scholarly journals A community based study to determine the prevalence of infertility and associated socio demographic factors in rural area of Mandya district of Karnataka

Author(s):  
Shashank Kumbarahalli Javaregowda ◽  
Praveen Govindagowda ◽  
Chethan Thotahalli Krishna ◽  
Supriya Varadaraju

Background: Infertility is defined as failure to achieve pregnancy after at least 1 year of regular unprotected sexual intercourse. Infertility is classified into two types, primary and secondary infertility. World Health Organization explains primary infertility as inefficiency to conceive after a year of unprotected sex and secondary if not conceived following previous pregnancy. The objective of the study was to find out the prevalence and socio demographic factors of infertility (primary and secondary) among eligible couples in rural area of Mandya district.Methods: A Cross sectional study was conducted at Adichunchanagiri Institute of Medical sciences from the month of June 2016 to September 2016.One of the Primary health center in the study area was randomly selected by lottery method. All the eligible couples who are permanent residents and in the reproductive age group were included in the study.Results: Majority (59.64%) of the study group were in the age group of 20-25 years. Nearly 59.3% and 40.7% of the respondents belonged to joint and nuclear family respectively. The overall prevalence of infertility in our study was 7.7%. The overall prevalence of primary infertility was 6.3% and secondary infertility was 1.4%.Conclusions: As healthcare professionals, we should remember that infertility is a stressful life event for both women and men. Hence by knowing the prevalence and knowledge of the couple regarding the infertility, suitable health education programmes can be done to create awareness among the people regarding the treatment modalities available for infertility. 

Author(s):  
Jannatbi Iti ◽  
Roshan Mudaraddi

Background: India is the second most populous country in the world 1.311 million (2015). With only 2.4% of the world land area India is supporting 17.5% of the world population. The rampant population growth has been viewed as the greatest obstacle to the economic and social advancement. Reproductive choice is one of the most fundamental rights of a couple. Empowering a woman to control her fertility allows her to complete her education or employment aspirations. Aim and objective of the study was to know the distribution of socio-demographic factors which influence KAP about FP methods among eligible reproductive age group women.Methods: A community based cross sectional study was done from 27 March 2017 to 20 April 2017 in rural and urban areas of Gadag Taluk in women of eligible reproductive age group with a sample size of 560.Results: 25.4% of the women are in the age group of 28-32 years. Majority of the women belonged to Hindu (87.5%) and 11.1% Muslims. Highest proportion of women have completed middle and high school which amounts to 42.3%. and 17.7% were illiterates. 43.6% of the respondents married at the age of 20-24 years, 48.2% of the women were homemakers, 3.6% were professionals and 1.8% were semi-professionals and 23.2% were unskilled.Conclusions: Family planning is the most effective measure to bring control on the population. Knowing the socio-demographic factors which influence the adoption of family planning methods is of utmost importance to plan for birth control and spacing children especially for the policy makers.


Author(s):  
Shiv Lal Solanki ◽  
Bhagraj Coudhary ◽  
Bhagwan Ram Vishnoi ◽  
B. L. Vyas

Background: Anaemia is one of the most important public health problem that persist worldwide, affecting the infants, young children, adolescents, elderly and child bearing women of developing countries. Among the women of reproductive age group the adolescence period is crucial and dynamic for young females as they begin to develop their capacity for empathy, abstract thinking for physical and mental induration with future time perspective of growth and development. The objectives of the study were to assess the prevalence of anaemia in women of reproductive age group; to study the socio-demographic factors among the study subjectsMethods: A cross- sectional purposive study was conducted on 436 females of reproductive age group, residing in the field practice area of urban health training centre of department of community medicine, Geetanjali medical college and hospital, Udaipur. Study period was from May 2015 to April 2016.Results: The prevalence of anaemia among the age group below 18 years were (71.2%), educated (72.4%), nuclear family (73.3%), married (87.1%), socio-economic status group V (79.9%), menarche (75.15%), and severe anaemia was observed in (3.2%) subjects.Conclusions: Nutritional anaemia is one of the most common micronutrient deficiency observed in the world and is the highest in the adolescent females. The study revealed the statistically significant association of anaemia with various socio-demographic factors.


