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Reproductive Tract Infections pp 275–295Cite as

Reproductive Tract Infections in Kenya: Insights for Action from Research

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Part of the book series: Reproductive Biology ((RBIO))

Abstract

Reproductive tract infections (RTIs) include not only sexually transmitted diseases (STDs), but also endogenous infections, caused by an overgrowth of organisms normally present in the reproductive tract, and iatrogenic infections, caused by procedures that manipulate the reproductive tract, including induced abortion, delivery, and traditional practices. Although data are inadequate and are drawn primarily from clinic and hospital populations, it appears that RTIs are common and have severe consequences for women in Kenya. Nonetheless, national health planning and policies have given little priority to these diseases. This chapter explores the reasons for this neglect and attempts to offer a range of possible interventions.

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References

  1. Nana FO. Syphilis in pregnancy at Kenyatta National Hospital. Thesis. University of Nairobi, 1981.

    Google Scholar 

  2. Maggwa ABN. Knowledge, attitude and practice survey on adolescent fertility and sexuality among adolescents in rural set up in Kenya. Thesis. University of Nairobi, 1987.

    Google Scholar 

  3. Lema VM. Adolescent fertility and sexuality among secondary school girls in a cosmopolitan city, Nairobi, Kenya. Thesis. University of Nairobi, 1987.

    Google Scholar 

  4. Obongo CGH. Adolescent sexuality and contraceptive practices in a rural community in Kenya. Thesis, University of Nairobi, 1989.

    Google Scholar 

  5. Hunter D, Maggwa ABN, Mati JKG et al. Risk factors for HIV among women attending family planning clinics in Nairobi, Kenya. In: Proceedings of the Sixth International Conference on AIDS, San Francisco, June 20–24, 1990.

    Google Scholar 

  6. Ferguson A. School drop out rates in Kenya, Nairobi: Ministry of Health and GTZ, 1988.

    Google Scholar 

  7. Maggwa ABN. Parents’ knowledge, attitudes and practices toward adolescent fertility and sexuality in Kenya. Unpublished data.

    Google Scholar 

  8. Ngugi E, Plummer FA et al. Prevention of HIV transmission in Africa: the effectiveness of condom promotion and health education among high risk prostitutes. Lancet 1988; 2: 887–90

    Article  PubMed  CAS  Google Scholar 

  9. Kirumbi WL. Microflora in women with a McDonald stitch at Kenyatta National Hospital. Thesis. University of Nairobi, 1989.

    Google Scholar 

  10. Ingari GW. Asymptomatic bacteriuria in pregnancy at Kenyatta National Hospital. Thesis. University of Nairobi, 1987.

    Google Scholar 

  11. Kibwana. Isolation of bacterial flora from genital tract and products of conception in incomplete abortion at Kenyatta National Hospital. Thesis. University of Nairobi, 1990.

    Google Scholar 

  12. World Health Organization offset publication No. 18, Geneva, 1975.

    Google Scholar 

  13. Maggwa ABN. The role of traditional birth attendants in reproductive health care. In: National Center for Research in Reproduction and Population Council. Proceedings of seminar on Norplant® and family planning in a rural set up, New York, 1989.

    Google Scholar 

  14. Aggarwal VP, Mati JKG. Epidemiology of induced abortion in Nairobi, Kenya. J Obstet Gynaecol East Cent Afr 1982; 1: 54.

    CAS  Google Scholar 

  15. Lema VM, Kamau RK et al. Epidemiology of abortion in eight district hospitals in Kenya. Report for Population Council, New York.

    Google Scholar 

  16. Mulandi TN. Prevalence of sexually transmitted diseases in women living in a rural set up in Kenya. Thesis. University of Nairobi, 1985.

    Google Scholar 

  17. Orwenyo EA. Cervical infections with N. gonorrhea, C. trichomatis and H. simplex during pregnancy at Kenyatta National Hospital. Thesis. University of Nairobi, 1984.

    Google Scholar 

  18. Plummer FA et al. Postpartum upper genital tract infections in Nairobi: epidemiology, etiology and risk factors. J Infect Dis 1987; 156: 92–8.

