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Greener Journal of Epidemiology and Public Health Vol. 9(1), pp. 10-30, 2021 ISSN: 2354-2381 Copyright ©2021, the copyright of this article is retained by the author(s)
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Knowledge and Practices on Reproductive Tract Infections among Rural Women in Binga, Zimbabwe
Estele Mwanza1; Reginald Dennis Gwisai2; Joshua Munsaka1
1Department of Health Sciences, Bindura University of Science Education.
2Department of Academics, Unicaf University.
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ARTICLE INFO |
ABSTRACT |
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Article No.: 100520125 Type: Research
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This study assesses the knowledge on reproductive tract infections among rural women of Siabuwa, Binga district, Zimbabwe. The study employed a descriptive cross - sectional study with a convenience (quota) sampling method which was utilised based on the respondents’ access to Siabuwa Rural Hospital for any healthcare from three wards [Nag/Sinampande(31%), Kalungwizi (36%) and Nabusenga (33%)], to identify a sample of one hundred and eighty women between 18 to 49 years. Data were collected through the distribution of self-administered questionnaires to available and verbally consenting women at Siabuwa Rural Hospital. The questionnaire covered socio – demographic characteristics, knowledge on reproductive tract infections, and personal hygienic behaviours. 32 percent reported having suffered from a reproductive tract infection in the previous year prior to the study while 73.7 percent were treated at the hospital. Among those who did not seek treatment, 73.3% were afraid and shy to be examined on private body parts while 26.7% were of the opinion that the symptoms would disappear on their own and did not seek any medical attention. The mean knowledge for this study was 42.5% while 57.5% showed lack of knowledge. The reproductive and personal hygienic behaviour were lowest for washing genital area after using the toilet. This study found out that there was a major lack of knowledge on reproductive tract infections among the rural women in the study area. It was recommended that strengthening the school health programmes is advocated to impart knowledge on reproductive tract infections and sexual health issues especially at primary and post-primary school levels.
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Accepted: 08/10/2020 Published: 04/03/2021 |
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*Corresponding Author Reginald Dennis Gwisai E-mail: reginalddgwisai@ yahoo.co.uk; r.gwisai@ zimbabwe.unicaf.org |
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Keywords: Knowledge; Practices; Reproductive Infections; Rural Women; Binga |
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REFERENCES
Acharya, A., Yadav, K., and Baridalyne, N. (2006). Reproductive tract infections/ sexually transmitted infections in rural Hryana: Experiences of Family Health Campaign. Indian Journal of Community Medicine, (31), 274 – 276.
Balsara, Z.P., Wu I., Marsh, D.R., Ihsan, A.T., Nazir, R., Owoso, E., Robinson, C., and Darmstadt, G.L. (2010). Reproductive tract disorders among Afghan refugee women attending health clinics in Haripur, Pakistan. Journal of Health Population and Nutrition, 28 (5), 501 – 508.
Bhawsar, R.D., Singh J.P., and Khanna, A. (2011). Determinants of Reproductive Tract Infections and Sexually transmitted infections Among women in Punjab and their Health Seeking Behaviour. Indian Journal of Family Welfare, 6 (1), S29 – S34.
Binh, N.T.H., Gardner, M., and Elias, C. (2010). Perception of morbidity related to reproductive tract infections among women in rural communities of Ninh Binh province, Vietnam. Culture, Health & Sexuality, (suppl.), 153-171.
Burns, N. and Grove, S.K. (2009). The Practice of Nursing Research appraisal, synthesis, and Generation of Evidence, 6th edition. Saunders Elsevier.
Burns, N., and Grove, S. K. (2011). The Practice of Nursing Research: conduct, critique and utilization, (7th edition). Philadelphia: W. B. Saunders.
Cates, W., Jr., Rolfs, R.T., Jr., and Aral, S. O. (1990). Sexually transmitted diseases, pelvic inflammatory disease, and infertility: An epidemiologic update. Epidemiologic Reviews, 12, 190-220.
Chellan, R. (2012). Sociodemographic determinants of reproductive tract infections and treatment seeking behaviour in rural Indian women. New Delhi: Centre for the study of regional development, School of Social Sciences, Jawaharlal Nehru University.
