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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The burden and risk factors of Sexually Transmitted Infections and Reproductive Tract Infections among pregnant women in Zimbabwe
BMC Infectious Diseases, Volume 10, Article 127, Year 2010
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Description
Background: Sexually transmitted infections (STIs) and Reproductive tract infections (RTIs) are responsible for high morbidity among women. We aim to quantify the magnitude of the burden and risk factors of STI/RTI s among pregnant women in Zimbabwe.Methods: A cross sectional study of pregnant women enrolled at 36 weeks of gestation from the national PMTCT program. Study was conducted from three peri-urban clinics around Harare Zimbabwe offering maternal and child health services.Results: A total of 691 pregnant women were enrolled. Prevalence of HSV was (51.1%), HIV (25.6%) syphilis (1.2%), Trichomonas vaginalis (11.8%), bacterial vaginosis (32.6%) and Candidiasis (39.9%). Seven percent of the women had genital warts, 3% had genital ulcers and 28% had an abnormal vaginal discharge. Prevalence of serological STIs and vaginal infections were 51% and 64% respectively.Risk factors for a positive serologic STI were increasing age above 30 years, polygamy and multigravid; adjusted OR (95% CI) 2.61(1.49-4.59), 2.16(1.06-4.39), 3.89(1.27-11.98) respectively, partner taking alcohol and number of lifetime sexual partners. For vaginal infections it was age at sexual debut; OR (95% CI) 1.60(1.06-2.42). More than 25% of the women reported previous STI treatment. Fifty two percent reported ever use of condoms and 65% were on oral contraceptives. Mean age gap for sexual partners was 6.3 years older.Conclusions: There is a high morbidity of STI/RTIs in this cohort. There is need to continuously screen, counsel, treat and monitor trends of STI/RTIs to assess if behaviour changes lead to reduction in infections and their sustainability. © 2010 Kurewa et al; licensee BioMed Central Ltd.
Authors & Co-Authors
Kurewa, Nyaradzai Edith
Zimbabwe, Harare
University of Zimbabwe
Norway, Oslo
Medisinske Fakultet
Mapingure, Munyaradzi Paul
Norway, Oslo
Medisinske Fakultet
Zimbabwe, Harare
University of Zimbabwe
Munjoma, Marshall Wesley
Zimbabwe, Harare
University of Zimbabwe
Norway, Oslo
Medisinske Fakultet
Chirenje, Mike Zvavahera
Zimbabwe, Harare
University of Zimbabwe
Rusakaniko, Simbarashe
Zimbabwe, Harare
University of Zimbabwe
Stray-Pedersen, Babill
Norway, Oslo
Universitetet I Oslo
Statistics
Citations: 83
Authors: 6
Affiliations: 3
Identifiers
Doi:
10.1186/1471-2334-10-127
e-ISSN:
14712334
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Substance Abuse
Study Design
Cross Sectional Study
Cohort Study
Study Locations
Zimbabwe
Participants Gender
Female