A Qualitative Study on Health Perception and Practices Related to Reproductive Tract Infections in Urban Slum Women

Every year an estimation of about 50 million women are affected by reproductive morbidity, and at least 18 millions of them, these morbidities become long term and are often deliberating. As women's perception of illness influences their behaviour, it is important to understand their perceptions and practices to design effective intervention or to plan a strategy. Ten focus group discussions were held with 109 participants from different socio-economic diversity. Methods focused on understanding experiences, practices, perception, beliefs, health-seeking behaviour of women related to reproductive health and especially reproductive tract infections (RTIs). Qualitative thematic analysis technique was used for analysis. The major finding was, participants had poor knowledge about symptoms and causes of RTI. Several types of food, family planning method, and menstrual unhygiene were believed to be the cause of RTI. Vaginal discharge was perceived as most common symptom of RTI. The common treatment seeking behaviour was self-mediation through pharmacies or use of home remedies. Absence of female doctor, shyness for genital examination, financial constraint, gender inequalities, burden of responsibilities and decision-making were barriers identified for seeking treatment. As participants demonstrated limited knowledge and variety of misconception, raising awareness regarding symptoms of RTI remains the priority.