Study to Asses the Gynecological Morbidity and Treatment Seeking Behaviour in Adolescents and Young Adult Women Residing in Slums of Mumbai
Agency : Gynecological Morbidity, Treatment Seeking Behavior Adolescents, Young Adult Women
Objective : To assess the
gynecological morbidity in adolescents and
seeking behavior in adolescents and young adult women of urban slums of Mumbai.
Background : According
to WHO estimates, one in every threeurban dweller lives in slum Health
and morbidity survey of young women will reveal their health and related
conditions as a little is known about their unmet needs. According to NFHS 3,
only 45 percent urban women have decision making power. Generally women with
self reported symptoms of gynaecological morbidity do not seek treatment due to
existing taboos, financial dependence and unawareness of health services. This
reinforces the need for data on the health status and treatment seeking
behaviour of adolescents and young adult women. Also knowledge about the health
service utilization pattern would help in mobilizing resources and develop
programme strategies specific for this group.
Methodology : A
cross sectional descriptive study was undertaken acrossfour slums of
Mumbai. The study was primary data analysis of self reported reproductive
morbidity. Non Probability sample of 100 adolescents and young adult women was
taken. Data on self reported gynaecological symptoms over the last three weeks
was collected. Information on treatment seeking behaviour was also collected.
Findings : 34
percent of the respondents had at least onegynaecological symptom.
Amongst those who had gynaecological symptoms, excessive menstrual flow (35%)
was the highest reported gynaecological symptom followed by less menstrual
bleeding in 32 percent of the respondents. Only 17.7 percent of those who had
gynaecological symptom sought treatment. Nearly 50 percent visited government
health facilities for treatment. Poor perceived severity of the condition was
the main reason reported by the respondents for not seeking treatment.
Recommendations : There
is a need for comprehensive programmeon reproductive health focusing on
the reproductive health needs of young women especially adolescents residing in
vulnerable section of society. Further studies on the reproductive health
issues should be carried out at broad level to gauge the reproductive disease
burden and thereby identify the socio-economic issues related to treatment
To assess the gynecological morbidity in adolescents and treatment seeking behavior in adolescents and young adult women of urban slums of Mumbai.