Socio-economic determinants of reproductive tract infections affecting the women (15-49 years): a cross sectional study in a tertiary care hospital of Chhattisgarh

Authors

  • Bhavana Pandey Department of Community Medicine, Chhattisgarh institute of medical Sciences Bilaspur, Chhattisgarh, India
  • Devesh Kumar Shukla Jhargram District Hospital, West Bengal, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20182661

Keywords:

Reproductive tract infections, Sexually transmitted infections

Abstract

Background: RTIs/STIs are a common public health problem in developing countries, contributing to a huge economic burden among individuals and health systems. RTI's excluding HIV constitutes the second major cause of disease burden (after maternity related causes) in women of developing countries. This cross sectional study is carried out with objectives of, to study socio-economic profile of respondents and to determine socio-economic factors of RTI, affecting the women of reproductive age group attending CIMS, Hospital Bilaspur (C.G.).

Methods: A descriptive cross sectional study conducted in a tertiary care hospital CIMS, Bilaspur (Chhattisgarh) from May 2015 to October 2016. Total 450 cases were studied. Predesigned and pretested questionnaire was used to collect information regarding the socio-demographic profile and clinical profile of women’s regarding RTI. Statistical analysis was done using SPSS and Chi-square test was applied.

Results: 4.3% (450) patient attending Obstetrics and Gynecology OPD were found to be suffering from RTI. Out of the 450 women, 83.8% of the women had experienced at least one symptom suggestive of RTI previously. Abnormal vaginal discharge was reported by 88.9% followed by lower abdominal pain (78.9%), genital ulcer (34%) and menstrual irregularity 75.8% of women. Symptoms of RTI were higher in old age, illiterate, those with employed, rural residential, Schedule tribe category, poor socio-economic status, separated, divorce and widow and women their husband educated up to primary class.

Conclusions: Generating community awareness, ensuring proper menstrual hygiene, and improving the socioeconomic status would help in reducing the cases of RTI.

Author Biographies

Bhavana Pandey, Department of Community Medicine, Chhattisgarh institute of medical Sciences Bilaspur, Chhattisgarh, India

Department of Community medicine

 

Devesh Kumar Shukla, Jhargram District Hospital, West Bengal, India

SKIN AND VD DEPARTMENT

References

WHO. Reproductive health strategy to accelerate progress towards the attainment of international development goals and targets. Geneva: World Health Organization, 2004.

Piot P and Rowley J, Economic impact of reproductive tract infections and resources for their control. In: Germain A, et al., eds. Reproductive Tract Infections: Global Impact and Priorities for Women's Reproductive Health, New York: Plenum Press; 1992: 227–249.

WHO, 2001, op. cit. (see reference 1); and Cates W, Rolfs RJ and Aral SO, Sexually transmitted diseases, pelvic inflammatory disease, and infertility: an epidemiologic update. Epidemiologic Reviews, 1990;12:199–221.

Wasserheit J. Epidemiological synergy: interrelationships between human immune-deficiency virus infection and other sexually transmitted diseases. Sexually Transmitted Dis. 1992;19(2):61–77.

Sewankambo N, Gray RH, Wawer MJ, Paxton L, McNaim D, Wabwire-Mangen F, et al. HIV-1 infection associated with abnormal vaginal flora morphology and bacterial vaginosis. Lancet, 1997;350(9083):546–50.

World Health Organization (WHO), Global Prevalence and Incidence of Selected Curable Sexually Transmitted Infections: Overview and Estimates, Geneva: WHO, 2001.

World Health Organization. Women’s mental health: an evidence based review. Geneva: WHO, 2000.

Sloan N, Winikoff B, Haberland N, Coggins C, Elias C. Screening and syndromic approaches to identify gonorrhea and chlamydial infection among women. Studies in Family Planning. 2003;31:55–68.

Mboi N. Women and AIDS in south and south-east Asia: the challenge and the response. World Health Stat Q. 1996;49:94–105.

George A, Jaswal S. Gender relations in urban households in Bombay: challenges for HIV/STD prevention. Arrows Change. 1997;3:3.

Kaye DK. Gender inequality and domestic violence: implications for human immunodeficiency virus (HIV) prevention. Afr Health Sci. 2004;4:67–70.

Wasserheit J. Epidemiological synergy: interrelationships between human immunodeficiency virus infection and other sexually transmitted diseases, Sexually Transmitted Dis. 1992;19(2):61–77.

Barua A and Kurz K. Reproductive health-seeking by married adolescent girls in Maharashtra, India, Reproductive Health Matters. 2001;9(17):53–62.

Ratnaprabha. Reproductive tract infections among women aged 15-49 years in select underpriviledged areas of Bangalore city, Karnataka. 2011.

Hegde S, Sugara M, Joseph PM, Singh S, Agarwal T, Sulekha T. A study of Knowledge, Estimation of Prevalence and Treatment Seeking Behaviour Regarding Reproductive Tract Infections Among Ever-Married Women of Reproductive Age Group in a Peri-Urban Slum, Bangalore, 2008.

Patel V, Weiss HA, Mabey D, West B, D’Souza S, Patil V, et al. The burden and determinants of reproductive tract infections in India: a population based study of women in Goa, India. Sex Transm Infect. 2006;82(3):243-9.

Bansal KM, Singh K, Bhatnagar S, Prevalence of lower RTI among married females in the reproductive age group (15-45). Health and Population - Perspectives and Issues. 2001;24(3):157-16.

Pawanarkar J, Chopra K. Prevalence of Lower Reproductive Tract Infections in Infertile Women. Health Population Perspectives Iss. 2004;27(2):67-75.

Aparajita D, Madhutandra S. A study on reproductive tract infections among married women in the reproductive age group (15-45 yrs) in a slum of Kolkata. J Obstet Gynecol India. 2008;58(6):518-22.

Sharma S, Gupta BP. The Prevalence of RTI/STDs Among Married Women in Reproductive Age Group in a Rural Area. Indian J Community Med. 2009;34(1):62-4.

DLHS-3 (2007-08) District level household survey, New Delhi: NACO, Ministry of Health and Family Welfare, Government of India.

Bhawsar RD, Singh JP, Khanna A. Determinants of RTIs/STIs among women in Punjab and their health seeking behaviour. 1998-99.

Garg S, Meenakshi, Singh MM, Mehra M. Perceived Reproductive Morbidity and Health care Seeking Behaviour among women in an Urban Slum. Health Population Perspectives Issues. 2001;24(4):178.

Reddy Dualala Shankar Prasad’s Socio-economic status classification the need to update present scenario. Int J Res Health Sci. 2014.

Garg S, Meenakshi, Singh MM, Mehra M. Perceived Reproductive Morbidity and Health care Seeking Behaviour among women in an Urban Slum. Health and Population - Perspectives and Issues. 2001;24(4):178-88.

Downloads

Published

2018-06-22

How to Cite

Pandey, B., & Shukla, D. K. (2018). Socio-economic determinants of reproductive tract infections affecting the women (15-49 years): a cross sectional study in a tertiary care hospital of Chhattisgarh. International Journal Of Community Medicine And Public Health, 5(7), 3130–3135. https://doi.org/10.18203/2394-6040.ijcmph20182661

Issue

Section

Original Research Articles