Health seeking and sexual behaviour in patients with sexually transmitted infections: the importance of traditional healers in Thyolo, Malawi.

Hdl Handle:
http://hdl.handle.net/10144/18373
Title:
Health seeking and sexual behaviour in patients with sexually transmitted infections: the importance of traditional healers in Thyolo, Malawi.
Authors:
Zachariah, R; Nkhoma, W; Harries, A D; Arendt, V; Chantulo, A; Spielmann M P; Mbereko, M; Buhendwa, L
Journal:
Sexually Transmitted Infections
Abstract:
OBJECTIVES: To describe health seeking and sexual behaviour including condom use among patients presenting with sexually transmitted infections (STIs) and, to identify sociodemographic and behavioural risk factors associated with "no condom use" during the symptomatic period. METHODS: A cross sectional study of consecutive new STI cases presenting at the district STI clinic in Thyolo, Malawi. They were interviewed by STI counsellors after obtaining informed consent. All patients were treated according to national guidelines. RESULTS: Out of 498 new STI clients, 53% had taken some form of medication before coming to the STI clinic, the most frequent alternative source being the traditional healer (37%). 46% of all clients reported sex during the symptomatic period (median 14 days), the majority (74%) not using condoms. 90% of all those who had not used condoms resided in villages and had seen only the traditional healer. Significant risk factors associated with "no condom use" included visiting a traditional healer, being female, having less than 8 years of school education, and being resident in villages. Genital ulcer disease (GUD) was the most common STI in males (49%) while in females this comprised 27% of STIs. CONCLUSIONS: These findings, and especially the extremely high GUD prevalence is of particular concern, considering the high national HIV prevalence in Malawi (9%) and the implications for STI and HIV transmission. There is an urgent need to integrate traditional healers in control activities, encourage their role in promoting safer sexual behaviour, and to reorient or even change existing strategies on condom promotion and STI control.
Affiliation:
Médecins Sans Frontières, Luxembourg, Thyolo District, Malawi. msflblantyre@malawi.net
Publisher:
BMJ Journals
Issue Date:
Apr-2002
URI:
http://hdl.handle.net/10144/18373
PubMed ID:
12081174
Additional Links:
http://sti.bmj.com/cgi/reprint/78/2/127?andorexacttitleabs=and&HITS=10&sortspec=relevance&hits=10&andorexacttitle=and&andorexactfulltext=and&FIRSTINDEX=0&title=Health+seeking+and+sexual+behaviour+&resourcetype=HWCIT%2CHWELTR&searchid=1&RESULTFORMAT=1
Language:
en
Description:
To obtain this article, click on "Additional Links"
ISSN:
1368-4973
Appears in Collections:
STDs

Full metadata record

DC FieldValue Language
dc.contributor.authorZachariah, R-
dc.contributor.authorNkhoma, W-
dc.contributor.authorHarries, A D-
dc.contributor.authorArendt, V-
dc.contributor.authorChantulo, A-
dc.contributor.authorSpielmann M P-
dc.contributor.authorMbereko, M-
dc.contributor.authorBuhendwa, L-
dc.date.accessioned2008-02-14T15:54:08Z-
dc.date.available2008-02-14T15:54:08Z-
dc.date.issued2002-04-
dc.identifier.citationHealth seeking and sexual behaviour in patients with sexually transmitted infections: the importance of traditional healers in Thyolo, Malawi. 2002, 78 (2):127-9notSex Transm Infecten
dc.identifier.issn1368-4973-
dc.identifier.pmid12081174-
dc.identifier.urihttp://hdl.handle.net/10144/18373-
dc.descriptionTo obtain this article, click on "Additional Links"-
dc.description.abstractOBJECTIVES: To describe health seeking and sexual behaviour including condom use among patients presenting with sexually transmitted infections (STIs) and, to identify sociodemographic and behavioural risk factors associated with "no condom use" during the symptomatic period. METHODS: A cross sectional study of consecutive new STI cases presenting at the district STI clinic in Thyolo, Malawi. They were interviewed by STI counsellors after obtaining informed consent. All patients were treated according to national guidelines. RESULTS: Out of 498 new STI clients, 53% had taken some form of medication before coming to the STI clinic, the most frequent alternative source being the traditional healer (37%). 46% of all clients reported sex during the symptomatic period (median 14 days), the majority (74%) not using condoms. 90% of all those who had not used condoms resided in villages and had seen only the traditional healer. Significant risk factors associated with "no condom use" included visiting a traditional healer, being female, having less than 8 years of school education, and being resident in villages. Genital ulcer disease (GUD) was the most common STI in males (49%) while in females this comprised 27% of STIs. CONCLUSIONS: These findings, and especially the extremely high GUD prevalence is of particular concern, considering the high national HIV prevalence in Malawi (9%) and the implications for STI and HIV transmission. There is an urgent need to integrate traditional healers in control activities, encourage their role in promoting safer sexual behaviour, and to reorient or even change existing strategies on condom promotion and STI control.en
dc.language.isoenen
dc.publisherBMJ Journals-
dc.relation.urlhttp://sti.bmj.com/cgi/reprint/78/2/127?andorexacttitleabs=and&HITS=10&sortspec=relevance&hits=10&andorexacttitle=and&andorexactfulltext=and&FIRSTINDEX=0&title=Health+seeking+and+sexual+behaviour+&resourcetype=HWCIT%2CHWELTR&searchid=1&RESULTFORMAT=1-
dc.rightsArchived on this site with kind permission of BMJ Journalsen
dc.subject.meshAdulten
dc.subject.meshCondomsen
dc.subject.meshCross-Sectional Studiesen
dc.subject.meshFemaleen
dc.subject.meshHumansen
dc.subject.meshMaleen
dc.subject.meshMedicine, African Traditionalen
dc.subject.meshPatient Acceptance of Health Careen
dc.subject.meshRisk Factorsen
dc.subject.meshRisk-Takingen
dc.subject.meshRural Healthen
dc.subject.meshSexual Behavioren
dc.subject.meshSexually Transmitted Diseasesen
dc.titleHealth seeking and sexual behaviour in patients with sexually transmitted infections: the importance of traditional healers in Thyolo, Malawi.en
dc.contributor.departmentMédecins Sans Frontières, Luxembourg, Thyolo District, Malawi. msflblantyre@malawi.neten
dc.identifier.journalSexually Transmitted Infectionsen

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