Prevalence of genital infections among women in reproductive age group in a rural area in North Kerala


  • Enid Elizabeth Thomas Department of Community Medicine, Academy of Medical Sciences, Pariyaram, Kannur, Kerala
  • Jayasree Anandabhavan Kumaran Department of Community Medicine, Academy of Medical Sciences, Pariyaram, Kannur, Kerala



Genital infections, Reproductive age group, Reproductive tract infection, Urinary tract infection


Background: Genital infections, a major cause of illness among women in reproductive age group, affect their quality of life and social living. Early diagnosis and treatment of STI/RTI is also an important aspect in prevention of HIV transmission. As there are only a handful of studies in Kerala and none in Kannur assessing the prevalence, associated factors of genital infections and health seeking behaviour among women in reproductive age group, this study stands important.

Methods: A community based descriptive study was conducted in Kulappuram area of Cheruthazham Panchayat which is the field practice area of Department of Community Medicine, Government Medical College, Kannur, Pariyaram from June, 2017 – July, 2018. A total of 404 women in reproductive a group were studied. A semi-structured, pre-tested questionnaire was used to collect relevant information. Data was analyzed using SPSS-version 19 software.

Results: The mean age of the study population was 32.20±10.741years. 52.7% of the study population had genital infection, with 40.6% having symptoms of Reproductive Tract Infections (RTI) and 12.1%, symptoms of Urinary tract Infections (UTI). The presence of these was significantly associated with menstrual disorders, cloth as menstrual pad users, marriage, sexual activity and absence of infertility. Only 39.0% of the women with infections had sought treatment.

Conclusions: Although there was high prevalence of genital infections among the study population, treatment seeking behaviour was very low. There is a need for sustained motivation and support to promote women to seek timely medical care than to suffer silently.

Author Biographies

Enid Elizabeth Thomas, Department of Community Medicine, Academy of Medical Sciences, Pariyaram, Kannur, Kerala



Jayasree Anandabhavan Kumaran, Department of Community Medicine, Academy of Medical Sciences, Pariyaram, Kannur, Kerala




WHO D of RH& R. Women and Health : Today’s Evidence Tomorrow’s Agenda. World Health Organization; 2009. Available at: http://www.who. int/gender-equity-rights/knowledge/9789241563- 857/en/. Accessed on 3 January 2019.

Park K. K P. Park’s Textbook of preventive and social medicine. 23rd ed. Banarsidas Bhanot; 2019: 471-539.

World health Organisation. Measuring reproductive morbidity: Report of a techical working group. 1989. Available at: bitstream/10665/61306/1/WHO_MCH_90.4.pdf Accessed on 13 November 2016.

Singh SK, Singh S. Reproductive morbididty among the rural women in Maharashtra. MPS Semin Pap. 2006: 1–206.

Howkins B. Shaw’s textbook of Gynaecology. 16th ed. Padubidri VG, ed. Reed Elsevier India pvt Limited; 2015: 321-423.

Centre for Disease Control & prevention (CDC) NC for HS (NCHS). Health United States, 2015 with special feature on racial and ethnic health disparities. 2015. Available at: nchs/data/hus/hus15.pdf#071. Accessed on 13 March 2017.

NACO. STI / RTI Services | National AIDS Control Organization | MoHFW | GoI. 2018. Available from: Accessed on 7 March 2019.

WHO. General Assembly Special Session on ICPD+5, Address of Director- General, WHO. 1999. Available at: Html. Accessed on 13 March 2017.

WHO. Sexually transmitted and reproductive tract infections. WHO. World Health Organization; 2019. Available at: health/topics/rtis/en/ Accessed on 6 March 2019.

Dheresa M, Assefa N, Berhane Y, Worku A, Mingiste B, Dessie Y. Gynecological Morbidity among Women in Reproductive Age: A Systematic Review and Meta-Analysis. J Womens Heal Care. 2017;6(3):1–11.

