dc.contributor.author | Gakinya, Micheal N | |
dc.date.accessioned | 2013-06-03T13:40:30Z | |
dc.date.available | 2013-06-03T13:40:30Z | |
dc.date.issued | 1985 | |
dc.identifier.citation | Masters of Public Health | en |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/11295/28780 | |
dc.description.abstract | NEISSERIA GONORRHOEA infection is a major Public Health Problem
in Kenya. It is a major cause of morbidity in males and females
in the population Control programmes have been mainly
concentrated on Secondary Prevention which concentrates on early
diagnosis and treatment; of Neisseria gonorrhoea infection. primary
prevention has been mainly in the form of Health Education.
The target population in primary prevention has been mothers in
Antenatal Clinics and the maternal Child Health Clinics.
The major reservoir of N. Gonorrhoea infection are the prostitutes.
This study explored an alternative intervention strategy using
Health Education and intravaginal spermicides as a form of Primary
Prevention.
A randomized control trial study using 31 prostitutes as control
and 28 prostitutes as the study group was conducted in Pumwani
Estate in Nairobi. After Health Education to both groups, the
study population was instructed to insert menfegol spermicides during
every sexual intercourse. Both groups were followed up every two
weeks. An endocervical swab was taken from each prostitute and
cultured in Modified Thayer Martin Medium of Neisseria gonorrhoea.
This process was repeated for every visit for a period of 12 weeks.
Those infected received 2 grams of intramuscular spectinomycim.
On data analysis it was found that Menfegol spermicides diq not
significant reduce the rate of infection in the study group. This
was thought to be due to the short duration of follow up and
motivation period, the inconvenience and side effects of the
spermicides, and the extremely large number of sexual partners in
in this group of prostitutes.
It is recommended that the same kind of study be repeated
using a larger population sample. The follow up period
should be longer than in this study and the spermicides should
be convenient. Spermicides to be inserted twice a day will be
more appropriate. The side effect of the selected spermicides
should be minimal. | en |
dc.language.iso | en | en |
dc.publisher | University of Nairobi | en |
dc.title | A Study Of Gonococcal Infection Among A Selected Prostitute Population In A Slum Area In Nairobi Kenya With Particular Reference To Socio-economic Legal Aspects And Intervention Strategy | en |
dc.type | Thesis | en |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |