The Prevalence of Reproductive Tract Infections Based on the Syndromic Management Approach Among Ever-Married Rural Women in Kancheepuram District, Tamil Nadu: A Community-Based Cross-Sectional Study

Abstract

IntroductionReproductive tract infections (RTIs) are endemic among developing countries and common among females specifically in the reproductive age group. The sequelae of this lead to infertility. The main reason behind the high prevalence was found to be the lack of awareness about the disease and the stigma toward the disease. Aims and objectivesThis study aims to assess the prevalence of reproductive tract infection based on the syndromic management approach among ever-married rural women in the reproductive age group in the Kancheepuram District. MethodologyThis community-based cross-sectional study was conducted in the rural field practice area of Chettinad Hospital and Research Institute during the period from March 2016 to May 2017. The sample size taken was 330, and the sample size was arrived at by multistage random sampling and population proportion to size. Data were collected using a standardized questionnaire of District Level Household Survey 4 (DLHS-4) on RTI/sexually transmitted infections (STIs). Data were then entered in Microsoft Excel (Microsoft Corp., Redmond, WA, USA) and analyzed using SPSS version 21 (IBM Corp., Armonk, NY, USA), and results were interpreted. ResultsThe prevalence of RTI was found to be 50.3%, with the majority (61.3%) of women in the age group of 28-37 years, 52.85% among females living with spouses, and 57.9% from the Hindu community. The prevalence was high among the lower-middle-class and nuclear families. The commonest symptom is vulval itching with 74.09%, and the least is boils with 0.9%. A significant association was noted between RTI and menstrual hygiene practices and socioeconomic status (p < 0.05). ConclusionThe prevalence was high among rural females, and the main reason behind it was the stigma and the lack of awareness. Health education using various sources should be provided to get rid of these issues.

Prevalence of reproductive tract infections among ever married women of age 18 to 49 years in a rural area of Cuddalore district, Tamil Nadu

“…The prevalence of RTI ranges from 4% to as high as 63.8% according to various community based studies done across India. [3][4][5][6] National Aids Control Program (NACP) and Department of Health and Family Welfare (DoHFW) together formed an integrated approach for the treatment and prevention of STI/RTI. 7 National Aids Control Organization (NACO) has branded these STI/RTI services as Suraksha clinics through which prepacked color coded STI/RTI treatment kits are given by syndromic approach.…”