Mamta, Kaur N. Reproductive Tract Infections: Prevalence and Health Seeking Behaviour among Women of Reproductive Age Group. Int J Sci Res. 2014;3(4):138–42.

Poornima S, Katti SM, Mallapur MDVM, 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.

Rong Yang L, Zhao H, Ping Wang H, Ping Niu J, Jian KS, Qing Mao H, et al. Improving Ability of Married Women to Prevent Reproductive Tract Infections in Rural Western China. Environ Health Prev Med. 2006;11:233–40.

Ravi RP, Kulasekaran RA. Prevalence of sexually transmitted infections among young married women in Thiruvarur district of Tamil Nadu state in India. Indian J Community Heal. 2014;26(1):82–7.

Rathore M, Swami SS, Gupta BL, Sen V, Vyas BL, Bhargav VR. Community based study of self reported morbidity of reproductive tract infections among women of reproductive age in rural area of Rajasthan. Indian J Community Med. 2003;28(3):117–21.

Deeb M, Awwad J, Yeretzian JKH. Ethical approval and statistical analysis. Bull World Health Organ. 2003;81(9):639–45.

Sajna MV, Bina Thomas RL. Prevalence of reproductive morbidity and its determinants among ever married women of reproductive age group (15-45 years) in a rural area of Kozhikode | M V | Public Health Review: International Journal of Public Health Research. Public Heal Rev Int J Public Heal Res. 2017;4(2):57–64.

Abraham A, Varghese S, Satheesh M, Vijayakumar K, Gopakumar S, Mendez A. Pattern of gynecological morbidity, its factors and Health seeking behavior among reproductive age group women in a rural community of Thiruvananthapuram district, South Kerala. Indian J Community Heal. 2014;26(3):230–7.

Ministry of Health and Family Welfare. State Fact Sheet Kerala District Level Household and Facility survey-4. 2012 [cited 2018 Oct 18]. Available from:

Bang A. Womens perceptions of white vaginal discharge: ethnographic data from rural Maharashtra. New Delhi: New Delhi India Har-Anand Publications. 1994;1994:79–94.

Parvez R, Sugunan AP, Saha MK, Muruganandam N, Thamizhmani R. Gynecological Morbidity among the Rural women of Andaman Islands-Community Based Study. Int J Curr Microbiol App Sci. 2016;5(4):28–31.

Kambo IP, Dhillon B, Singh P, Saxena B, Saxena N. Self reported gynaecological problems from twenty three districts of India (an ICMR task force study). Indian J Community Med. 2003;28(2):67–73.

Al Mazroa MA. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2163–96.

Mani G, Annadurai K, Danasekaran R. Healthcare Seeking Behaviour for Symptoms of Reproductive Tract Infections among Rural Married Women in Tamil Nadu -A Community Based Study. Online J Heal Allied Scs. 2013;12(3):1.

Gosalia VV, Verma PB, Doshi VG, Singh M, Rathod SK, Parmar MT, et al. Gynecological morbidities in women of reproductive age group in urban slums of Bhavnagar city. Natl J Communoity Med. 2012;3(4):657–60.

Sowmini CV, Sarma S, Nair S. Reproductive morbidity among contraceptive users: need for quality services. J Fam Welf. 2004;50(1):31–5.

Younis N, Khattab H, Zurayk H, el-Mouelhy M, Amin MF, Farag AM. A community study of gynecological and related morbidities in rural Egypt. Stud Fam Plann. 1993;24(3):175–86.

Grosskurth H, Mosha F, Todd J, Mwijarubi E, Klokke A, Senkoro K, et al. Impact of improved treatment of sexually transmitted diseases on HIV infection in rural Tanzania: randomised controlled trial. Lancet (London, England). 1995;346(8974): 530–6.




How to Cite

Thomas, E. E., & Kumaran, J. A. (2019). Prevalence of genital infections among women in reproductive age group in a rural area in North Kerala. International Journal Of Community Medicine And Public Health, 6(7), 2996–3002.



Original Research Articles