Women Living with Mental Illness and Epilepsy (PVMME) represent a highly vulnerable minority. This population presents more risky sexual behaviors including early sexual intercourses, non-systematic use of condoms and ignorance of the serological status of their sexual partners. They present a high risk of unwanted pregnancy due to the low level of accessibility to sexual and reproductive health services. The results of this study are based on the exploitation of primary datas obtained during surveys of an exhaustive sample of 154 women living with mental illness or epilepsy in the psychiatric hospital of Bouake. This prospective cross-sectional study, with a descriptive aim, took place over a period of three (03 months) from January 17 to April 17, 2022. The age group between 20-39 years was the most represented with an average age of 34.5 years. They lived in urban areas with secondary education, unemployed and single. It appears that acute psychotic disorders (35.06%) and anxiety disorders (23.06%) 38%) are the most prevalent pathologies. Among these women, 84.42% were not made aware of contraceptive methods and family planning. 57.79% considered it necessary to be on contraceptives given their state of mental health. However, 29.22% of patients claimed to have contracted one or more unwanted pregnancies with cases of abuse and violence.
| Published in | American Journal of Psychiatry and Neuroscience (Volume 12, Issue 1) |
| DOI | 10.11648/j.ajpn.20241201.11 |
| Page(s) | 1-5 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Mental Illness, Sexual Health, Women of Childbearing Age, Provision of Psychiatric Care
| [1] | Marie Hapi. La sexualité des patients en psychiatrie: revue de la littérature [The Sexuality of Psychiatric Patients: A Review of the Literature]. Médecine humaine et pathologie. 2018. dumas-01978615. |
| [2] | Conseil National du Sida. Les oubliés de la prévention. Handicaps mentaux, sexualité et VIH. Paris; 1997. [National AIDS Council. Those forgotten by prevention. Mental disabilities, sexuality and HIV. Paris; 1997]. |
| [3] | Yeo-Tenena J M, Koua Traoré B S, N’guessan R K, Konan K P, Kouame Asse M Let al. Sexualité, comportements à risque et dépistage du VIH/SIDA en milieu hospitalier psychiatrique ivoirien: enquête pilote. [Sexuality, Risk Behaviours and HIV/AIDS Testing in Ivorian Psychiatric Hospitals: A Pilot Survey] L'information psychiatrique 2014; 7 (Volume 90): pages 553 à 559. |
| [4] | High Council for Public Health. Sexual and Reproductive Health Opinion, 2016. Available at URL: www.hcsp.fr/Explore.cgi/Telecharger?NomFichier=hcspa 201600302_santesexuelleetre productive.pdf. Accessed 20/04/2022. |
| [5] | Soedje K M A, Assogba K, Djidonou A, Aza-Gnandji G G, Amadou A, Tchamdja T, Dassa K S. Caractéristiques sociodémographiques et cliniques des populations prisent en charge aux urgences du chu campus (Lomé). [Socio-demographic and clinical characteristics of the populations treated in the emergency department of the University Hospital Campus (Lomé] MALI MEDICAL. 2015, VOL. |
| [6] | Adjossan M’Besso. Evaluation micro-économique de la prise en charge des maladies mentales dans les hôpitaux psychiatriques publiques de Côte d’Ivoire. [Micro-economic evaluation of the management of mental illnesses in public psychiatric hospitals in Ivory Cost] Thèse Méd. Univ Bouaké; 2019: n°794. |
| [7] | Zoungrana J, Dembélé J P, Sako F B, Siranyan S, Traoré J, Sawadogo A et Al. Dépression et vih: aspects épidémiologiques et cliniques au centre hospitalier universitaire du point G de Bamako. [Depression and HIV: epidemiological and clinical aspects at the G-spot University Hospital in Bamako] Médecine et santé tropicales 2017; 27: 186-189. |
| [8] | Djo Bi Djo. Contribution des ONG dans l’assistance psychiatrique en Côte d’Ivoire: cas des centres d’accueil de l’association Saint Camille de Lellis de Bouaké, Avril-Juin 2017. [Contribution of NGOs in psychiatric assistance in Ivory Cost: the case of the reception centres of the Saint Camille de Lellis association in Bouaké, April-June 2017] Mémoire méd. Univ Cocody Abidjan; 2017: |
| [9] | Din Ousmane. Approche épidémiologique de la schizophrénie au service de psychiatrie du CHU du Point G. [Epidemiological approach to schizophrenia in the psychiatry department of the Point G University Hospital] Thèse méd. Univ Bamako Mali; 2010: n°250. |