Chico, R.M., Mayaud, P., Ariti, C., Mabey, D., Ronsmans, C., and Chandramohan, D. (2012). Prevalence of Malaria and Sexually transmitted and Reproductive tract infections in pregnancy in Sub-Saharan Africa. American Medical Association. 307(19).
Cohen, M.S. (1998). Sexually transmitted diseases enhance Human Immunodeficiency Virus transmission: No longer a hypothesis. Lancet, 351, (supplement 3), 5-7.
Coleman, J.S., Hitti, J., Bukusi, E., Mwachari, C., Muliro, A., Nguti, R., et.al,. (2007). Infectious correlates of Human Immunodeficiency Virus-1 shedding in female upper and lower genital tracts. AIDS (London, England), 21, 755-759.
Dawn, A. and Biswas, R. (2005). Reproductive tract infections: An experience in rural West Bengal. Indian Journal of Public Health. 49, 102-103.
Dempsey, P.A., and Dempsey, A.D. (2004). Nursing Research: Text and Work Book, (6th edition). New York: W. B. Saunders.
Desai, G.S. and Patel, R.M. (2011). Incidence of reproductive tract infections and sexually transmitted diseases in India, levels and differentials. The Journal of Family Welfare. 57(2): 48-60.
Devi B.S. and Swarnalatha N. (2007). Prevalence of Reproductive Tract Infections and Sexually Transmitted Infections among reproductive age women (15 to 49 years) in urban slums of Tirupati town, Andhra Pradesh. Health Population Perspective Issues. 30, 56-70.
Diadhiou, M., Diallo, A.B., Barry, M.S, Alavo, S.C., Mall, I., Gassama, O., Gueye, M.D.N., Fall, A.N., Gawa,E., Diallo, A.G., and Moreau, J.C. (2019). Prevalence and Risk Factors of Lower Reproductive Tract Infections in Symptomatic Women in Dakar, Senegal. Infectious Diseases: - Research and Treatment, 12, https://doi.org/10.1177/1178633719851825.
Durai, V., Varadharajan, S., and Muthuthandavan, A.R. (2019). Reproductive Tract Infections in Rural India – A Population Based Study. Journal of Family Medicine and Primary Care, 8(11), 3578 – 3583. Doi:10.4103/jfmpc_703_19.
Garg, S., Meenakshi, Singh, M.M.C., and Mehra, M. (2001). Perceived reproductive morbidity and health care seeking behaviour among women in an urban slum. Health and Population Perspectives and Issues. 24(4), 178-188.
George, J.B. (1995). Nursing Theories: The Base for Professional Nursing Practice. 4th edition. New Jersey: Appleton Lange
Harms, G., Iyambo, S.N., Corea, A., Radebe, F., Fehler, H.G., and Ballard, R.C. (1998). Perceptions and patterns of reproductive tract infections in young rural population in north-west Namibia. International Journal of Sexually Transmitted Diseases & AIDS, 9, 744-750.
Hegde, S.K.B., Agrawal, T., Ramesh, N., Sugara, M., Joseph, P.M., Singh, S., and Thimmaiah, S. (2013). Reproductive Tract Infections among Women in a Peri-Urban Under Privileged Area in Bangalore, India: Knowledge, Prevalence, and Treatment Seeking Behaviour. Annals of Tropical Medicine and Public Health, 6(2), 215 – 220.
Holland, K. and Hogg, C. (2010). Cultural awareness in Nursing and Healthcare. An Introductory Text 2nded.
Kerlinger, F.N., and Lee, H.B. (2000). Foundations of Behavioural Research 4th edition. Fort Worth, TX: Harcourt College Publishers.
Kerubo, E. Laseron, K. F., Otecko, N., Odhiambo, C., Mason, L., Nyothach, E., Oruko, K.O., Bauman, A., Vulule, J., Zeh, C., and Phillips – Howard, P.A. (2016). Prevalence of Reproductive Tract Infections and the Predictive Value of Girls’ Symptom – based Reporting: Findings from a Cross – Sectional Survey in Rural Western Kenya. Sexually Transmitted Infections, 92, 251 – 256.