    Article  PubMed  CAS  Google Scholar 

  19. Riara GN. Pregnancy outcome in women with STDs (mycoplasma, N. gonorrhea, and chlamydia trachomatis). Thesis. University of Nairobi, 1987.

    Google Scholar 

  20. National Council for Population and Development. Kenya Demographic Health Survey 1989, Nairobi, 1989.

    Google Scholar 

  21. Mati JKG, Maggwa ABN, Hunter D. The relationship between oral contraception and HIV infection. In: Proceedings of the Sixth International Conference on AIDS, San Francisco, June 20–24, 1990.

    Google Scholar 

  22. Ger JO. Chlamydia infection among family planning clients at Kenyatta National Hospital. Thesis. University of Nairobi, 1986.

    Google Scholar 

  23. De’Costa L, Plummer F et al. Sexually transmitted diseases among Nairobi prostitutes. In: Proceedings of the Third African Regional Conference on Sexually Transmitted Diseases, March 1983, Nairobi, Kenya, Basel: African Union against Venereal Diseases and Treponematosis, and Ciba Geigy, 1983.

    Google Scholar 

  24. Plummer FA, Simosen JN, Ngugi EN et al. Incidence of HIV and related diseases in a cohort of prostitutes in Nairobi. In: Proceedings of the Sixth International Conference on AIDS, San Francisco, June 20–24, 1990.

    Google Scholar 

  25. Omani MA, Mutere JJ et al. Sexual behavior of long distance truck drivers and their contribution to the spread of sexually transmitted diseases in East Africa. In: Proceedings of the Sixth International Conference on AIDS, San Francisco, June 20–24, 1990.

    Google Scholar 

  26. Department of Community Medicine, University of Nairobi, Kenya.

    Google Scholar 

  27. National AIDS Control Program, Ministry of Health. Internal reports. Nairobi, 1990.

    Google Scholar 

  28. Pierre P, De’Costa L, Plummer FA et al. Incidence of seroconversion in women with genital ulcers, Nairobi, Kenya. In: Proceedings of the Sixth International Conference on AIDS, San Francisco, June 20–24, 1990.

    Google Scholar 

  29. Badia WA. The outcome of pregnancy in patients admitted with pyrexia at Kenyatta National Hospital. Thesis. University of Nairobi, 1980.

    Google Scholar 

  30. Temmerman M et al. Microbial aetiology and diagnostic criteria of postpartum endometritis in Nairobi, Kenya. Genitourin Med 1988; 64: 172–95.

    PubMed  CAS  Google Scholar 

  31. Makokha A. Maternal mortality at Kenyatta National Hospital. East Afr Med J 1980; 57: 151.

    Google Scholar 

  32. Ngoka WM. Maternal mortality at Pumwani Maternity Hospital, Nairobi, Kenya. East Afr Med J 1987; 64: 277.

    Google Scholar 

  33. Fransen L, Piot P, Nsanze H et al. Aetiology and management of opthalamia neonatorum in Nairobi, Kenya. In: Proceedings of the Third African Regional Conference on Sexually Transmitted Diseases, March 1983, Nairobi, Kenya, Basel: African Union against Venereal Diseases and Treponematosis, and Ciba Geigy, 1983.

    Google Scholar 

  34. Mati JKG, Aggarwal VP, Lucas S et al. The Nairobi birth survey: the study design, the population and outline results. J Obstet Gynaecol East Cent Afr 1982; 1: 132.

    CAS  Google Scholar 

  35. Mbwiria CN. The relationship between prematurity and STDs. Thesis. University of Nairobi, 1989.

    Google Scholar 

  36. Fomulu JN. Aetiology of postabortal sepsis at Kenyatta National Hospital. Thesis. University of Nairobi, 1982.

    Google Scholar 

  37. Chebroit SC. Pelvic abscesses in the female genital tract. Thesis. University of Nairobi, 1985.

    Google Scholar 

  38. Abdulla SH. The risk of pelvic inflammatory disease in women using IUDs at Kenyatta National Hospital. J Obstet Gynaecol East Cent Afr 1982; 1: 156.