2021 ◽  
Author(s):  
Haroon Latif Khan ◽  
Shahzad Bhatti ◽  
Imrana ◽  
Humera ◽  
Samina Shuail

Abstract Infertility is defined as the inability to conceive despite having frequent, unprotected sex for at least one year. The failure to have children affects men and women across the globe. Infertility can lead to distress and depression [1]. The clinical definition of infertility used by the World Health Organization (WHO) is "a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse" [2], while the WHO's epidemiologic definition is "women of reproductive age at risk of becoming pregnant who report unsuccessfully trying for a pregnancy for more than two years" [3]. Clinical definitions are designed for early detection and treatment of infertility [2]–[4]. A progressive decline in fecundity occurs in both males and females with advancing age. Generally, male factors contribute to one-third of infertility cases, the other one-third occurs due to female reproductive deficiencies, while in remaining cases, both male and female causes equally contribute towards infertility. In some cases, infertility is iatrogenic in nature as both male and female profile comes out to be normal and termed as unexplained infertility.


Author(s):  
Madhuri N. ◽  
Rashmi H. S. ◽  
Sujatha M. S. ◽  
Dhanyata G.

Background: Infertility is defined by WHO as a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse. The prevalence of infertility is about 10%-15% of reproductive age couples. Female factor is responsible for 40-45% of etiology of infertility. Aim of the study was to evaluate the role of diagnostic hysterolaparoscopy in female infertility at a tertiary care centre.Methods: This is a retrospective hospital based study done at a tertiary care hospital attached to JSS Medical College, Mysuru between January 2017 and December 2018. Infertile women with primary or secondary infertility in the 18-40 years age group, with normal hormonal profile and no known male factor were included.Results: In our study, primary infertility was found in 77% of the 96 patients and secondary infertility was found in 23% of patients. In primary infertility, ovarian pathology was the most common finding while Endometriosis was the most common finding in secondary infertility group. 77 % patients were found to have bilaterally patent tubes while remaining had unilateral or bilateral blockage. On hysteroscopy, endometrial polyps were the commonest hysteroscopic finding in both groups.Conclusions: Combined hystero-laparoscopy is a safe, effective and reliable method in comprehensive evaluation of infertility. It helps in the diagnosis of pelvic pathology which may have been missed by routine examination and thereby helps in optimal management of female infertility.


Author(s):  
Amarvadhi Sairam ◽  
Visweswara Rao Guthi ◽  
M. M. V Prasad Sarma

Background: Tuberculosis (TB) remains the number one killer infectious disease affecting adults in developing countries. The 1990 World Health Organization (WHO) report on the global burden of disease ranked TB as the seventh most morbidity-causing disease in the world, and expected it to continue in the same position up to 2020. The objective of this study is to evaluate the socio-demographic factors leading to non-compliance. Methods: The present study is case control study conducted to evaluate socio-demographic characteristics factors for non-compliance among patients treated under RNTCP in a rural tuberculosis unit in Karimnagar District. Among the 394 defaulters, 77 were not available at the address given to the TU during visits for sampling, 15 were not willing to participate and 2 patients were unable to communicate. 300 TB cases who have completed the treatment were taken as controls. Results: Age wise distribution of sample respondents is shown in above table. Most of the respondents 241 (40.2%) belonged to the age group of 31-40 years followed by 136 (22.7%) between age 41-50 years. 398 (66.3%) of them were male and 202 (33.7%) were female among the studied population. majority of the studied sample belonged to rural area 539 (89.8%) as compared to urban area 61 (10.2%). Conclusions: Increasing age with respondents above 40 years were likely to be non-compliant, living in a rural area, having migrated and belonging to low socio-economic status were also significant factors. Living in a nuclear family was also significant due to the lack of familial support. Patients who were tobacco users and consumers of alcohol were likely to be non-compliant. Families with multiple members suffering from TB were likely to have non-compliant patients. 