Kosambiya, J.K., Desai, V.K., Bhardwaj, P., and Chakraborty, T. (2009). Reproductive tract infections and Sexually Transmitted Infections among urban and rural women of Surat. A community based study. Indian Journal of Sexuality Transmitted Diseases and AIDS. 30(2), 89-93.
Kumar, R. (2011). Research Methodology: a step- by –step guide for beginners, 3rd edition. SAGE publications. New Delhi.
Kurewa, N.E., Mapingure, M.P., Munjoma, M.W., Chirenje, M.Z., Rusakaniko, S., and Stray-Pedersen, B. (2010). The Burden and Risk Factors of Sexually Transmitted Infections and Reproductive Tract Infections among Pregnant Women in Zimbabwe. Biomedical Central Journal of Infectious Diseases, 21(10), 127.
Lalima, S. (2010). Reproductive Tract Infections among women of rural community in Mewat, India. Journal of Health Management. 12(4), 519-538.
Lan, P.T., Lundborg, C.S., Mogren, I., Phuc, H.D., and Chuc, N.T.K. (2009). Lack of knowledge about sexually transmitted infections among women in North rural Vietnam. Biomedical Central, Infectious Diseases. 9, 85.
Li, C., Han, H., Lee, J., Lee, M., Lee, Y. and Kim, M.T. (2010). Knowledge, Behaviours and Prevalence of Reproductive Tract Infections. Journal of Asian Nursing Research. 4(3).
Li, X.D., Wang, C.C., Zhang, X.J., Gao, G.P., Tong, F., Li, X., Hou, S., Sun, L., and Sun, Y.H. (2014). Risk factors for bacterial vaginosis: results from a cross-sectional study having a sample of 53,652 women. European Journal of Clinical Microbiology and Infectious Diseases.
Lipilekha, P. (2012). Reproductive Tract Infections and Sexually Transmitted Infections among reproductive age group women in urban slums of Brahmapur city, Odisha. An Epidemiological study.
Mamta and Kaur, N. (2014). Reproductive Tract Infections: Prevalence and Health Seeking Behaviour among women of reproductive age group. International Journal of Science and Research, 3(4), 138 – 142.
Mani, G., Annadurai, K., and Danasekaran, R. (2013). Healthcare Seeking Behaviour for symptoms of reproductive tract infections among rural married women in Tamil Nadu: A community based study. Online Journal of Health and Allied Sciences. 12(3).
Mani, G. (2014). Prevalence of Reproductive Tract Infections among Rural Married Women in Tamil Nadu, India. Journal Pioneer Medical Science. 4(1).
Mayaud, P., and Mabey, D. (2004). Approaches to the control of sexually transmitted infections in developing countries: Old problems and modern challenges. Sexually transmitted infections, 80 (3), 173-182.
Menendez, C., Castellsague, X., Renom, M., Sacarlal, J., Quinto, L., Lloveras, B., Klaustermeier, J., Kornegay, J.R., Sigauque, B., Bosch, F.X. and Alonso, P.L. (2010). Prevalence and risk factors of sexually transmitted infections and cervical neoplasia in women from rural area of Southern Mozambique. Infectious Diseases in Obstetrics and Gynaecology. Hindawi Publishing Corporation.
Mellish, J.M., Brink, H., and Paton, F. (2007). Teaching and Learning the Practice of Nursing. (6thed). Johannesburg: Heinemann.
Mmari, K.N., Oseni, O., and Fatusi, A.O. (2010). Sexually Transmitted Infection Treatment-Seeking Behaviour among youth in Nigeria: Are there gender differences? International Perspectives on Sexual and Reproductive Health. 36(2).
Moule, P. and Goodman, M. (2014). Nursing Research an Introduction, 2nd edition. SAGE: Los Angeles.
Msuya S., Uriyo J., and Hussain A. (2009). Prevalence of Sexually Transmitted Infections among pregnant women with known Human Immunodeficiency Virus status in Northern Tanzania. Reproductive Health, 6 (1-4).
