Individual determinants of trichomoniasis among women aged 15-45 attending Entebbe Regional Referral Hospital, district. A cross-sectional study.
DOI:
https://doi.org/10.51168/mwgray05Keywords:
Prevalence of Trichomonas vaginalis, Individual determinants, Women aged 15-45 attending Entebbe Regional Referral Hospital, Sexual health educationAbstract
Background
Trichomoniasis is an infectious disease caused by the parasite Trichomonas Vaginalis. It is a flagellated protozoan parasite possessing five flagella, which are located at the posterior portion. The study aims to determine the prevalence and individual determinants of Trichomoniasis among women aged 15-45 attending Entebbe Regional Referral Hospital.
Methodology
A cross- sectional study design was employed, involving 75 participants selected using a non-probability convenience sampling technique. Data were collected using self-administered questionnaires, and first voided urine samples were collected and analysed using wet preparation.
Results
Out of the 75 samples that were examined, 10 participants were positive for trichomoniasis, giving an overall prevalence of 13.3%, while 86.7% (65) tested negative. The highest prevalence of trichomoniasis was among participants who don’t use condoms 70% [7]. The participants with 2-3 sexual partners had the highest prevalence of 60.0% (6) compared to 20% (2) for those with more than 3 sexual partners and 20% (2) for those with one sexual partner. Participants who share undergarments had a prevalence of 70.0% (7) compared to 30.0% (3) for those who don’t share undergarments. The participants who are very sexually active had a higher prevalence of 60.0% (6) compared to 40.0% (4) for those who aren’t very sexually active.
Conclusions
Trichomoniasis remains a reproductive health concern, highlighting the need for improved sexual health education, consistent condom use, screening, and timely treatment.
Recommendations
The Ministry of Health should implement and strengthen nationwide health education campaigns on trichomoniasis focusing on transmission, symptoms, prevention, and treatment.
References
1. Mabey D., Peeling R.W., Ballard R. C., & Benzaken A. S. (2013). Sexually Transmitted Infections: impact and cost-effectiveness of prevention. World Health Organization
2. Mabaso N. & Abbai N. S. (2021). A review on Trichomonas Vaginalis infections in women from Africa. Southern African Journal of Infectious Diseases, 36(1), 254. https://doi.org/10.4102/sajid.v36i1.254
3. Mirzadeh M., Olfatifar M., Eslahi A.V., Abdoli A., Houshmand E., Majidiani H., ... & Badri M. (2021). Global prevalence of Trichomonas Vaginalis among female sex workers: a systematic review and meta-analysis. Parasitology research, 120(7), 2311-23 https://doi.org/10.1007/s00436-021-07216-6
4. Tian W., Li Y., Zhang Y., Zhang Y., Qin Y., Han Y., Li D., Wang S., Yang Z., Tian X., Mei X & Zhang Z. 2025. Systematic review and meta-analysis of the global prevalence and infection risk factors of Trichomonas Vaginalis. Parasite 32, 56. https://doi.org/10.1051/parasite/2025051
5. Musisi Fred (2024). Assessment of Trichomoniasis Prevalence and Healthcare Provider Knowledge among pregnant women: a study at Luweero General Hospital, Uganda. Idosr journal of science and technology 10(1):51-56. https://doi.org/10.59298/idosr/jst/24/101.235156 https://doi.org/10.59298/IDOSR/JST/24/101.235156
6. World Health Organization (WHO), 2014. Prevalence and incidence of selected sexually transmitted infections, Chlamydia trachomatis, Neisseria gonorrhea, syphilis and Trichomonas Vaginalis: methods and results used by WHO to generate 2010 estimates
7. Workowski KA, Bachmann LH, Chan PA, et al. (2021). Sexually transmitted infections treatment guidelines, 2021. MMWR Recommendations and Reports, 70(4), 1-192. https://doi.org/10.15585/mmwr.rr7004a1
