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Study to Asses the Gynecological Morbidity and Treatment Seeking Behaviour in Adolescents and Young Adult Women Residing in Slums of Mumbai


  • Harshada Bhalerao
  • Agency : Gynecological Morbidity, Treatment Seeking Behavior Adolescents, Young Adult Women
  • Objective : To assess the gynecological morbidity in adolescents and treatment seeking behavior in adolescents and young adult women of urban slums of Mumbai.



  • Background : According to WHO estimates, one in every three urban 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 across four 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 one gynaecological 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 programme on 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 seeking behaviour.



To assess the gynecological morbidity in adolescents and treatment seeking behavior in adolescents and young adult women of urban slums of Mumbai.