Postmenopausal Experiences and Constraints in Seeking Health Care in A Rural Area of West Bengal, India

Anisha  Sarkar; Md Samsuzzaman; Rupali P  Thakur; Pranita  Taraphdar

doi:10.55489/njcm.140420232880

Authors

Anisha Sarkar Burdwan Medical College & Hospital, Burdwan, India
Md Samsuzzaman Burdwan Medical College & Hospital, Burdwan, India
Rupali P Thakur Burdwan Medical College & Hospital, Burdwan, India
Pranita Taraphdar Burdwan Medical College & Hospital, Burdwan, India

DOI:

https://doi.org/10.55489/njcm.140420232880

Keywords:

post-menopausal women, experience, health-care seeking behavior, qualitative-study

Abstract

Introduction: During menopause, women experience various psychological or physical changes which need adequate attention. Moreover, women don’t seek help for these problems due to their hesitancy, lack of awareness, socio-cultural, financial constraints or as they feel this is a natural-phenomenon. The study aims to explore the postmenopausal experiences faced by women during menopause and to elicit the constraints faced by them in seeking health-care services.

Methodology: This was a qualitative study with phenomenological approach conducted among post-menopausal women (≥45 years) from Oct 2022-Jan 2023 with the help of In-Depth-Interview guide in four villages of Bhatar Block, Purba-Bardhaman District. Considering the availability of the study participants, they were selected purposively from the list prepared by ASHA of each village and recruitment done till the point of data-saturation. Inductive thematic-analysis was used to identify codes and themes.

Results: During menopause, women experienced physical and psychological changes in the body, changes in social life and for these changes they had to adjust to cope-up. They felt various needs like empathy from husbands, children, peers. On the other hand, they did not seek help from health-care services due to their knowledge gap, dissatisfaction from previous-visit, cost-issue and unavailability of resources in health-care delivery system.

Conclusion: Majority of the post-menopausal women faced various problems associated with menopause, but very few had sought help. So, health care providers have an important role to generate awareness among post-menopausal women regarding physical and mental changes during this phase.

References

NIH State-of-the-Science Panel*. National Institute of Health State-of-the-Science Conference statement: management of menopause-related symptoms. Annals of Internal Medicine. 2005 Jun 21;142(12_Part_1):1003-13. Doi: https://doi.org/10.7326/0003-4819-142-12_Part_1-200506210-00117

Smail L, Jassim G, Shakil A. Menopause-specific quality of life among Emairati women. International Journal of Environ-mental Research and Public Health. 2020 Jan;17(1):40. Doi: https://doi.org/10.3390/ijerph17010040n PMid:31861588 PMCid:PMC6981970

Bratati M, Akbari-Heidari H, Samadi-Yaghin E, Jenabi E, Jor-mand H, Kamyari N. The factors associated with the quality of life among postmenopausal women. BMC Women's Health. 2021 Dec;21(1):1-8. Doi: https://doi.org/10.1186/s12905-021-01361-x PMid:34006264 PMCid:PMC8130393

Huang CH, Kor CT, Lian IB, Chang CC. Menopausal symptoms and risk of heart failure: a retrospective analysis from Tai-wan National Health Insurance Database. ESC heart failure. 2021 Aug;8(4):3295-307. Doi: https://doi.org/10.1002/ehf2.13480 PMid:34151548 PMCid:PMC8318496

Mahajan N, Aggarwal M, Bagga A. Health issues of menopausal women in North India. Journal of mid-life Health. 2012 Jul;3(2):84. Doi: https://doi.org/10.4103/0976-7800.104467 PMid:23372325 PMCid:PMC3555032

Dasgupta D, Ray S. is menopausal status related to women's attitudes towards menopause and aging? Women Health. 2017;57(3):311-28. Doi: https://doi.org/10.1080/03630242.2016.1160965 PMid:26940232

Hoga L, Rodolpho J, Goncalves B, Quirino B. Women's experi-ence of menopause: a systemic review of qualitative evidence. JBI Evidence Synthesis. 2015 Aug 1;13(8):250-337. Doi: https://doi.org/10.11124/jbisrir-2015-1948 PMid:26455946

