Temmerman M, Kidula N, Tyndall M, Rukaria-Kaumbutho R, Muchiri L, Ndinya-Achola J O
Department Obstetrics and Gynaecology, University of Ghent, Belgium.
Sex Transm Infect. 1998 Jun;74(3):202-4. doi: 10.1136/sti.74.3.202.
To study the burden of disease of reproductive tract infections (RTIs) and cervical dysplasia in women attending a family planning clinic in Nairobi, Kenya, and to assess the acceptability of integrating reproductive healthcare services into existing family planning facilities.
In a family planning clinic in Nairobi, Kenya, 520 women were enrolled in a study on RTI and cervical dysplasia.
RTI pathogens were detected in over 20% of women, the majority being asymptomatic. HIV-1 testing was positive in 10.2%. The diagnosis of cervical dysplasia was made on 12% of the cytology smears (mild in 5.8%, moderate in 3.5%, severe in 1.2%), and 1.5% had invasive cervical cancer. The intervention of case detection of RTI and Papanicolaou smear taking was well received by clients and considered feasible by the staff.
Early detection and treatment of potentially curable cervical lesions and RTI provide a unique opportunity to improve women's health. In Kenya, where the current contraceptive prevalence rate is 33%, family planning clinics are excellent sites to introduce health interventions.
研究肯尼亚内罗毕一家计划生育诊所中女性生殖道感染（RTIs）和宫颈发育异常的疾病负担，并评估将生殖健康服务纳入现有计划生育设施的可接受性。
在肯尼亚内罗毕的一家计划生育诊所，520名女性参与了一项关于RTIs和宫颈发育异常的研究。
超过20%的女性检测出RTIs病原体，大多数无症状。HIV-1检测呈阳性的比例为10.2%。12%的细胞学涂片诊断为宫颈发育异常（轻度占5.8%，中度占3.5%，重度占1.2%），1.5%患有浸润性宫颈癌。RTIs病例检测和巴氏涂片检查的干预措施受到客户好评，工作人员认为可行。
早期发现和治疗潜在可治愈的宫颈病变和RTIs为改善女性健康提供了独特机会。在肯尼亚，目前的避孕普及率为33%，计划生育诊所是引入健康干预措施的理想场所。
