Health care-seeking behavior related to the transmission of sexually transmitted diseases in Kenya.

Moses, Stephen; Ngugi, Elizabeth; Bradley, Janet; Njeru, Enos H N; Eldridge, Gloria D.; Muia, Esther; Olenja, Joyce; Plummer, Francis A.

doi:10.2105/ajph.84.12.1947

Cited by 63 publications

(56 citation statements)

References 15 publications

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“…Chi-square, Fisher's exact tests, and Wilcoxon/Mann± Whitney tests were used for bivariate analysis. For these tests, data were ® rst strati® ed by gender and site because previous work has shown a gender difference in health-seeking behaviours among patients attending STD clinics 22 and we were concerned that our study populations may also be different by site. If no gender and/or site differences were observed, the data were combined.…”

Section: Discussionmentioning

confidence: 99%

Treatment Delay and Reliance on Private Physicians among Patients with Sexually Transmitted Diseases in China

Choi

Zheng

Zhou³

et al. 1999

Int J STD AIDS

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We examined health-care seeking practices among patients with sexually transmitted diseases (STDs) in south China. In 1995, we recruited a consecutive sample of 939 STD patients attending the STD clinics of the Municipal STD Control Centers of Guangzhou and Shenzhen, 'special economic zones' near Hong Kong. Attending physicians interviewed patients face-to-face using a standard survey questionnaire. Twenty-seven per cent of all subjects had sought treatment elsewhere for their presenting complaints, before visiting a study clinic. The main sources of prior treatment were private physicians followed by public clinics and drugstores. Women were more likely than men to delay in presenting their current symptoms to a study clinic (32% vs 25%, P=0.046). Factors associated with treatment delay differed by gender. Among men, seeking prior treatment from private physicians (OR=3.31; 95% CI=1.70, 6.43), having no urethral discharge (OR=4.00; 95% CI=2.33, 6.85), having engaged in sex trade (OR=1.64; 95% CI=1.03, 2.63), or being a resident in Shenzhen (OR=1.80; 95% CI=1.12, 2.89) were more likely to delay seeking treatment. Among women, only living in Shenzhen (OR=2.86; 95% CI=1.56, 5.25) was associated with treatment delay. Promotion of appropriate health-seeking behaviours and better management of STDs must be a top priority to slow a rapid spread of STD/HIV in China. Health education, improvement of STD care in the public and private sectors, and regulations of unauthorized private physicians, may help with STD control and HIV prevention.

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Section: Discussionmentioning

confidence: 99%

Treatment Delay and Reliance on Private Physicians among Patients with Sexually Transmitted Diseases in China

Choi

Zheng

Zhou³

et al. 1999

Int J STD AIDS

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“…22 For example, focus group discussions with 14-19-year-olds in the four countries about STI-related health services found that traditional healers and herbalists were as commonly mentioned as hospitals and public clinics because they were believed by some to provide confidential services, fast and effective treatment and to allow patients to pay in installments. 8 Overall, there were no significant differences between females and males in their experience of STIs or STI symptoms and healthseeking behavior in all the countries except Uganda.…”

Section: Use Of Sexual and Reproductive Health Servicesmentioning

confidence: 99%

Adolescents' Views of and Preferences for Sexual and Reproductive Health Services in Burkina Faso, Ghana, Malawi and Uganda

Biddlecom

Munthali

Singh

et al. 2007

African Journal of Reproductive Health

182

201

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Adolescents' views of and preferences for sexual and reproductive health services highlight promising directions and persistent challenges in preventing pregnancy and HIV and treating sexually-transmitted infections (STIs) in this population. Results from nationally-representative surveys of 12-19 yearolds in Burkina Faso, Ghana, Malawi and Uganda in 2004 show that contraceptive and STI services and HIV testing are still under-utilized. A substantial proportion of sexually-active adolescents do not know of any source to obtain contraception or get STI treatment, and social-psychological reasons (e.g., embarrassment or fear) and financial cost remain common barriers to getting services. Adolescents' preferences are overwhelmingly for public clinics, with strongly positive perceptions of confidentiality, accessibility and cost. Some gender and country differences exist, yet overall females and males' views are similar. Results highlight the need to inform youth about sources, increase availability of government health facilities and improve youth's access to them, especially by reducing social barriers. Une grande proportion des adolescents qui sont sexuellement actifs ne connaissent pas les sources pour obtenir la contraception ou le traitement pour les IST; ensuite, des raisons socio-psychologiques (l'embarras et la peur) et le coût financier demeurent des obstacles à l'obtention des services. Les préférences des adolescents sont largement pour des cliniques publiques avec leur fortes perceptions positives de la confidentialité, de l'accessibilité et du coût. Il existe aussi certaines différences au niveau des genres et des pays, pourtant, en général, les opinions des mâles et des femelles sont similaires. Les résultats mettent l'accent sur la nécessité de renseigner la jeunesse sur les sources, d'augmenter la disponibilité des établissements de santé et d'améliorer l'accès de la jeunesse à ces établissements, surtout par la réduction des obstacles sociaux. (Rev Afr Santé Reprod 2007; 11[3]:99-110).

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“…In Kenya, the role of traditional healing in STD management has not been studied before, although some studies have been performed on healthseeking behaviour for STDs 6,9,10 . Because STDs are a major health problem in Kenya and a co-factor in HIV transmission 11± 13 , it is important to know the contribution of traditional healing in the ® ght against STDs.…”

Section: Introductionmentioning

confidence: 99%

Traditional healers and the management of sexually transmitted diseases in Nairobi, Kenya

et al. 2003

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To describe the role of traditional healers in STD case management, in-depth interviews were held with 16 healers (seven witchdoctors, five herbalists and four spiritual healers) in four slum areas in Nairobi, Kenya. All healers believed that STDs are sexually transmitted and recognized the main symptoms. The STD-caseload varied largely, with a median of one patient per week. Witchdoctors and herbalists dispensed herbal medication for an average of seven days, whereas spiritual healers prayed. Thirteen healers gave advice on sexual abstinence during treatment, 11 on contact treatment, four on faithfulness and three on condom use. All healers asked patients to return for review and 13 reported referring patients whose conditions persist to public or private health care facilities. Thus, traditional healers in Nairobi play a modest but significant role in STD management. Their contribution to STD health education could be strengthened, especially regarding the promotion of condoms and faithfulness.

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Health care-seeking behavior related to the transmission of sexually transmitted diseases in Kenya.

Cited by 63 publications

References 15 publications

Treatment Delay and Reliance on Private Physicians among Patients with Sexually Transmitted Diseases in China

Treatment Delay and Reliance on Private Physicians among Patients with Sexually Transmitted Diseases in China

Adolescents' Views of and Preferences for Sexual and Reproductive Health Services in Burkina Faso, Ghana, Malawi and Uganda

Traditional healers and the management of sexually transmitted diseases in Nairobi, Kenya

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