| [10] | Saliou Salifou. Profil des patients vus en consultation psychiatrique au CHU campus de Lomé. [Profile of patients seen in psychiatric consultation at the Lomé University Hospital.] Health sciences and diseases 2018; 19: e48-52. |
| [11] | Koudou Joel. Contribution des établissements sanitaires de premier contact dans la prise en charge des soins psychiatriques en Côte d’Ivoire. [Contribution of primary contact health facilities in the management of psychiatric care in Côte d'Ivoire] Thèse Med. Univ Bouaké; 2018: n°750. |
| [12] | Women’s mental healthfacts. Disponible sur URL: www.weareagenda.org/womens-mental-health-key-facts/#Consulté le 06/04/2022. |
| [13] | Pierre De Beaudrap. VIH & Handicap en Afrique de l’Ouest: Une analyse combinée de 4 études conduites au Burkina Faso, Niger, Guinée Bissau et Cap Vert. Lyon: [HIV & Disability in West Africa: A combined analysis of 4 studies conducted in Burkina Faso, Niger, Guinea Bissau and Cape Verde. Lyon] Humanité& Inclusion, 2019. |
| [14] | Campos L N, Guimarães M D C, Carmo R A, Souto Melo A P, Nunes de Oliveira H, Elkington Kb et al. HIV, syphilis, and hepatitis B and C prevalence among patients with mental illness: a review of the literature Cad. Saúde Pública, Rio de Janeiro, 24 Sup 4: S607-S620, 2008. |
| [15] | Billau C., Charrel C-L., Duhem S., Plancke L., Defromont L. Statut du dépistage organisé des cancers dans une population présentant des «troubles psychiques graves». [Status of organized cancer screening in a population with "severe mental disorders"] French Journal of Psychiatry, Volume 1, Supplement, 2018, Pages S142-S143. |
| [16] | Nechama W. Greenwood, J. Wilkinson. Sexual and Reproductive Health Care for Women with Intellectual Disabilities: A Primary Care Perspective. Hindawi Publishing Corporation, International Journal of Family Medicine Volume2013, ArticleID642472, 8 pages http://dx.doi.org/10.1155/2013/642472 |
| [17] | Adohinzin C C Y, Meda N, Ouédraogo G A, Belem AM G, Sombie I, Berthé A et al. Knowledge and attitude of young people regarding HIV prevention and unwanted pregnancy in Bobo-Dioulasso, Burkina Faso. S. F. S. P. «Santé Publique», 2016; 4 Vol. 28: pages 525 à 534. Article disponible en ligne à l'adresse: https://www.cairn.info/revue-santepublique-2016-4-page-525.htm |
| [18] | UNFPA. La planification familiale: une pratique déterminante pour l’atteinte du dividende démographique. 2018. [UNFPA. Family Planning: A Critical Practice for Achieving the Demographic Dividend. 2018]. |
| [19] | Singaré K. Les violences sexuelles prises en charge au service de gynécologie obstétrique du chu de Bouaké: aspects épidémiologiques, cliniques et thérapeutiques. Thèse Méd. Univ Bouaké; 2021: n° 1074. [Sexual violence treated in the obstetrics and gynaecology department of the Bouaké University Hospital: epidemiological, clinical and therapeutic aspects]. |
APA Style
Medard, K. A., Francois, D. B. D., Michèle, S. Y. M., Emeric, K., Sylvie, A. A., et al. (2024). Assessment of the Supply and Needs of Sexual and Reproductive Health Services for Women of Childbearing Age at the Bouake Psychiatric Hospital. American Journal of Psychiatry and Neuroscience, 12(1), 1-5. https://doi.org/10.11648/j.ajpn.20241201.11
ACS Style
Medard, K. A.; Francois, D. B. D.; Michèle, S. Y. M.; Emeric, K.; Sylvie, A. A., et al. Assessment of the Supply and Needs of Sexual and Reproductive Health Services for Women of Childbearing Age at the Bouake Psychiatric Hospital. Am. J. Psychiatry Neurosci. 2024, 12(1), 1-5. doi: 10.11648/j.ajpn.20241201.11
AMA Style
Medard KA, Francois DBD, Michèle SYM, Emeric K, Sylvie AA, et al. Assessment of the Supply and Needs of Sexual and Reproductive Health Services for Women of Childbearing Age at the Bouake Psychiatric Hospital. Am J Psychiatry Neurosci. 2024;12(1):1-5. doi: 10.11648/j.ajpn.20241201.11
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.ajpn.20241201.11,
author = {Koua Asseman Medard and Djo Bi Djo Francois and Silue Yegnigui Marie Michèle and Konandri Emeric and Akpa Akme Sylvie and Sreu Eric and Koffi Danmaukan Dimitri Kevin},
title = {Assessment of the Supply and Needs of Sexual and Reproductive Health Services for Women of Childbearing Age at the Bouake Psychiatric Hospital},
journal = {American Journal of Psychiatry and Neuroscience},
volume = {12},
number = {1},
