شایع ترین نیاز بهداشت باروری جنسی و عوامل مرتبط با آن در زنان مراجعه کننده به مراکز بهداشتی درمانی و مثلثی شهر ساری- 1392

Background and purpose: Services of triangle centers in terms of training are counseling, prevention, and treatment in the three areas of sexually transmitted diseases, HIV / AIDS and drugs abuse. Healthcare providers of these centers have little respect for women’s reproductive health needs (including safe motherhood). The health care centers do not provide enough sexual services including sexually transmitted diseases, HIV/AIDS and drug abuse to patients. The aim of this study was to determine and compare the most common SRH needs of individuals of this two types of centers. Material and Methods: In this cross-sectional study, for determining the sexual and reproductive health needs of the women in two groups, a standardized questionnaire of SRH needs assessment was used. The frequency of sexual and reproductive health needs of 600 women referred to health centers (group I: 514 women) and triangular center (Group II: 86 women) were evaluated Results: The most common SRH needs of women was cesarean section (need to safe delivery) in both two types of centers in the domain of safe motherhood, the use of traditional methods of contraception (need to spacing in childbearing) in the domain of family planning in the clients of the both two types of centers, being multi-partner of participants’ husband (need to general and sexual health) in health care centers and being multi-partner of participants in triangle center in the domain of sexual history and practices (that the prevalence in two types of centers was very low, turbid and cheese form vaginal discharge (need to general and sexual health) in both types of centers in the domain of sexually transmitted infection, poor knowledge about routes of HIV transmission (need to knowledge about HIV/AIDS) in the domain of HIV/AIDS, and husband's sexual coercion (need to general, mental and sexual health) in the domain of violence. Among these needs, cesarean section (domain of safe motherhood) was more common than the others. Conclusion: Considering that the most common SRH needs was related to safe motherhood domain (high rate of cesarean section), so, in order to save sources and solve some problems including stigma, it is recommended that these two types of centers be integrated.