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. 2012 Apr;62(2):184-7.
doi: 10.1007/s13224-012-0170-8. Epub 2012 Jun 1.

Gynecological Morbidity Among Grass-root Level Health Care Providers in an Urban Setup

Anjali Modi  1 , Mohua Moitra, Ragini Verma, Bharat Patel, Mayur A Jarag, S L Kantharia
Affiliations

Gynecological Morbidity Among Grass-root Level Health Care Providers in an Urban Setup

Anjali Modi et al. J Obstet Gynaecol India. 2012 Apr.

Abstract

Objectives: The study of health status of grass-root level health care providers may help us understand the delivery gaps from the programmatic point of view.

Methods: A detailed interview of 313 Anganwadi workers (AWW) was taken in a predesigned, pretested questionnaire, and their clinical examination and Pap smear study were arranged at New Civil Hospital, Surat during November 2007-April 2008. All AWWs were accompanied for follow up and examination. Data were analyzed using Epi-Info Software.

Results: Mean age of menarche and menopause was 14.3 and 44 years, respectively. Among 73 women having menopause, 53 (72. 6%) had natural menopause. On taking history, only 9.5 % gave positive findings, while 42.3 % had positive clinical signs on examination. Inflammation was reported in 43.4 % Pap smear, while 2.8 % had cervical dysplasia of varying grades.

Conclusions: All women should be advised to undergo complete pelvic examination including Pap Smear for the detection of gynecological morbidity.

Keywords: Anganwadiworkers; Pap smear; Reproductive morbidity.

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Figures

Fig. 1
Fig. 1
Distribution of AWWs according to their gynecological problems
See this image and copyright information in PMC

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