Infection: Social and Medical Realities

Autor: Jeanne McDermott, Elizabeth Ngugi, Irene Sandvold, Maggie Bangser
Rok vydání: 2018
Předmět:
Zdroj: The Health of Women ISBN: 9780429496455
Popis: Many women suffer from infections ranging from sexually transmitted diseases (STDs) including HIV infection and AIDS to infections acquired from unsafe abortions and deliveries. Most papers at the 1991 National Council for International Health conference address reproductive tract infections (RTIs) and HIV/AIDS. Complications of lower and upper RTIs are social ostracism chronic pelvic pain infertility emotional distress HIV transmission fetal and infant death and death of the woman. There is a causal link between human papilloma virus and cervical cancer and between herpes and cervical cancer. Women often do not seek care for RTIs because of cultural inhibitions nonavailability of physicians in rural areas and communication barriers between the women and male gynecologists lack of money and time and shame. Direct determinants of RTIs include sexual intercourse IUD insertion unsafe abortion childbirth and female circumcision. Contributing factors are low social status limited means of protection against infection and strong cultural prohibitions against denying sex to partners. Key obstacles to development of effective treatment programs are lack of laboratory methods to diagnose RTIs and an unclear picture of the RTI morbidity and mortality among women with which to identify high prevalent populations and high risk conditions. Health education campaigns using the mass media are one intervention to promote behavior change. A methodology to estimate the basic costs of RTIs including HIV/AIDS was presented at the conference. Participants developed policy program and research recommendations based on respect of womens descriptions and perceptions of their conditions and the cultural context of womens experience with infection.
Databáze: OpenAIRE