Reproductive Tract Infections Among Married Women in Peri-Urban Areas of Karachi, Pakistan: A Population-Based Study
Keywords:
RTIs, Bacterial vaginosis, Trichomoniasis, vaginal discharge, married womenAbstract
Background: Reproductive Tract Infections (RTIs) is a major public health problem. In Pakistan, there is dearth of information about the prevalence of RTIs among women and their health seeking behavior. A study was conducted to determine the prevalence, number and types of RTIs among women residing in squatter settlements in Karachi and their health seeking behavior.
Methods: The respondents were married non-pregnant women aged 15–49 years residing in peri-urban areas of Karachi, Pakistan. The interviews with women were followed by their physical and pelvic examinations. Samples swabs collected from vagina and endocervix were tested in laboratory.
Results: Overall, 23.8% of the women had laboratory-diagnosed RTIs. Nearly 2.6% had trichomoniasis and 1.7% were positive for syphilis. Bacterial vaginosis was diagnosed in 8.8% and vaginal candidiasis in 13.2 %.
Conclusion: The study indicates a high prevalence of RTIs among women with Bacterial vaginosis and trichomoniasis to be the most prevalent endogenous infection and STI respectively. The women considered many symptoms as normal and did not seek treatment. These are the cases that have a potential to remain infected for a long time.
References
World Health Organization. Global prevalence and incidence of selected curable sexually transmitted in-fections. Overview and Estimates Geneva: World Health Organization 2001.
Over M, Piot P. HIV infection and other STDs in developing countries: public health importance and priorities for resource allocation. Journal of Infectious Diseases 1996; 174 Suppl.2:S162-S175.
Dixon-Mueller R, Wasserheit J. The Culture of Silence: Reproductive Tract Infections among Women in the Third World. Washington, DC: International Women's Health Coalition, 1991.
Willard CJ. Reproductive tract infections, In Robert A. Hatcher et al, 1998, Contraceptive technology, 17th re-vised edition (New York: Ardent Media):180
Germain A, Holmes KK, Piot OP, Wasserheit JN. Reproductive Tract Infections: Global Impact and Pri-orities for Women’s Reproductive Health. New York: Plenum Press 1992.
van Dam CJ. HIV, STD and their current impact on reproductive health: the need for control of sexually transmitted diseases. International Journal of Gynecol-ogy and Obstetrics 1995;173 Suppl.2:S121-S129.
World Health Organization. Interpreting reproductive health. ICPD+5 Forum, The Hague, The Netherlands, 8–12 February; 1999. WHO document WHO/CHS/RHR/99.7
Koenig M et al., Investigating women’s gynecological morbidity in India: not just another KAP survey. Re-productive Health Matters 1998; 6(11):84–97
Hawkes S et al., Reproductive tract infections: preva-lence and risk factors in rural Bangladesh. Bulletin of the World Health Organization 2002; 80(3):180–188
Younis N et al. A community study of gynecological and related morbidities in rural Egypt. Studies in Family Planning 1993; 24(3): 175-186
Brabin L et al., Reproductive tract infections and abortion among adolescent girls in rural Nigeria. Lan-cet 1995; 345 (8945): 300–304
Dure nayab Reproductive Tract Infections among Women in Pakistan: An Urban Case Study. The Paki-stan Development Review 2005; 44 : (2) 131–158
National AIDS Control Program. STI Prevalence Study in Pakistan. Islamabad: 2005; National AIDS Control Program.
Ghauri K, Shah SA. Patterns of STD Syndromes in Sindh. Infectious Diseases Journal of Pakistan 1997; 56 : (4) 124-129
Karachi Reproductive Health Project. Prevalence of Sexually Transmitted Diseases Amongst Women in Low-Income Communities of Karachi. Infectious Dis-eases Journal of Pakistan 1997; 4:2.
Garg S, Bhalla P, Sharma N, R. Sahay AP, Saha P et al. Comparison of Self-Reported Symptoms of Gynecolog-ical Morbidity with Clinical and Laboratory Diagnosis in a New Delhi Slum. Asia- Pacific Population Journal 2001; 16 (2) 75–92.
Mayank S, Bahl R, Bhandari N. Reproductive Tract Infections in Pregnant Women in Delhi, India. Interna-tional Journal of Gynecology & Obstetrics2001; 75:1, 81–82.
Hawkes S, Morison L, Chakraborty J, Gausia K et al. Reproductive Tract Infections: Prevalence and Risk Factors in Rural Bangladesh. Bulletin of the World Health Organization 2002; 80: (3) 180–188.
Ahmed M U, Mirza T, Khanum P A, Khan MA, Ahmed S, Khan MH. Management of Reproductive Tract Infections in Rural Bangladesh. International Journal of STD & AIDS 1999 ; 10: 263.
Garg S, Sharma N, Bhalla P. Reproductive Morbidity in an Indian Urban slum: need for health action. Sex Transm Infect 2002; 78: 68-69
Prasad JH, Abaraham S, Kurz MK. Reproductive Tract Infections among young married women in Tamil Na-du India. International Family Planning Perspectives 2005; 31(2):73–82
Reproductive Tract Infection: A set of fact sheet. Population Council Bangkok, Population Council, South and East Asia---Thailand 1999.
Leitich H, Bodner-Adler B, Brunbauer M, Kaider A, Egarter C, Husslein P. Bacterial vaginosis as a risk fac-tor for preterm delivery: a meta-analysis. Am J Obstet Gynecol 2003;189:139–47
Hay P E, Lamont RF, Taylor-Robinson D, Morgan DG, Ison C, Pearson J. Abnormal Bacterial Colonisation of the Genital Tract and Subsequent Preterm Delivery and Late Miscarriage. British Medical Journal 1994; 308: 295–298
WHO factsheet. Proportion of births attended by a skilled health worker-2008 updates. 2008 World Health Organization Geneva: WHO
Hillier SL, Martius J, Krohn MA, Kiviat N, Holmes KK, Eschenbach DA. A case-control study of chorioamni-onic infection and histologic chorioamnionitis in prema-turity. N Engl J Med 1988; 319:972–8.
Watts DH, Krohn MA, Hillier SL, Eschenbach DA. Bacterial vaginosis as a risk factor for post-cesarean endometritis. Obstet Gynecol 1990; 75:52–8.
Soper DE, Bump RC, Hunt WG. Bacterial vaginosis and trichomonas vaginitis are risk factors for cuff cel-lulites after abdominal hysterectomy. Am J Obstet Gy-necol 1990; 163:1016–23.
McDonald HM, O’Loughlin JA, Vigneswaran R, Jolley PT, McDonald PJ. Bacterial vaginosis in pregnancy and efficacy of short-course oral metronidazole treatment: a randomized controlled trial. Obstet Gynecol 1994; 84(3):343–8.
Hauth JC, Goldenberg RL, Andrews WW, DuBard MB, Copper RL. Reduced incidence of preterm delivery with metronidazole and erythromycin in women with bacte-rial vaginosis. N Engl J Med 1995; 333:1732–6.
Wendel KA, Erbelding EJ, Gaydos CA, Rompalo AM. Trichomonas vaginalis polymerase chain reaction com-pared to standard diagnostic and therapeutic tools for detection and treatment of vaginal trichomoniasis. Clin Infect Dis 2002; 35:576-80.
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