Knowledge And Practices On Sexually Transmitted Infections Among Women Of Reproductive Age (18-45 Years Old) Attending Kampala International University Teaching Hospital

ABSTRACT

BACKGROUND

Sexually transmitted infections (STIs) still stand as one of the commonest health problems affecting women of reproductive age. The knowledge and practices on STIs among susceptible populations such as women of reproductive age attending or visiting Kampala International University Teaching Hospital need to be established.

OBJECTIVE:The objective of this study was to determinethe knowledge and practices related to sexual transmitted infections among women of reproductive age between 18-45 years attending K.I.U-TH.

METHODS: A cross-sectional study was conducted in March-April 2017 among women of reproductive age attending or visitingKampala International University Teaching Hospital. Data was collected using a pre-tested, structured questionnaire. A total of 170 women were enrolled in this study. The collected data was analysed manually and results recorded. The result of the study was presented by tables and percentages.

RESULTS:Of the 170 volunteered female patients who participated in the study, 93(55%) had knowledge on STIs. The main source of information on STIswas dominantly from school136(80%).136(80%)believed that STIs are caused by virus and 127(75%) agreed that itching in the genital area is the major sign/symptom.136(80%) believed that having unprotected sex is the major practice that can lead to STIs followed by having multiple partners. 161(95%) agreed that testing partner before intercourse, abstinence and regular medical checkup are the major preventive measures to STIs as 119(70%) agreed that STIs can lead to infertility and miscarriage.

CONCLUSION:Most of the participants knew about the causes, types, symptoms, predisposing factors and means of prevention of STIs, although a significant number did not know about the systemic effects or consequences of STIs to their body and some preventive measures.

Majority of the participants didn't follow the appropriate behaviour patterns despite being knowledgeable about the various methods of prevention of STIs. Intensive educational campaigns to communities by providing information about STIs ensuring that the participants know the causes, practices, complications and ways how STIs can be prevented.

TABLE OF CONTENTS

DECLARATION ....................................................................................................................... ii

APPROVAL ........................................................................................................................................ iii

DEDICATION .................................................................................................................................... iv

ACKNOWLEDGEMENT ..................................................................................................................... v

OPERATIONAL DEFINITIONS .......................................................................................... ix

CHAPTER ONE .........................................................................................................................1

Introduction ................................................................................................................................1

1.1 Background .................................................................................................................................... 1

1.2 Problem statement ......................................................................................................................... 3

1.3 Significance of the study ................................................................................................................ 4

1.4 Objectives ....................................................................................................................................... 4

1.4.1 Broad objective ............................................................................................................................. 4

1.4.2 Specific objectives ........................................................................................................................ 4

1.5 Research questions ......................................................................................................................... 4

1.6 Conceptual frame work. ........................................................................................................5

1.7. SCOPE OF THE STUDY ............................................................................................................. 6

1.7.1 Geographical scope ....................................................................................................................... 6

1.7.2 Content scope ................................................................................................................................ 6

1.7.3 Time scope .................................................................................................................................... 6

CHAPTER TWO ........................................................................................................................7

LITERATURE REVIEW ............................................................................................................7

Introduction ................................................................................................................................7

Global Burden of STIs ................................................................................................................7

Awareness and knowledge of STIs ..............................................................................................8

Prevention of STIs ......................................................................................................................9

CHAPTER THREE ................................................................................................................... 10

METHODOLOGY.................................................................................................................... 10

3.0 Introduction ......................................................................................................................... 10

3.1 Study design ........................................................................................................................ 10

3.2 Study Area .......................................................................................................................... 10

3.3 Study population ................................................................................................................. 11

3.4 Sample size determination ................................................................................................... 11 vii

3.5. Sample techniques .............................................................................................................. 12

3.6.1 Inclusion criteria ............................................................................................................... 12

3.6.2 Exclusion criteria .............................................................................................................. 12

3.7 Data collection method ........................................................................................................ 12

3.8. Research instruments/tools ................................................................................................. 12

3.9 Data analysis method ........................................................................................................... 12

3.10. Data presentation method ................................................................................................. 12

3.11. Ethical considerations ....................................................................................................... 13

CHAPTER FOUR ..................................................................................................................... 14

Introduction .............................................................................................................................. 14

Results ...................................................................................................................................... 14

CHARPTER FIVE .................................................................................................................... 19

Introduction .............................................................................................................................. 19

Discussion ................................................................................................................................. 19

Awareness and knowledge of STIs ............................................................................................ 19

Preventive measures of STIs ..................................................................................................... 20

Conclusion ................................................................................................................................ 21

Recommendations ..................................................................................................................... 21

REFERENCES ........................................................................... Error! Bookmark not defined.

Appendix I Consent form .......................................................................................................... 25

Introduction .............................................................................................................................. 25

Appendix II Questionnaire ........................................................................................................ 26

Part 1: Demographic Characteristics .......................................................................................... 26

Part 2: Knowledge on STI ......................................................................................................... 26

Part 3: Practices Related to STI ................................................................................................. 27

Part 4: Preventive Measures of STI ........................................................................................... 28

Appendix III Work plan ............................................................................................................ 29

Appendix IV Budget estimate ................................................................................................. 30

Appendix V: Map of the study area (Bushenyi-Uganda) ............................................................ 31

APPENDIXVI: Map of IshakaBushenyi Municipality ............................................................... 32

APPENDIX VII: Introduction letter for data collection ............................................................. 33