Reproductive health issues in rural Western Kenya
Identifieur interne : 000D28 ( Pmc/Curation ); précédent : 000D27; suivant : 000D29Reproductive health issues in rural Western Kenya
Auteurs : Anna M. Van Eijk [Pays-Bas, États-Unis] ; Kim A. Lindblade [États-Unis] ; Frank Odhiambo [Kenya] ; Elizabeth Peterson [États-Unis] ; Evallyne Sikuku [Kenya] ; John G. Ayisi [Kenya] ; Peter Ouma [Kenya] ; Daniel H. Rosen [Zimbabwe] ; Laurence Slutsker [États-Unis]Source :
- Reproductive Health [ 1742-4755 ] ; 2008.
Abstract
We describe reproductive health issues among pregnant women in a rural area of Kenya with a high coverage of insecticide treated nets (ITNs) and high prevalence of HIV (15%).
We conducted a community-based cross-sectional survey among rural pregnant women in western Kenya. A medical, obstetric and reproductive history was obtained. Blood was obtained for a malaria smear and haemoglobin level, and stool was examined for geohelminths. Height and weight were measured.
Of 673 participants, 87% were multigravidae and 50% were in their third trimester; 41% had started antenatal clinic visits at the time of interview and 69% reported ITN-use. Malaria parasitemia and anaemia (haemoglobin < 11 g/dl) were detected among 36% and 53% of the women, respectively. Geohelminth infections were detected among 76% of the 390 women who gave a stool sample. Twenty percent of women were underweight, and sixteen percent reported symptoms of herpes zoster or oral thrush in the last two months. Nineteen percent of all women reported using a contraceptive method to delay or prevent pregnancy before the current pregnancy (injection 10%, pill 8%, condom 0.4%). Twenty-three percent of multigravidae conceived their current pregnancy within a year of the previous pregnancy. More than half of the multigravidae (55%) had ever lost a live born child and 21% had lost their last singleton live born child at the time of interview.
In this rural area with a high HIV prevalence, the reported use of condoms before pregnancy was extremely low. Pregnancy health was not optimal with a high prevalence of malaria, geohelminth infections, anaemia and underweight. Chances of losing a child after birth were high. Multiple interventions are needed to improve reproductive health in this area.
Url:
DOI: 10.1186/1742-4755-5-1
PubMed: 18348726
PubMed Central: 2291034
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<author><name sortKey="Rosen, Daniel H" sort="Rosen, Daniel H" uniqKey="Rosen D" first="Daniel H" last="Rosen">Daniel H. Rosen</name>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>We describe reproductive health issues among pregnant women in a rural area of Kenya with a high coverage of insecticide treated nets (ITNs) and high prevalence of HIV (15%).</p>
</sec>
<sec sec-type="methods"><title>Methods</title>
<p>We conducted a community-based cross-sectional survey among rural pregnant women in western Kenya. A medical, obstetric and reproductive history was obtained. Blood was obtained for a malaria smear and haemoglobin level, and stool was examined for geohelminths. Height and weight were measured.</p>
</sec>
<sec><title>Results</title>
<p>Of 673 participants, 87% were multigravidae and 50% were in their third trimester; 41% had started antenatal clinic visits at the time of interview and 69% reported ITN-use. Malaria parasitemia and anaemia (haemoglobin < 11 g/dl) were detected among 36% and 53% of the women, respectively. Geohelminth infections were detected among 76% of the 390 women who gave a stool sample. Twenty percent of women were underweight, and sixteen percent reported symptoms of herpes zoster or oral thrush in the last two months. Nineteen percent of all women reported using a contraceptive method to delay or prevent pregnancy before the current pregnancy (injection 10%, pill 8%, condom 0.4%). Twenty-three percent of multigravidae conceived their current pregnancy within a year of the previous pregnancy. More than half of the multigravidae (55%) had ever lost a live born child and 21% had lost their last singleton live born child at the time of interview.</p>
</sec>
<sec><title>Conclusion</title>
<p>In this rural area with a high HIV prevalence, the reported use of condoms before pregnancy was extremely low. Pregnancy health was not optimal with a high prevalence of malaria, geohelminth infections, anaemia and underweight. Chances of losing a child after birth were high. Multiple interventions are needed to improve reproductive health in this area.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Reprod Health</journal-id>
<journal-title>Reproductive Health</journal-title>
<issn pub-type="epub">1742-4755</issn>
<publisher><publisher-name>BioMed Central</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">18348726</article-id>
<article-id pub-id-type="pmc">2291034</article-id>
<article-id pub-id-type="publisher-id">1742-4755-5-1</article-id>
<article-id pub-id-type="doi">10.1186/1742-4755-5-1</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research</subject>
</subj-group>
</article-categories>
<title-group><article-title>Reproductive health issues in rural Western Kenya</article-title>
</title-group>
<contrib-group><contrib id="A1" corresp="yes" contrib-type="author"><name><surname>van Eijk</surname>
<given-names>Anna M</given-names>
</name>
<xref ref-type="aff" rid="I1">1</xref>
<xref ref-type="aff" rid="I4">4</xref>
<email>amvaneijk@yahoo.com</email>
</contrib>
