Menopausal symptoms among middle-aged women and care providers’ readiness to deliver menopausal services: an observational study in Kavrepalanchok, Nepal

Health care needs of menopausal women and availability of corresponding services through health systems are under-researched. This two-stage observational study examined the prevalence of menopausal symptoms among middle-aged women in four rural and semi-urban communities in Kavrepalanchok, Nepal an...

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Autores principales: Adhikari, Dushala, Bhurtyal, Ashok
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9809385/
https://www.ncbi.nlm.nih.gov/pubmed/36586138
http://dx.doi.org/10.1080/26410397.2022.2141255
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author Adhikari, Dushala
Bhurtyal, Ashok
author_facet Adhikari, Dushala
Bhurtyal, Ashok
author_sort Adhikari, Dushala
collection PubMed
description Health care needs of menopausal women and availability of corresponding services through health systems are under-researched. This two-stage observational study examined the prevalence of menopausal symptoms among middle-aged women in four rural and semi-urban communities in Kavrepalanchok, Nepal and explored sexual and reproductive health (SRH) care providers’ readiness to provide menopausal health care. We recruited 252 women aged 40–59 years in the pre-, peri- and post-menopausal phases of the menopausal transition, and interviewed 20 SRH primary care providers. The cross-sectional survey provided data on the prevalence of menopausal symptoms, disaggregated by women’s socioeconomic characteristics, health behaviours and biological features, while data on the knowledge, skills and willingness of SRH care providers to deliver menopausal care were derived from interviews. Most women (84.9%) reported experiencing one or more adverse menopausal symptoms. Socioeconomically and geographically marginalised women were more likely to report experiencing severe menopausal symptoms that would require medical assistance than their more privileged counterparts. Sexual and reproductive health service providers were willing, albeit with limited knowledge and skills, to assess menopausal women’s needs and provide menopausal care. They recommended incorporating menopausal care in SRH policies and training and logistics to provide the services. Culturally, economically and geographically marginalised women experienced a higher prevalence of menopausal symptoms. Sexual and reproductive health policies and programmes of the government should expand beyond women of childbearing age or adolescents to include menopausal women’s needs.
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spelling pubmed-98093852023-01-04 Menopausal symptoms among middle-aged women and care providers’ readiness to deliver menopausal services: an observational study in Kavrepalanchok, Nepal Adhikari, Dushala Bhurtyal, Ashok Sex Reprod Health Matters Research Articles Health care needs of menopausal women and availability of corresponding services through health systems are under-researched. This two-stage observational study examined the prevalence of menopausal symptoms among middle-aged women in four rural and semi-urban communities in Kavrepalanchok, Nepal and explored sexual and reproductive health (SRH) care providers’ readiness to provide menopausal health care. We recruited 252 women aged 40–59 years in the pre-, peri- and post-menopausal phases of the menopausal transition, and interviewed 20 SRH primary care providers. The cross-sectional survey provided data on the prevalence of menopausal symptoms, disaggregated by women’s socioeconomic characteristics, health behaviours and biological features, while data on the knowledge, skills and willingness of SRH care providers to deliver menopausal care were derived from interviews. Most women (84.9%) reported experiencing one or more adverse menopausal symptoms. Socioeconomically and geographically marginalised women were more likely to report experiencing severe menopausal symptoms that would require medical assistance than their more privileged counterparts. Sexual and reproductive health service providers were willing, albeit with limited knowledge and skills, to assess menopausal women’s needs and provide menopausal care. They recommended incorporating menopausal care in SRH policies and training and logistics to provide the services. Culturally, economically and geographically marginalised women experienced a higher prevalence of menopausal symptoms. Sexual and reproductive health policies and programmes of the government should expand beyond women of childbearing age or adolescents to include menopausal women’s needs. Taylor & Francis 2022-12-31 /pmc/articles/PMC9809385/ /pubmed/36586138 http://dx.doi.org/10.1080/26410397.2022.2141255 Text en © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Articles
Adhikari, Dushala
Bhurtyal, Ashok
Menopausal symptoms among middle-aged women and care providers’ readiness to deliver menopausal services: an observational study in Kavrepalanchok, Nepal
title Menopausal symptoms among middle-aged women and care providers’ readiness to deliver menopausal services: an observational study in Kavrepalanchok, Nepal
title_full Menopausal symptoms among middle-aged women and care providers’ readiness to deliver menopausal services: an observational study in Kavrepalanchok, Nepal
title_fullStr Menopausal symptoms among middle-aged women and care providers’ readiness to deliver menopausal services: an observational study in Kavrepalanchok, Nepal
title_full_unstemmed Menopausal symptoms among middle-aged women and care providers’ readiness to deliver menopausal services: an observational study in Kavrepalanchok, Nepal
title_short Menopausal symptoms among middle-aged women and care providers’ readiness to deliver menopausal services: an observational study in Kavrepalanchok, Nepal
title_sort menopausal symptoms among middle-aged women and care providers’ readiness to deliver menopausal services: an observational study in kavrepalanchok, nepal
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9809385/
https://www.ncbi.nlm.nih.gov/pubmed/36586138
http://dx.doi.org/10.1080/26410397.2022.2141255
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