American Journal of Epidemiology and Infectious Disease
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American Journal of Epidemiology and Infectious Disease. 2013, 1(4), 53-58
DOI: 10.12691/ajeid-1-4-5
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Trends in Reproductive Tract Infections and Barriers to Seeking Treatment among Young Women: A Community Based Cross Sectional Study in South India

Rejoice Puthuchira Ravi1, and Ravishankar Athimulam Kulasekaran2

1Consultant, IRHD, Kottayam, Kerala, India

2Assistant Professor, Department of Population Studies, Annamalai University, Tamilnadu, India

Pub. Date: December 05, 2013

Cite this paper:
Rejoice Puthuchira Ravi and Ravishankar Athimulam Kulasekaran. Trends in Reproductive Tract Infections and Barriers to Seeking Treatment among Young Women: A Community Based Cross Sectional Study in South India. American Journal of Epidemiology and Infectious Disease. 2013; 1(4):53-58. doi: 10.12691/ajeid-1-4-5


Background: Reproductive morbidities lead to wide range of health consequences like ectopic pregnancy, pelvic inflammatory disease, miscarriage, infertility and other multiple consequences. The study aim was to find out the prevalence of reproductive tract infections (RTIs) and barriers to seeking health care services among young married women in rural areas of Thiruvarur district of Tamilnadu state in India. Methods: A community based cross-sectional study was conducted in 28 villages selected using multistage sampling technique for selecting 605 women in the age group of 15-24 years during July 2010-April 2011. Data analysis was by use of Statistical Package for Social Sciences version-17, with statistical significance set at p-value of 0.05 and odds ratio were calculated. Results: The prevalence rate of RTIs was observed to be 14.5%. Itching/Irritation over vulva, Thick white discharge and Pain in lower abdomen (not related to mensus) were most commonly experienced symptoms. Bivariate analysis indicated statistically significant association between educational level, occupational level and standard of living index (SLI) with presence of self-reported symptoms of RTIs among the study population. The chance of getting RTIs symptom was less among women living in high SLI (OR=0.168) than among women living in low SLI. The agricultural labourers were 1.145 times more likely to experience RTIs symptom than non workers category (OR= 0.251). More than half of the women were received treatment against perceived RTIs; all were treated in public health institutions. Conclusion: Perception of symptoms as normal, expensive treatment, feeling of shy, lack of female health workers were identified as major barriers for non seeking treatment for RTIs. Improving literacy and increasing awareness level about sexual and reproductive health is needed to reduce the incidence of RTIs among rural population.

literacy barriers to seek treatment reproductive tract infections rural area young women

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[1]  Over M, Piot P, “Human immunodeficiency virus infection and other sexually transmitted diseases in developing countries: public health importance and priorities for resource allocation,” Journal of Infectious Diseases, 174:162-175, 1990.
[2]  Cates W, Rolfs RJ, Aral SO, “Sexually transmitted diseases, pelvic inflammatory disease, and infertility: an epidemiologic update,” Epidemiologic Reviews, 12:199-221, 1990.
[3]  Patricia J Garcia, “Reproductive Tract Infections in rural women from the highlands, jungle and coastal regions of Peru,” Bulletin of the world Health Organization, 82: 483-492, 2004.
[4]  Status of reproductive morbidities in Nepal. Institute of Medicine, Maharajgunj, Kathmandu. 2006.
[5]  Xiu-Jun Zhang, Qiong Shen, Guo-Ying Wang and Yu-Ling Yu, “Risk factors for reproductive tract infections among married women in rural areas of Anhui Province, China,” European Journal of Obstetrics and Gynecology Reproductive Biology, 147:187-191, 2009.
[6]  Msuya SE, Mbizvo E, Stray Padersen B, Sundhy J, Sam NE and Hussian A, “Reproductive Tract Infections among women attending primary health care facilities in Moshi, Tanzania,” East African Medical Journal, 79:16-21, 2002.
[7]  Jindal N, Aggarwal A, Gill P, Sabharwal B and Sheevani B, “Community-based Study of Reproductive Tract Infections, Including Sexually Transmitted Infections, among the Rural Population of Punjab, India,” Indian Journal of Community Medicine, 34: 359-361, 2009.
[8]  Germain A, Holmes K, Piot P and Wasserheit J, “Reproductive Tract infections: Global Impact and Priorities for Women’s Reproductive Health,” New York: Plenum Press, 1992.
[9]  Bulut A, Yolsal N, Filippi V and Graham W, “In search of truth: Comparing alternative sources of information on reproductive tract infection,” Reproductive Health Matters, 3: 31-39, 1995.
[10]  District Level household and Facility Survey-3, International Institute for Population Studies (IIPS), Under Reproductive and Child Health Project, Government of India, 2007-08.
[11]  Garg S, Singh MM, Nath A, Bhalla P, Garg V, Gupta VK and Uppal Y, “Prevalence and awareness about sexually transmitted infections among males in urban slums of Delhi,” Indian Journal of Medical Science, 61: 269-277, 2007.
[12]  Frazer GH, Klein D, “A Study of the Awareness of Selected College Students Concerning Sexually Transmitted Diseases,”, 1985.
[13]  USAID, Rao TS, “A study on the awareness of sexually transmitted infections (STI's) and HIV/AIDS among degree students of Vijayawada city, Andhra Pradesh,”
[14]  Ye XJ, Shi WX, Li L, “A study on awareness of sexually transmitted disease/acquired immune-deficiency syndrome and related factors among migrant workers in Hangzhou City, Zhejiang Province of China,” Zhonghua Yu Fang Yi Xue Za Zhi, 38: 316-320, 2004.
[15]  Brown RT, “Adolescent sexuality at the dawn of the 21st century,” Adolescent Medicine, 11: 19-34, 2000.
[16]  Barua A, Kurz K, “Reproductive health-seeking by married adolescent girls in Maharashtra, India,” Reproductive Health Matters, 9: 53-62, 2001.
[17]  Jejeebhoy S, “Adolescent sexual and reproductive behavior: a review of the evidence from India,” Social Science & Medicine, 46: 1275-1290, 1998.
[18]  Dixon-Mueller R, Wasserheit J, “The Culture of Silence: Reproductive Tract Infections among Women in the Third World,” International Women’s Health Coalition, New York. 2012.
[19]  Wasserheit J, Harris JR, Chakraborty J, Kay BA and Mason KJ, “Reproductive Tract Infections in a Family Planning Population in Rural Bangladesh,” Studies in Family Planning, 20: 69-80, 1989.
[20]  Hemanta M, Meita., Latashori K and Ksh Gopal, “Awareness and Prevalence of Reproductive Tract Infections in North-East districts of India,” Health and Population-Perspectives and Issues, 28: 132-145, 2005.