Abstract
Original Article
Year: 2011 | Volume: 2 | Issue: 2 | Page No: 186-190
Treatment Seeking Pathway of PID (Pelvic Inflammatory Disease) Patients Attending Government Hospital Vadodara, India
Author: Kotecha P V, Patel S V, Baxi R K, Shah S, Mehta K G, Diwanji M
Affiliation:
Abstract:
Context: PID is a fairly common problem among woman and usually reflects long and often
neglected story of reproductive morbidity.
Aims: To study the social dimensions of health seeking behavior of PID patients reporting to Shree
Sayaji General Hospital (SSGH), from the beginning of their morbidity till they reached the clinic;
vocabulary used in describing the morbidity and social support available during their morbidity.
Study Settings: SSGH Vadodara, a tertiary care referral hospital in the city.
Study Design: In depth interview with multiple contacts
Methods and Material: 120 patients of PID who came to SSGH were enrolled in the study. In depth
interview technique was used for data collection and up to 3 sessions were conducted with them after
taking their consent.
Results: The treatment seeking pathway showed an average of three health care contacts before a
patient reached SSGH. On an average, rural patients took more than 5 years while urban patients took
2 ½ years to reach SSGH with multiple contacts with other care givers prior to reaching SSGH. The
most common presenting complaints were white discharge, pain in lower abdomen and backache. In
18% of patients decision for seeking treatment in SSGH was taken by the husband and in 39% of cases
it was taken by patient and in 38% of cases it was taken jointly.
Conclusions: The common pattern for health seeking behaviour emerged as multiple contacts and
substantial delay before a patient reached tertiary care unit hospital and rural patients took longer
time to reach as compared with urban patients.
Keywords: treatment seeking, PID, Vadodara, India
DOI:
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