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Technical Report - STIs and Women's Health in Rural Guatemalan Communities

Technical Report - STIs and Women's Health in Rural Guatemalan Communities

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Published by Wuqu' Kawoq
Preliminary data analysis from community outreach programs for STI screening/treatment and cervical cancer screening.
Preliminary data analysis from community outreach programs for STI screening/treatment and cervical cancer screening.

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Published by: Wuqu' Kawoq on Sep 09, 2013
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12/09/2013

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Technical ReportInterim Report on Women’s Health Programming(Data through May 2013)May 9, 2013Wuqu’ Kawoq2 Calle 5-43 Zona 1, Santiago Sacatepéquez, Guatemalapeter@wuqukawoq.orgPeter Rohloff 
 
 Background
Following initial baseline evaluations in several of our partner communities in 2011 and2012, which showed large knowledge deficits among women about family planning andsexual health, as well as significant access barriers to women’s health care services,Wuqu’ Kawoq began a systematic expansion of its women’s health care programs in Fall2012.These services include:1.
 
Family planning services (oral contraceptive pills, condoms, Depo-Provera)2.
 
Cervical cancer screening (pap smears)3.
 
Syndromic detection and treatment of STIs4.
 
Small group educational sessions covering domestic violence, family planning,STIs, HIV, breast cancer, cervical cancer, and menopause.5.
 
Clinical needs assessments
Results of Data Analysis
 Demographics
This report incorporates data from 178 participants from 4 beneficiary indigenouscommunities. One community is located in the department of Suchitepéquez, two in thedepartment of Chimaltenango, and one in the department of Sololá. The average age of participants was 37.9
±
12.1 years. 74% of participants were of childbearing age (15-44years).
Obstetrical and Sexual History
 
Among the participants of childbearing age (n-131), only 1% were currently pregnant.
Table 1: Obstetrical/Gynecological History of Participants
 
Childbearing Older P BetweenCommunities(P)Number of Pregnancies5.1
±
3.1 8.0
±
0.410.00 0.31Term Deliveries3.6
±
2.2 7.0
±
2.90.00 0.08Premature Deliveries0.13
±
0.05 0.13
±
0.030.97 0.26Miscarriages0.37
±
0.06 0.94
±
0170.0001 0.19Living Children3.5
±
0.2 6.3
±
0.40.00 0.23Cesarean (#)0.37
±
0.07 0.09
±
0.040.02 0.19Cesarean (%) 24.4 8.9 0.02 0.25Age at First Pregnancy19.1
±
0.36 21.7
±
1.140.005 0.59
 
Age at Menarche13.48
±
0.12 13.57
±
0.210.69 0.05Postmenopausal (%) 0 72 0.00 0.52Contraceptive Use (%) Condoms: 2Depo: 39Implant: 3IUD: 1Rhythm: 3OCP: 2Tubal: 12No SA: 7None: 34n/a 0.001There was considerable heterogeneity between communities on types of contraceptivemethod used. For example Depo usage in Suchitepéquez was as high as 36%, but rangedfrom 17-29% in the Altiplano communities. Rates of no contraceptive usage ranged from27-60%.
Table 2: Sexual History of Participants
Childbearing Older P BetweenCommunities(P)Age at Sexual Debut18.16
±
0.36 20.4
±
1.060.01 0.14Number of LifetimePartners1.11
±
0.03 1.06
±
0.040.52 0.22History of Prior STI (%) Yes: 13No: 66Unsure: 20Yes: 6No: 77Unsure: 150.16 0.09
Cervical Cancer Screening/STI 
Table 3: Prior Cervical Cancer Screening History of Participants
Childbearing Older P BetweenCommunities(P)Has Had Screening inPast (%)67 74 0.41 0.00Years since LastScreening2.95
±
0.37 6.86
±
1.220.0001 0.0002Results of LastScreening (%)Normal: 43Abnormalcytology: 2Infection: 28Unknown: 26Normal: 49Abnormalcytology: 3Infection: 23Unknown: 260.85 0.009

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