<contrib id="A2" contrib-type="author"><name><surname>Lindblade</surname>
<given-names>Kim A</given-names>
</name>
<xref ref-type="aff" rid="I2">2</xref>
<email>kil2@cdc.gov</email>
</contrib>
<contrib id="A3" contrib-type="author"><name><surname>Odhiambo</surname>
<given-names>Frank</given-names>
</name>
<xref ref-type="aff" rid="I3">3</xref>
<email>fodhiambo@ke.cdc.gov</email>
</contrib>
<contrib id="A4" contrib-type="author"><name><surname>Peterson</surname>
<given-names>Elizabeth</given-names>
</name>
<xref ref-type="aff" rid="I4">4</xref>
<email>epeter@vdh.state.vt.us</email>
</contrib>
<contrib id="A5" contrib-type="author"><name><surname>Sikuku</surname>
<given-names>Evallyne</given-names>
</name>
<xref ref-type="aff" rid="I3">3</xref>
<email>esikuku@ke.cdc.gov</email>
</contrib>
<contrib id="A6" contrib-type="author"><name><surname>Ayisi</surname>
<given-names>John G</given-names>
</name>
<xref ref-type="aff" rid="I3">3</xref>
<email>jayisi@kisian.mimcom.net</email>
</contrib>
<contrib id="A7" contrib-type="author"><name><surname>Ouma</surname>
<given-names>Peter</given-names>
</name>
<xref ref-type="aff" rid="I3">3</xref>
<email>pouma@ke.cdc.gov</email>
</contrib>
<contrib id="A8" contrib-type="author"><name><surname>Rosen</surname>
<given-names>Daniel H</given-names>
</name>
<xref ref-type="aff" rid="I5">5</xref>
<email>rosend@zw.cdc.gov</email>
</contrib>
<contrib id="A9" contrib-type="author"><name><surname>Slutsker</surname>
<given-names>Laurence</given-names>
</name>
<xref ref-type="aff" rid="I2">2</xref>
<email>lms5@cdc.gov</email>
</contrib>
</contrib-group>
<aff id="I1"><label>1</label>
Department of Infectious Diseases, Tropical Medicine and AIDS, Academic Medical Centre, University of Amsterdam, The Netherlands</aff>
<aff id="I2"><label>2</label>
Division of Parasitic Diseases, National Centre for Zoonotic, Vector-Borne and Enteric Diseases, Centers for Disease Control and Prevention, Atlanta GA, USA</aff>
<aff id="I3"><label>3</label>
Centre for Global Health Research, Kenya Medical Research Institute, P.O. Box 1578, Kisumu, Kenya</aff>
<aff id="I4"><label>4</label>
Vermont Department of Health, Burlington, VT, USA</aff>
<aff id="I5"><label>5</label>
Global Aids Program, Centers for Disease Control and Prevention, Zimbabwe</aff>
<pub-date pub-type="collection"><year>2008</year>
</pub-date>
<pub-date pub-type="epub"><day>18</day>
<month>3</month>
<year>2008</year>
</pub-date>
<volume>5</volume>
<fpage>1</fpage>
<lpage>1</lpage>
<ext-link ext-link-type="uri" xlink:href="http://www.reproductive-health-journal.com/content/5/1/1"></ext-link>
<history><date date-type="received"><day>1</day>
<month>11</month>
<year>2007</year>
</date>
<date date-type="accepted"><day>18</day>
<month>3</month>
<year>2008</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2008 van Eijk et al; licensee BioMed Central Ltd.</copyright-statement>
<copyright-year>2008</copyright-year>
<copyright-holder>van Eijk et al; licensee BioMed Central Ltd.</copyright-holder>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0"><p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0"></ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</p>
<pmc-comment>
van Eijk
M
Anna
amvaneijk@yahoo.com
Reproductive health issues in rural Western Kenya
2008 Reproductive Health 5(1): 1-. (2008) 1742-4755(2008)5:1<1> urn:ISSN:1742-4755 </pmc-comment>
</license>
</permissions>
<abstract><sec><title>Background</title>
<p>We describe reproductive health issues among pregnant women in a rural area of Kenya with a high coverage of insecticide treated nets (ITNs) and high prevalence of HIV (15%).</p>
</sec>
<sec sec-type="methods"><title>Methods</title>
<p>We conducted a community-based cross-sectional survey among rural pregnant women in western Kenya. A medical, obstetric and reproductive history was obtained. Blood was obtained for a malaria smear and haemoglobin level, and stool was examined for geohelminths. Height and weight were measured.</p>
</sec>
<sec><title>Results</title>
<p>Of 673 participants, 87% were multigravidae and 50% were in their third trimester; 41% had started antenatal clinic visits at the time of interview and 69% reported ITN-use. Malaria parasitemia and anaemia (haemoglobin < 11 g/dl) were detected among 36% and 53% of the women, respectively. Geohelminth infections were detected among 76% of the 390 women who gave a stool sample. Twenty percent of women were underweight, and sixteen percent reported symptoms of herpes zoster or oral thrush in the last two months. Nineteen percent of all women reported using a contraceptive method to delay or prevent pregnancy before the current pregnancy (injection 10%, pill 8%, condom 0.4%). Twenty-three percent of multigravidae conceived their current pregnancy within a year of the previous pregnancy. More than half of the multigravidae (55%) had ever lost a live born child and 21% had lost their last singleton live born child at the time of interview.</p>
</sec>
<sec><title>Conclusion</title>
<p>In this rural area with a high HIV prevalence, the reported use of condoms before pregnancy was extremely low. Pregnancy health was not optimal with a high prevalence of malaria, geohelminth infections, anaemia and underweight. Chances of losing a child after birth were high. Multiple interventions are needed to improve reproductive health in this area.</p>
</sec>
</abstract>
</article-meta>
</front>
</pmc>
</record>
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