title: Reproductive health and STDs among clients of a women's health mobile clinic in rural Bali, Indonesia.
abstract: Recent studies in Indonesia have reported significant levels of STDs in low-risk urban groups. To gather data on rural women, a prevalence study was undertaken in Bali utilizing a women's health mobile clinic. Rural (n=312) women were tested for vaginal reproductive tract infections (RTIs) by on-site wet mount, for Neisseria gonorrhoeae and Chlamydia trachomatis by unamplified DNA (Gen-Probe) test, and for syphilis by rapid plasma reagin (RPR). Results were: candidiasis 5.8%; bacterial vaginosis (BV) 37.2%; trichomoniasis 15.1%; gonorrhoea 0.7%; chlamydial infection 5.6%; syphilis 0%. Overall 55.1% had at least one RTI and 19.2% had at least one STD. Reported non-monogamy, pain with urination and genital lesions, observed cervical friability and cervical motion tenderness were associated with cervical STD infection (P<0.05). We conclude that there is a need for improved services for STD prevention and RTI/STD management in rural Bali, and for condom promotion.
authors.affiliation: Sehati Foundation, Bali, Indonesia. pattens@bowlish.freeserve.co.uk
authors.forename: J H
authors.initials: JH
authors.lastname: Patten
authors.forename: I
authors.initials: I
authors.lastname: Susanti
mesh_terms: D002177:Candidiasis / Q000453:epidemiology; D002690:Chlamydia Infections / Q000453:epidemiology / Q000382:microbiology; D002692:Chlamydia trachomatis / Q000235:genetics / Q000302:isolation & purification; D004269:DNA, Bacterial / Q000032:analysis; D005260:Female; D052776:Female Urogenital Diseases / Q000453:epidemiology* / Q000382:microbiology; D006801:Humans; D007214:Indonesia / Q000453:epidemiology; D009344:Neisseria gonorrhoeae / Q000235:genetics / Q000302:isolation & purification; D016870:Neisseriaceae Infections / Q000453:epidemiology / Q000382:microbiology; D011935:Reagins / Q000097:blood; D012423:Rural Health; D012424:Rural Population; D012749:Sexually Transmitted Diseases / Q000453:epidemiology*; D013587:Syphilis / Q000097:blood / Q000175:diagnosis; D014245:Trichomonas Infections / Q000453:epidemiology; D016585:Vaginosis, Bacterial / Q000453:epidemiology; D016387:Women's Health
chemical_list: D004269:DNA, Bacterial; D011935:Reagins