Rafaei M, Mardanpour S, Masoumi SZ, Parsa P. women's expe-riences in the transition to menopause: a qualitative research. BMC Women's Health. 2022 Feb 26;22(1):53. Doi: https://doi.org/10.1186/s12905-022-01633-0 PMid:35219295 PMCid:PMC8882304

Singh N, Chouhan Y, Patel S. Treatment seeking behaviour among post-menopausal females attending out-patient clinic of Obstretics and Gynecology at a tertiary care centre, Bho-pal, Madhya Pradesh. Int J Community Med Public Health. 2018 Nov 24;5(12): 5365-70. Doi: https://doi.org/10.18203/2394-6040.ijcmph20184818

Apoorva MS, Thomas V. health seeking behaviour among post menopausal women in rural and urban field practice areas of Gandhi Medical College, Hyderabad: A cross-sectional study. International Journal of Community Medicine and Public Health. 2018 Dec 24;6(1):428-431. Doi: https://doi.org/10.18203/2394-6040.ijcmph20185283

Tong A, Sainsbury P, Craig J. Consolidated criteria for report-ing qualitative research (COREQ): A 32-item checklist for in-terviews and focus groups. International journal for quality in health care. 2007 Dec 1;19(6):349-57. Doi: https://doi.org/10.1093/intqhc/mzm042 PMid:17872937

Hakimi S, Haggi HB, Shojai SK, Farahbaksh M, Farhan F. Com-paring the pattern of Menopausal symptoms, Concern and At-titudes in Urban and Rural Postmenopausal Iranian Women. J Menopausal Med. 2018 Apr;24(1):50-55. Doi: https://doi.org/10.6118/jmm.2018.24.1.50 PMid:29765927 PMCid:PMC5949308

Sakdiah MH, Sulaiman H, Zulkefli NAM. Views onaging: a qual-itative study among Malay middle-aged women in urban set-ting in Malaysia. International Journal of Health Science and Research

Ghazanfarpour M, Khadivzadeh T, Roudsari RL. Sexual dis-harmony in menopausal women and their husband: A qualita-tive study of resons, strategies and ramifications, j Menopau-sal Med. 2018;24(1):41-9. Doi: https://doi.org/10.6118/jmm.2018.24.1.41 PMid:29765926 PMCid:PMC5949307

Wong ELY, Huang F, Cheung AW, Wong CK. The impact of menopause on the sexual health of Chinese Cantonese women: A mixed method study. Journal of advance nurshing. 2018 Jul;74(7):1672-84. Doi: https://doi.org/10.1111/jan.13568 PMid:29516545

Asad N, Somani R, Peerwani N, Pirani S, Zuberi N, Andrades M, Karmaliani R. 'I am not the person I used to be": Perceptions and experiences of menopausal women living in Karachi, Pa-kistan. Post Reproductive Health. 2021 Dec;27(4):199-207. Doi: https://doi.org/10.1177/20533691211060099 PMid:34806468

Loutfy I, Abdel Aziz F, Dabbous NI, Hassan MH. Women's per-ception and experience of menopause: a community-based study in Alexandria, Egypt. EMHJ-Eastern Mediterranean Health Journal, 12 (supp.2), S93-S106,2006

George SA. The menopause experience: a women's perspec-tive. Journal of Obstetric, Gynaecologic, & Neonatal Nursing. 2002 Jan;31(1):77-85. Doi: https://doi.org/10.1111/j.1552-6909.2002.tb00025.x PMid:11843022

Khan S, Shukla MK, Priya N, Ansari M. health seeking behav-iour among post-menopausal women: a knowledge, attitude and practice study. International Journal of Community Med-icine and Public Health. 2016 Jul;3(7):1777-82. Doi: https://doi.org/10.18203/2394-6040.ijcmph20162041

Chadha N, Chadha V, Ross S, Sydora BC. Experience of meno-pause in aboriginal women: a systematic review. Climacteric. 2016 Jan 2;19(1):17-26. Doi: https://doi.org/10.3109/13697137.2015.1119112 PMid:26653073