Reproductive tract infections in northern Vietnam: health providers' diagnostic dilemmas

Women & Health
My Hu'o'ng NguyenVibeke Rasch

Abstract

Research was conducted on reproductive tract infections among women obtaining induced abortions at Ph[image omitted]-[image omitted] hospital in Haiphong City, a major maternity hospital in northern Vietnam. The research aimed to explore how clinicians and lab-technicians diagnose reproductive tract infections and the difficulties they experience in establishing exact diagnoses. A combination of both quantitative and qualitative research methodologies was employed. The quantitative research involved 748 abortion-seeking women; the qualitative research was conducted with 10 doctors and 10 lab-technicians providing reproductive health services. A marked tendency was observed among both clinicians and lab-technicians to overdiagnose reproductive tract infections and to prescribe antibiotics routinely. Social, cultural, and clinical factors associated with the tendency to overdiagnose reproductive tract infections included: inadequate training of health staff, lack of equipment, and cultural assumptions regarding the overwhelming prevalence of reproductive tract infections in Vietnamese women, especially among those who receive abortion services. Misconceptions of reproductive tract infections led to substantial over-diagnosis and ...Continue Reading

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Methods Mentioned

BETA
ELISA

Related Concepts

Abortion Failure
Staff Attitude
Clinical Skill
Differential Diagnosis
Female Genital Diseases
Gynecology
Communicable Diseases
Midwifery
Drug Prescriptions
Medical Laboratory Assistants

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