Nandan D, Gupta Y P, Krishnan V, Sharma A, Misra S K
S. N. Medical College, Agra.
Indian J Public Health. 2001 Jan-Mar;45(1):8-13.
CARE India with its UP Office has initiated demand generation and acceptability of services for reproductive health and birth spacing services at community level in two districts in the state of Uttar Pradesh. A total of 3,49,000 women of reproductive age will benefit from participation in program activities over the next five years. Out of total surveyed population of 3662, 798 women of reproductive age group were identified of whom 272 were found to be symptomatically positive in relation of STDs/RTIs giving the overall prevalence rate of 34%. Clinical as well as the microbiological examination was carried out on 193 of these 272 women in field conditions. Those found clinically and/or microbiologically positive were provided treatment and preventive advice. Total of 150 (77.7%) women were diagnosed on the basis of symptoms (syndromic approach) and 151 (78.2%) were diagnosed on the basis of clinical examinations. However, 137 (70.9%) were confirmed microbiologically positive. A large extent was found in the age group of 15 to 24 years. Confirmed cases were comparatively less among nulliparous women (63.6%) than multipara (73.2%) cases. 64.1% women were having watery discharge while 29.1% were having complaint of curd discharge. The discharge was offensive in only 1.9% cases while 4.9% reported mixed discharge. 54.4% women complaining of vaginal discharge were suffering from PID. The discharge were either bacterial alone (26.1%) or bacterial mixed with candidiasis (16.5%) or trichomoniasis (8.7%). Compared to syndromic approach, an improvement in the sensitivity (81.8%) and predictive accuracy (74.1%) was noted when cases were detected with the help of clinical examination.
印度关爱组织及其北方邦办事处已在北方邦的两个地区启动了社区层面生殖健康和生育间隔服务的需求产生及服务可接受性项目。在未来五年，共有34.9万名育龄妇女将从参与项目活动中受益。在3662名被调查的总人口中，确定了798名育龄妇女，其中272名被发现患有性传播疾病/生殖系统感染并有症状，总体患病率为34%。在实地条件下，对这272名妇女中的193名进行了临床和微生物学检查。对那些临床和/或微生物学检测呈阳性的妇女提供了治疗和预防建议。共有150名（77.7%）妇女根据症状（综合征方法）被诊断，151名（78.2%）根据临床检查被诊断。然而，137名（70.9%）经微生物学检测确诊为阳性。在15至24岁年龄组中发现的比例很大。未生育妇女的确诊病例（63.6%）比经产妇（73.2%）相对较少。64.1%的妇女有水样分泌物，而29.1%的妇女有凝乳状分泌物的主诉。只有1.9%的病例分泌物有异味，而4.9%的病例报告有混合分泌物。54.4%主诉有阴道分泌物的妇女患有盆腔炎。分泌物要么单独是细菌性的（26.1%），要么是细菌性与念珠菌病混合的（16.5%）或滴虫病（8.7%）。与综合征方法相比，借助临床检查检测病例时，敏感性（81.8%）和预测准确性（74.1%）有所提高。