Mwaura, M., Hardy, L., Moretlwe, S., Ndayisaba, G., Mandaliya, K., Menten, J., Ugent, V., Wijgert, J., Crucitti, T. and Jespers V. (2013). Prevalence of reproductive tract infections in women targeted for microbicide trials: the Microbicide Safety Biomarkers Study in Kenya, Rwanda, and South Africa. Sexually transmitted infections & AIDS World Congress abstracts. International Centre for Reproductive Health. July 17, 2013.
Newman, L., Rowley, J., Vander, H.S., Wijesooriya, N.S., Unemo, M., Low, N. Stevens, G., Gottlieb, S., Kiarie, J., Temmerman, M. (2015). Global Estimates of the Prevalence and Incidence of Four Curable Sexually Transmitted Infections in 2012 Based on Systematic Review and Global Reporting. Plos ONE, 10(12),1 – 17. https://doi.org/10.1371/journal.pone.0143304.
Nguyen, M.H., Gammeltoft, T., Christoffersen, S.V., Tran, T.T., and Rasch, V. (2009). Reproductive tract infections in northern Vietnam: Health Providers Diagnostic Dilemmas, Women Health, 49 (2-3), 229-245.
Nguyen, M.H., Kurtzhals, J., Do, T.T., and Rasch, V. (2009). Reproductive Tract Infections in women seeking abortion in Vietnam. Biomedical Central Women’s Health. 9(1).
Nielsen, A., Lan, P.H., Marrone, G., Phuc, H.D., Chuc, N.T.K., and Lundborg, C.S. (2014). Reproductive tract infections in rural Vietnam, Women’s knowledge and Health seeking behaviour: A cross sectional study. Health care for women international.
Nigro, G., Mazzocco, M., Mattia, E., Carlo di Renzo, G., Carta, G., and Anceschi, M.M. (2011). Role of infections in recurrent spontaneous abortion. Journal of Maternal-Fetal and Neonatal Medicine, 24(8), 983-989.
Patel, V., Weiss, H.A., Mabey, D., West, B., D’Souza, S., Patil, V., and Kirkwood, B.R. (2006). The burden and determinants of reproductive tract infections in India: A population based study of women in Goa, India. Sexually transmitted infections. 82(3), 243-249.
Peplau, H.E. (1992).Interpersonal Relations: A theoretical framework for application in nursing practice. Nursing Science Quarterly, 5, 13-18.
Philip, P.S., Benjamin A.I, and Sengupta, P. (2013), Prevalence of symptoms suggestive of reproductive tract infections and sexually transmitted infections in women in an urban area of Ludhiana. Indian Journal of Sexually Transmitted Diseases. 34(2), 83-88.
Polit, D.F., and Beck, C.T., (2010). Essentials of Nursing Research: Appraising Evidence For Nursing Practice, 7th edition. Wolters Kluwer, Lippincott Williams & Wilkins: New York.
Polit, D.F., Beck, C.T., and Hungler, B.P. (2001). Essentials of Nursing Research: Methods, Appraisals and Utilisation. (5th edition). Philadelphia: Lippincott – Raven.
Polit, D.F., and Hungler, B.P. (2006). Essentials of Nursing Research: Methods, Appraisals and Utilisation. (7th edition). Philadelphia: Lippincott – Raven.
Prabha, M.L.S., Sasikala, G., and Bala, S. (2012). Comparison of syndromic diagnosis of reproductive tract infections with laboratory diagnosis among rural women. Indian Journal of Sexually Transmitted Diseases. 33(2): 112-115.
Prasad, J.H., Abraham, S. Kurz, K.M, George, V., Lalitha, M.K., John, R. et.al, (2005). Reproductive tract infections among young married in Tamil Nadu, India. International Family Planning Perspectives. 31(2): 73-82.
Rabiu, K.A., Adewunmi, A.A., Akinlusi, F.M., and Akinola, O. (2010). Female reproductive tract infections: Understandings and care seeking behaviour among women of reproductive age in Lagos, Nigeria. Biomedical Central, Women’s Health.