pages = {1-5},
doi = {10.11648/j.ajpn.20241201.11},
url = {https://doi.org/10.11648/j.ajpn.20241201.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20241201.11},
abstract = {Women Living with Mental Illness and Epilepsy (PVMME) represent a highly vulnerable minority. This population presents more risky sexual behaviors including early sexual intercourses, non-systematic use of condoms and ignorance of the serological status of their sexual partners. They present a high risk of unwanted pregnancy due to the low level of accessibility to sexual and reproductive health services. The results of this study are based on the exploitation of primary datas obtained during surveys of an exhaustive sample of 154 women living with mental illness or epilepsy in the psychiatric hospital of Bouake. This prospective cross-sectional study, with a descriptive aim, took place over a period of three (03 months) from January 17 to April 17, 2022. The age group between 20-39 years was the most represented with an average age of 34.5 years. They lived in urban areas with secondary education, unemployed and single. It appears that acute psychotic disorders (35.06%) and anxiety disorders (23.06%) 38%) are the most prevalent pathologies. Among these women, 84.42% were not made aware of contraceptive methods and family planning. 57.79% considered it necessary to be on contraceptives given their state of mental health. However, 29.22% of patients claimed to have contracted one or more unwanted pregnancies with cases of abuse and violence.
},
year = {2024}
}
TY - JOUR T1 - Assessment of the Supply and Needs of Sexual and Reproductive Health Services for Women of Childbearing Age at the Bouake Psychiatric Hospital AU - Koua Asseman Medard AU - Djo Bi Djo Francois AU - Silue Yegnigui Marie Michèle AU - Konandri Emeric AU - Akpa Akme Sylvie AU - Sreu Eric AU - Koffi Danmaukan Dimitri Kevin Y1 - 2024/01/08 PY - 2024 N1 - https://doi.org/10.11648/j.ajpn.20241201.11 DO - 10.11648/j.ajpn.20241201.11 T2 - American Journal of Psychiatry and Neuroscience JF - American Journal of Psychiatry and Neuroscience JO - American Journal of Psychiatry and Neuroscience SP - 1 EP - 5 PB - Science Publishing Group SN - 2330-426X UR - https://doi.org/10.11648/j.ajpn.20241201.11 AB - Women Living with Mental Illness and Epilepsy (PVMME) represent a highly vulnerable minority. This population presents more risky sexual behaviors including early sexual intercourses, non-systematic use of condoms and ignorance of the serological status of their sexual partners. They present a high risk of unwanted pregnancy due to the low level of accessibility to sexual and reproductive health services. The results of this study are based on the exploitation of primary datas obtained during surveys of an exhaustive sample of 154 women living with mental illness or epilepsy in the psychiatric hospital of Bouake. This prospective cross-sectional study, with a descriptive aim, took place over a period of three (03 months) from January 17 to April 17, 2022. The age group between 20-39 years was the most represented with an average age of 34.5 years. They lived in urban areas with secondary education, unemployed and single. It appears that acute psychotic disorders (35.06%) and anxiety disorders (23.06%) 38%) are the most prevalent pathologies. Among these women, 84.42% were not made aware of contraceptive methods and family planning. 57.79% considered it necessary to be on contraceptives given their state of mental health. However, 29.22% of patients claimed to have contracted one or more unwanted pregnancies with cases of abuse and violence. VL - 12 IS - 1 ER -
Medical Sciences Training and Research Unit, Alassane Ouattara University, Bouake, Ivory Coast; Bouaké Psychiatric Hospital, Ministry of Health, Public Hygiene and Universal Health Coverage, Bouake, Ivory Coast
Medical Sciences Training and Research Unit, Alassane Ouattara University, Bouake, Ivory Coast; Bouaké Psychiatric Hospital, Ministry of Health, Public Hygiene and Universal Health Coverage, Bouake, Ivory Coast
Medical Sciences Training and Research Unit, Alassane Ouattara University, Bouake, Ivory Coast; Bouaké Psychiatric Hospital, Ministry of Health, Public Hygiene and Universal Health Coverage, Bouake, Ivory Coast
Department of Geography, Alassane Ouattara University, Bouake, Ivory Coast