2018 ◽  
Vol 17 (1) ◽  
pp. 21-29
Author(s):  
Peter J Olagunju ◽  
Olukemi O Odukoya ◽  
Andrew T Olagunju ◽  
Mobolanle R Balogun

Background: Tuberculosis [TB] remains a major global public health problem, and particularly in resource-restricted settings with disproportionately high burden. This study is aimed at assessing quality of life [QoL] and the roles of HIV co-infection along with socio-demographic factors on QoL among subjects with TB.Methodology: This is a multi-center cross-sectional study among 440 participants recruited by multi-stage sampling technique across 40 Directly Observed Treatment Short-course [DOTS] centres. Interviews were done using designed questionnaire to collect information on socio-demographic and clinical details of respondents. Subsequently, the World Health Organization Quality of Life-BREF [WHOQOL-BREF] questionnaire was used to evaluate QoL.Results: Most (61.1%) of the participants was aged between 21 and 40 years, 61.6% were married and 74.5% had a paid job. Majority of the subjects reported fair QoL across all domains. Employment status and monthly income were significantly associated with participants overall QoL and their satisfaction with health (p<0.05). Also, age, gender, marital status, ethnicity and educational status were significantly associated with the social domain of QoL. The HIV co-infection was found to be significantly associated with the physical aspect of their QoL (p<0.05).Conclusion: Optimal treatment of HIV co-infection and incorporation of psychosocial medicine into TB management are indicated for improved QoL. Similarly, routine assessment of QoL is desirable.Bangladesh Journal of Medical Science Vol.17(1) 2018 p.21-29


2019 ◽  
Vol 1 (Number 2) ◽  
pp. 6-10
Author(s):  
Monowar Ahmad Tarafdar ◽  
Nadia Begum ◽  
Shila Rani Das ◽  
Sultana Begum ◽  
Mehruba Afrin ◽  
...  

This is a cross sectional study conducted among Currently Married Women of Reproductive Age (CMWRA) with a sample size of 476 selected purposively using a semi-structured questionnaire in 2018 at Moulvibazar Sadar to explore the factors affecting fertility. The result shows that 55.26% respondents were within 35 years age whereas only 4.28% from age group 46-49 years age group, 33% of the respondents got married at <16 years of age and 18.70% were illiterate, 47.90% had primary education. It is evident that 76% of the respondents were from rural area; 88% were Muslims, 29.41% from lower middle class followed by upper middle class (25.42%) and poorest comprised only 7.56%. The result explored that 73.91% of the respondents were from age group 41-45 got married before 16 years of age followed by 36-40 years (68.24%), 46-49 years (66%), 20-25 and 26-30 years age groups 52.38% and 52.75% respectively; 73.33% of respondents from rural area got married at <16 years of age, 68.42% of the Muslim at <16 years. The study explored that 96.39% from poorer section and 83.33% from poorest section got married at <16 years of age. Current study revealed that 82.91% of the respondents having secondary education got married before 16 years of age followed by illiterate (82.02%). It is explored that the age at marriage is statistically associated with residence, education, wealth index and religion (p= 0.001, 0.03, 0.001, 0.001 respectively). We conclude that the sociodemographic condition contributes mostly to fertility differentials in Bangladesh.


2015 ◽  
Vol 23 (1) ◽  
pp. 7-13 ◽  
Author(s):  
Nirmeen Rifat Khan ◽  
Sadia Jerifa

This was a descriptive cross-sectional type of study conducted with an aim to find out the prevalence of contraceptive use among married women of reproductive age group (15-49 years) in a rural area of Sreepur upazilla under Gazipur district. The study was conducted from February 2012 to June 2012. Out of 265 respondents, majority (27.17%) were found between the age group of 20-24 years where mean age was 28.12 years with SD of ±7.881 years. Among all the respondents 97.7% were Muslims. Maximum number of respondents (28.7%) were educated up to secondary school level but most of them (84.5%) were housewives. Majority (34%) of their husbands were service holders and businessmen each, 29.4% had monthly family income of 5,001-10,000/- Tk. This lower middle class comprised the highest group in our study. Among 265 respondents, 62.3% were using contraceptive methods at the time of study and rest 37.7% were not using due to some different reasons, such as pregnancy, breast feeding, eagerness to take child etc. Maximum couple (81.9%) took decision combindly to adopt contraceptive methods and most of them (69.8%) lived in a nuclear family. Majority (62.63%) had 1 to 2 children. Mostly used contraceptive method among ever users (81.69%) and current users (60%) was oral contraceptive pill. Majority (45.28%) mentioned no side effect from any of the methods. Relatives and neighbors were the highest informer (33.96%) than the family planning workers (20.75%) and even mass media (7.54%). In this study the prevalence of contraceptive use was found 62.3%. DOI: http://dx.doi.org/10.3329/jdmc.v23i1.22686 J Dhaka Medical College, Vol. 23, No.1, April, 2014, Page 7-13


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