Rahman, S., Currie, M.J., Breiman, R.F., Reza, M., Rahman, M. and Nessa, K. (2012). Reproductive Tract Infections associated with vaginal discharge and their socio-demographic and reproductive determinants among clinic attendees in Bangladesh. South East Asia Journal of Public Health. 2(2), 67-72.
Ramia, S., Kobeissi L., Kak, F., Shamra, S., Kreidieh, K., and Zurayk, H. (2012). Reproductive tract infections among married non-pregnant women living in low-income suburb of Beirut, Lebanon. Journal of Infectious diseases in developing countries.
Ravi, R.P. and Kulasekaran, R.A. (2014). Comprehensive Knowledge and Practices about Sexually Transmitted Infections among Young Married Rural Women in South India. American Journal of Epidemiology and Infectious Disease. 2(1), 41-46.
Ravi, R.P., and Kulasekaran, R.A. (2014). Care Seeking Behaviour and Barriers to Accessing Services for Sexual Health Problems among Women in Rural Areas of Tamilnadu State in India. Journal of Sexually Transmitted Diseases.
Ravi, R.P. and Kulasekaran, R.A. (2014). Prevalence of Sexually Transmitted Infections among married women in Thiruvarur district of Tamil Nadu. Indian Journal of Community Health. 26(1): 82-87.
Ravi, R.P. and Kulasekaran, R.A. (2013). Trends in Reproductive Tract Infections and barriers to seeking treatment among young women. A Community Based Cross Sectional Study in South India. Indian Journal of Community Health. 1(4).
Rathore M., Swami, S.S., Gupta, B.L., Sen V., Vyas, B.L., Bhargav, A., et.al, (2003). Community Based Study of Self Reported Morbidity of Reproductive Tract among women of reproductive age in rural areas of Rajasthan. Indian Journal of Community Medicine. 28, 117-121.
Razia, C., Ashraf, M., and Saad, J. (2013). Understanding and care seeking behaviour of Reproductive tract infections and Sexually transmitted diseases among married women attending a tertiary care hospital, Lahore-Pakistan. Biomedical central. 29.
Rees, C. (2007). Introduction to Research for Midwives 2nd edition. Books for Midwives: London.
Samanta, A., Ghosh, S., and Mukherjee, S. (2011). Prevalence and health seeking behaviour of reproductive tract infections/ sexually transmitted infections’ symptomatic: A cross sectional study of rural women in Hooghly district of West Bengal. Indian Journal of Public Health. 55(1), 38-41.
Shao, M.F., Li, X., Zhang, W.Y., Zhao, X.P., and Zhang, H. (2012). Comparative study of reproductive tract infections of female sex workers and gynaecology clinic patients and general population in Suzhou. International Journal of Medicine and Biomedical Research. 1(3).
Sharma, S., and Gupta, B.P. (2009). The prevalence of reproductive tract infections / sexually transmitted diseases among married women in the reproductive age group in a rural area. Indian Journal of Community Medicine. 34, 63-65.
Shun, X.J., Zhang, A.G., Dan, B.D., Zhou, F.R., Liu, X., Liu, X.J., et.al,. (2003). Shandong province women reproductive health condition and prevention and strategies of prevention. Journal of Maternal & Child Health Care of China (Chin), 18, 560-561.
Sihavong, A., Lundborg, C.S., Syhakhang, L., Kounnavong, S., Wahlstrom, R. and Freudenthal, S. (2011). Community perceptions and treatment-seeking behaviour regarding reproductive tract infections including sexually transmitted infections in Lao PDR. Journal of Bio-social Science.
Smeltzer, S.C., Bare, B.G., Hinkle, J.L. and Cheever, K.H. (2014). Brunner and Suddarth’s textbook of Medical and Surgical Nursing, 13th edition. Lippincott. New York.
Sun, Z.C., Cui, Y., and Yang, L. et.al, (2010). Study on the prevalence of reproductive tract infections among influencing factors on women in rural areas of the middle and western regions of China. Chinese Journal of Epidemiology. 31, 961-964.
