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. 2020 Aug 21;15(8):e0237696.
doi: 10.1371/journal.pone.0237696. eCollection 2020.

Does menstrual hygiene management and water, sanitation, and hygiene predict reproductive tract infections among reproductive women in urban areas in Ethiopia?

Affiliations

Does menstrual hygiene management and water, sanitation, and hygiene predict reproductive tract infections among reproductive women in urban areas in Ethiopia?

Ayechew Ademas et al. PLoS One. .

Abstract

Reproductive tract infections (RTIs) are a public health concern in Ethiopia. However, the relationship between menstrual hygiene management (MHM) and water, sanitation, and hygiene (WASH) factors to RTIs have not been well addressed. A community-based cross-sectional study was conducted from January to March 2019 among 602 systematically selected reproductive-age women aged 15-49 years in Dessie City. Data were collected using a questionnaire and a direct observation checklist. RTIs were identified by the presence during one year before data collection of one or more signs of vaginal discharge, itching/irritation or ulcers/lesions around the vulva, pain during urination and sexual intercourse, and lower abdominal pain and lower back pain. Data were analyzed using multivariable logistic regression analysis with 95%CI (confidence interval). The self-reported prevalence of RTIs was 11.0%(95%CI:8.5-13.7%) during one year prior to the survey. The most commonly reported symptoms of RTI were burning micturition (9.1%) and vaginal discharge (6.1%). Three-fourths 443(75.0%) of households used traditional pit latrines and the majority of the study participants 527(89.2%) did not meet the basic access requirement of 20 liters of water per capita per day. The majority 562(95.1%) of the study participants did not have multiple sexual partners during the last year and 97.8% did not practiced sexual intercourse during menstruation. The most common type of blood-absorbent material used was a sanitary pad 497(84.8%) followed by cloth 89(15.2%). Factors significantly associated with RTIs were using unclean latrines (AOR: 4.20; 95%CI:2.00-8.80), not washing hands with soap before touching the genital area (AOR: 3.94; 95%CI:1.49-10.45), history of symptoms of RTIs in the past year (AOR: 5.88; 95%CI:2.30-14.98), having multiple sexual partners in the past year (AOR: 4.46; 95%CI:1.59-12.53), changing absorbent material only once per day (AOR: 8.99; 95%CI:4.51-17.92), and washing the genital area only once per day during menstruation (AOR: 5.76; 95%CI:2.07-16.05). The self-reported prevalence of RTI showed that one women experienced RTI among ten reproductive-age women. Designing a women's health policy that focuses on ensuring availability of WASH facilities and improving MHM at the community level is key for sustainably preventing RTIs.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Self-reported symptom-based prevalence of RTI among reproductive-age women in Dessie City, northeastern Ethiopia, January to March 2019.

References

    1. Patel D, Burnett N, Curtis K, Hillis SD, Marchbanks P. Reproductive tract infections. U.S. Department of Health and Human Services, Centers for Disease Control, Atlanta: 2003.
    1. WHO. Sexually transmitted and other reproductive tract infections. A guide to essential practice. World Health Organization; Geneva: 2005.
    1. CSA, PAI. Centre for the Study of Adolescence (CSA) and Population Action International (PAI). A measure of commitment. Women’s sexual and reproductive risk index for sub- Saharan Africa. 2009.
    1. Sabarwal S, Santhya K. Treatment-seeking for symptoms of reproductive tract infections among young women in India. Int Perspect Sex Reprod Health. 2012;38(2):90–8. 10.1363/3809012 - DOI - PubMed
    1. Balamurugan SS, Bendigeri N. Community-based study of reproductive tract infections among women of the reproductive age group in the urban health training centre area in Hubli, Karnataka. Indian J Community Med: Official Publication of Indian Association of Preventive and Social Medicine. 2012;37(1):34. - PMC - PubMed

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