dc.contributor.author | Omosa-Manyonyi, Gloria S | |
dc.contributor.author | Koyio, Lucina N | |
dc.contributor.author | Mwangi, Esther W | |
dc.contributor.author | Gathura, Hannah | |
dc.contributor.author | Andre, van der V | |
dc.contributor.author | Oever, Jaap T | |
dc.date.accessioned | 2022-06-16T05:01:41Z | |
dc.date.available | 2022-06-16T05:01:41Z | |
dc.date.issued | 2022-04 | |
dc.identifier.citation | Omosa-Manyonyi GS, Koyio LN, Mwangi EW, Gathura H, van der Ven A, Oever JT. Inadequacies in service delivery for the diagnosis and treatment of vaginitis and vaginosis in Nairobi, Kenya. Int J STD AIDS. 2022 May;33(6):584-596. doi: 10.1177/09564624221087533. Epub 2022 Apr | en_US |
dc.identifier.uri | https://pubmed.ncbi.nlm.nih.gov/35380482/ | |
dc.identifier.uri | http://erepository.uonbi.ac.ke/handle/11295/161029 | |
dc.description.abstract | Vulvovaginal candidiasis (VVC), a common cause of vaginitis, affects 75% of women in their lifetime. In Kenya, vaginitis/VVC is managed using the vaginal discharge syndrome guidelines. We assessed how frequently healthcare workers consider the diagnosis of vaginitis/VVC in symptomatic women, and adherence to the syndromic guidelines, outpatient records at Nairobi City County health facilities, of non-pregnant symptomatic females aged ≥15 years were abstracted. Descriptive statistics were applied, and analysis of determinants of practice determined using multivariable logistic regression models. Of 6,516 patients, 4,236 (65%) (inter-facility range 11-92%) had vaginitis of which 1,554 (37%) were considered VVC (inter-facility range 0-99%). Vaginitis was associated with facility, adjusted odds ratio (aOR) 2.80 (95% confidence interval (CI) 1.64-4.76) and aOR 0.03 (95% CI 0.02-0.04); and month, aOR 0.33 (95% CI 0.25-0.43). Vaginal examination was in 53% (inter-facility range 0-98%). Adherence to syndromic treatment was 56% (inter-facility range 0-83%), better with older patients (aOR 7.73, 95% CI 3.31-18.07). Vaginitis and VVC are commonly diagnosed in symptomatic patients in Nairobi; adherence to the syndromic guidelines is low and differs across the health facilities. Interventions to improve adherence are needed. | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of Nairobi | en_US |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | * |
dc.subject | Nairobi; Vaginitis; antimicrobial; compliance; management protocols; vulvovaginal candidiasis. | en_US |
dc.title | Inadequacies in Service Delivery for the Diagnosis and Treatment of Vaginitis and Vaginosis in Nairobi, Kenya | en_US |
dc.type | Article | en_US |