M, Jejeebhoy S, Singh S, Sridhar S. Undertaking community-based research on the prevalence of gynecological morbidity: lessons from India. In International Union for the Scientific Study of Population seminar on Innovative Approaches to the Assessment of Reproductive Health, Manila. 1996;24:27.
Mulgaonkar VB. Reproductive health of women in urban slums of Bombay. Soc Change. 1996;26(3):137-56.
Pandit D, Prabha R, Shanbhag S, Mayekar R. Morbidity pattern of women attending screening program in an urban slum in Mumbai. Indian J Community Med. 2005;30(4):134-.
Devi BS, Swarnalatha N. Prevalence of RTI/STI among reproductive age women (15-49 years) in urban slums of Tirupati town, Andhra Pradesh. Health Popul Perspect Issues. 2007;30(1):56-70.
Sharma S, Gupta BP. The prevalence of reproductive tract infections and sexually transmitted diseases among married women in the reproductive age group in a rural area. Indian J Community Med. 2009;34(1):62-4.
Nandan D, Misra SK, Sharma A, Jain M. Estimation of prevalence of RTIs/STDs among women of reproductive age group in district Agra. Indian J Community Med. 2002;27(3):110-3.
Aparajita D, Madhutandra S. A study on reproductive tract infections among married women in the reproductive age group (15-45 years) in a slum of Kolkata. J Obstet Gynecol India. 2008;58(6):518-22.
Parashar A, Gupta BP, Bhardwaj AK, Sarin R. Prevalence of RTIs among women of reproductive age group in Shimla city. Indian J Community Med. 2006;31(1):27-38.
Singh MM, Devi R, Garg S, Mehra M. Effectiveness of syndromic approach in management of reproductive tract infections in women. Indian J Med Sci. 2001;55(4):209-14.
Bhatia JC, Cleland J, Bhagavan L, Rao NSN. Levels and determinants of gynecological morbidity in a district of south India. Stud Fam Plann. 1997;28(2):95-103.
Gaash B, Kausar R, Bhan R, Bashir S, Ahmad M. Reproductive Tract Infections in Kargil: a community based study. Health Popul Perspect Issues. 2005;28(1):1-8.
Prasad JH, Abraham S, Kurz KM, George V, Lalitha MK, John R, et al. Reproductive tract infections among young married women in Tamil Nadu, India. Int Fam Plann Perspect. 2005:73-82.
Prasad JH, Abraham S, Kurz KM, George V, Lalitha MK, John R, et al. Reproductive tract infections among young married women in Tamil Nadu, India. Int Fam Plann Perspect. 2005:73-82.
Bhanderi MN, Kannan S. Untreated reproductive morbidities among ever married women of slums of Rajkot City, Gujarat: the role of class, distance, provider attitudes, and perceived quality of care. J Urban Health. 2010;87(2):254-63.
Ratnaprabha GK, Thimmaiah S, Johnson AR, Ramesh N. Prevalence and awareness of reproductive tract infections among women in select underprivileged areas of Bangalore city. Int J Med Sci Public Health. 2015;4(12):1691-6.