Swadpanich, U., Lumbiganon, P., Prasertcharoensook, W., and Laopaiboon, M. (2008). Antenatal lower genital tract infection screening and treatment programs for preventing preterm delivery. Cochrane Database of systematic reviews, 16(2) CD006178.
Teasdale, C.A., Abrams, E.J. Chiasson, M. A., Justman, J., Blanchard, K., and Jones, H.E. (2018). Incidence of Sexually Transmitted Infections during Pregnancy. Plos ONE, 13(5):e0197696. https://doi.org/10.1371/journal.pone.0197696.
Thekdi, K.P., Mehta P., and Thekdi, .P.I. (2014). Awareness regarding Reproductive Tract Infections among married women in rural of Surendaranagar. International Journal of Reproduction, Contraception, Obstetrics and Gynaecology 3(1): 98-101.
Thurman, A.R., and Doncel, G.F. (2011). Innate immunity and inflammation response to Trichomonas vaginalis and bacterial vaginosis: Relationship to HIV acquisition. American Journal of Reproductive Immunology, 65(2), 89-98.
Treece, E.W., and Treece, J.W. (2006). Elements of Research in Nursing.(6thed). Toronto: Mosby Company.
Vaughn, L.M., Jacquez, F., and Baker, R.C. (2009). Cultural Health Attributions, Beliefs and Practices: Effects on healthcare and medical education. The Open Medical Education Journal, 2, 64-74.
Verma, A., Meena, J.K., and Banerjee, B. (2015). A comparative study of prevalence of Reproductive Tract Infections and Sexually Transmitted Infections symptoms and treatment seeking behaviour among married women in urban and rural areas of Delhi: Hindawi Publishing Corporation. International Journal of Reproductive Medicine, 1 – 8.
Wood, G.L. and Haber, J. (2014). Nursing Research Methods and Critical Appraisal for Evidence-Based Practice. Elsevier.
Wools, K.K., Menya, D., Mull, F., Hellman, D., and Jones R. (1998). Perception of risk; sexual behaviour and sexually transmitted diseases/Human Immunodeficiency Virus prevalence in Western Kenya. East African Medical Journal. 75(12), 679-683.
World Health Organization, (2005). Sexually transmitted and other reproductive tract infections: A guide to essential practice. Geneva, Switzerland.
World Health Organization, (2013). Baseline Report on Global Sexually Transmitted Infection Surveillance 2012. WHO Library Cataloguing-in-Publication Data, Geneva.
Xu, S., Yu, C., Zhou, Y., Wu, J., Bai, T., Zhang, J., and Li, Y. (2019). The Prevalence of Reproductive Tract Infections in a Chinese Internal Migrant Population and Its Correlation with Knowledge, Attitude and Practices. A Cross Sectional Study. International Journal of Environmental Research and Public Health, 16(4), 655, 2 – 18. doi:10.3390/ijreph16040655.
Zhang, X.J., Shen, Q., Wang, G.Y., Yu, Y.L., Sun, Y.H., Yu, G.B., et.al, (2009). Risk factors for reproductive tract infections among married women in rural areas of Anhui Province, China. European Journal of Obstetrics, Gynaecology, and Reproductive Biology, 147, 187-191.
Zhing-fang, L., Shao-Ming, W., Ju-Fang, S., Fang-Hui, Z., Jun-Fei, M., You-Lin, Q., and Xiang-Xian, F. (2012). Combined screening of cervical cancer, breast cancer and reproductive tract infections in rural China. Asian Pacific Journal of Cancer Prevention. 13(7), 3529-3533.
Zhongua, L. Xing, B. and Xue, Z. (2010). Study on The Prevalence of Reproductive Tract Infections and influencing factors on women in rural areas of the Middle and Western regions in China. Volume 31(9), 961-4.
Zimbabwe National Statistics Agency (2013). Zimbabwe National Report for 2012 Population Census. Harare.
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Cite this Article: Mwanza E; Gwisai RD; Munsaka J (2021). Knowledge and Practices on Reproductive Tract Infections among Rural Women in Binga, Zimbabwe. Greener Journal of Epidemiology and Public Health, 9(1): 10-30. |
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