The supermarket for women's reproductive health: the burden of genital infections in a family planning clinic in Nairobi, Kenya
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Date
1998Author
Temmerman, M
Kidula, N
Tyndall, M
Rukaria-Kaumbutho, R
Muchiri, L
Ndinya-Achola, JO
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
OBJECTIVES:
To study the burden of disease of reproductive tract infections (RTIs) and cervical dysplasia in women attending a family planning clinic in Nairobi, Kenya, and to assess the acceptability of integrating reproductive healthcare services into existing family planning facilities.
METHODS:
In a family planning clinic in Nairobi, Kenya, 520 women were enrolled in a study on RTI and cervical dysplasia.
RESULTS:
RTI pathogens were detected in over 20% of women, the majority being asymptomatic. HIV-1 testing was positive in 10.2%. The diagnosis of cervical dysplasia was made on 12% of the cytology smears (mild in 5.8%, moderate in 3.5%, severe in 1.2%), and 1.5% had invasive cervical cancer. The intervention of case detection of RTI and Papanicolaou smear taking was well received by clients and considered feasible by the staff.
CONCLUSIONS:
Early detection and treatment of potentially curable cervical lesions and RTI provide a unique opportunity to improve women's health. In Kenya, where the current contraceptive prevalence rate is 33%, family planning clinics are excellent sites to introduce health interventions.
URI
http://www.ncbi.nlm.nih.gov/pubmed/9849556http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/16804
Citation
Sex Transm Infect. 1998 Jun;74(3):202-4.Publisher
Department of Medical Microbiology, University of Nairobi Department Obstetrics and Gynaecology, University of Ghent, Belgium.
Collections
- Faculty of Health Sciences (FHS) [10377]