    CAS  Google Scholar 

  39. Carty MJ, Nzioki JM, Verhagen AR. The role of the gonococcus in acute PID. East Afr Med J 1972; 49: 376.

    PubMed  CAS  Google Scholar 

  40. Mati JKG, Sinei SKA, Oyieke JB et al. Clinical aspects of infertility in Kenya: a comprehensive evaluation of the couple. Unpublished.

    Google Scholar 

  41. Rogo OK. Human papilloma virus and human immunodeficiency virus infection in relation to cancer of the cervix. Dissertation. Umea University.

    Google Scholar 

  42. Ndavi M. Cervical cytology in rural Kenya. Thesis. University of Nairobi, 1986.

    Google Scholar 

  43. Kitavi JM. Cervical cytology in rural Kenya. Thesis. University of Nairobi, 1984.

    Google Scholar 

  44. Mati JKG, Mbugua S, Maggwa ABN. Control of cancer of the cervix: further experience with screening for premalignant lesion in an African environment. Unpublished, 1990.

    Google Scholar 

  45. Kirima J. Cervical cytology at Kenyatta National Hospital. Thesis. University of Nairobi, 1980.

    Google Scholar 

  46. Ojwang SB. Cancer of the cervix at Kenyatta National Hospital. East Afr Med J 1978; 55: 194.

    PubMed  CAS  Google Scholar 

  47. Kamau RK. Birth intervals in women delivering at Kenyatta National Hospital. Thesis. University of Nairobi, 1986.

    Google Scholar 

  48. Maggwa ABN. Determinants of birth intervals in women living in a rural set up in Kenya. Thesis. University of Nairobi, 1987.

    Google Scholar 

  49. National AIDS Control Program, Ministry of Health. Internal reports, Nairobi, 1988.

    Google Scholar 

  50. Ngugi EN, Plummer FA. Health outreach and control of AIDS. J AIDS 1: 566–77.

    Google Scholar 

  51. National STD Control Program, Ministry of Health, A two year plan for 1990–1991. Nairobi, 1990.

    Google Scholar 

  52. Ministry of Health. National guidelines for the control of STDs, Nairobi, 1990.

    Google Scholar 

  53. Ngugi EN, Njeru EK. Dynamism of focussed AIDS/STD education/counseling: a cohort study of women with high frequency partner change. Presented at the 30th Scientific Meeting and General Assembly of the Association of Physicians of East and Central Africa, 1990.

    Google Scholar 

  54. Kibwana S. Antenatal care in a provincial hospital, Mombasa, Kenya. Thesis. University of Nairobi, 1991.

    Google Scholar 

  55. Mati JKG. The relationship between contraceptive use and HIV infection, ongoing study. Personnel communication.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Obstetrics and Gynecology, College of Health Sciences University of Nairobi, P.O. Box 30288, Nairobi, Kenya

    Dr. A. B. N. Maggwa (Research Fellow/Lecturer)

  2. Department of Community Health, College of Health Sciences University of Nairobi, P.O. Box 19676, Nairobi, Kenya

    Dr. E. N. Ngugi (Lecturer)

Authors
  1. Dr. A. B. N. Maggwa
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  2. Dr. E. N. Ngugi
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Editor information

Editors and Affiliations

  1. International Women’s Health Coalition, New York, New York, USA

    Adrienne Germain

  2. University of Washington, Seattle, Washington, USA

    King K. Holmes

  3. Institut de Medicina Tropicale, Antwerp, Belgium

    Peter Piot

  4. National Institutes of Health, Bethesda, Maryland, USA

    Judith N. Wasserheit

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© 1992 Springer Science+Business Media New York

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Maggwa, A.B.N., Ngugi, E.N. (1992). Reproductive Tract Infections in Kenya: Insights for Action from Research. In: Germain, A., Holmes, K.K., Piot, P., Wasserheit, J.N. (eds) Reproductive Tract Infections. Reproductive Biology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0691-5_12

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  • DOI: https://doi.org/10.1007/978-1-4899-0691-5_12

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-0693-9

  • Online ISBN: 978-1-4899-0691-5

  • eBook Packages: Springer Book Archive

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