Abstract

PIP: Among prenatal attendants, there is a 3.9% incidence of gonorrhea, a 2.0% incidence for genital ulceration, a 23.3% incidence of trichomoniasis, a 37.3% incidence for candidiasis, and a 14% incidence for positive RPR test; in family planning attendants these rates were 2.0% for gonorrhea, 5.8% for genital ulceration, 15.4% for trichomoniasis, 11.6% for candidiasis, and 6.4% for positive RPR test. Prevalence tests are not significantly different in either group except for the higher candidiasis rate in prenatal attendants. Casefinding for gonorrhea need not be considered in MCH clinics, due to the extremely low prevalence of infection; priority should be given to the development of diagnosis of gonorrhea by the culture method in symptomatic women who consult at outpatient departments. During the clinical examination at the MCH clinics, genital ulcerations should be carefully looked for. Syphilis casefinding by systematic serological testing must be continued and positive cases treated. MCH centers which would have facilities to examine a wet mount must be developed in order to diagnose and treat trichomoniasis and candidiasis in symptomatic attendants.