Knowledge of Sexually Transmitted Infections amongst Pregnant Women Attending Antenatal Clinics in West Coast Region of The Gambia

Aru-Kumba Baldeh, Alphonsus R. Isara


Sexually Transmitted Infections (STIs) during pregnancy remain a public health concern especially in developing countries including The Gambia. This study assessed the knowledge of STIs and its associated factors amongst pregnant women attending antenatal clinics in West Coast region of The Gambia. A descriptive cross-sectional study design was used. Two hundred and eighty pregnant women attending antenatal care in Brikama District Hospital, Brikama, and Bandung Maternity and Child Health Hospital, Bandung, who gave their consent, participated in this study. The instrument for data collection was an interviewer administered questionnaire. Data was analyzed using IBM SPSS for Windows, version 21.0. Level of significance was set at p < 0.05. All the respondents were aware of HIV/AIDS and their main source of information was from health care providers. However, most of them 263 (93.9%) had poor knowledge of STIs. Level of education (p < 0.001) and employment status (p = 0.001) had significant association with level of knowledge of STIs. This study also identified low level of education [AOR: 0.04 (95% CI: 0.01 – 0.35)], and unemployment [AOR:21.97 (95% CI: 1.57 – 306.65)] as statistically significant predictors of low level of knowledge of STIs amongst the respondents. There is need for mass media campaigns and other public health measures aimed at increasing knowledge of STIs as this will herald effective intervention strategies towards the prevention of STIs. (Afr J Reprod Health 2019; 23[3]: 49-56).

Full Text:



Msuya SE, Uriyo J, Hussain A, Mbizvo EM, Jeansson S,

Sam NE and Stray-Pedersen B. Prevalence of Sexually

Transmitted Infections among pregnant women with

known HIV status in Northern Tanzania.Reprod Health.

; 6:4. doi: 10.1186/1742-4755-6-4.

Minichiello V, Rahman S and Hussain R. Epidemiology of

Sexually Transmitted Infections in global indigenous

populations: data availability and gaps. Int J STD AIDS.

; 24(10):759-768.

Masha SC, Wahome E, Vaneechoutte M, Cools P, Crucitti T

and Sanders EJ. High prevalence of curable sexually

transmitted infections among pregnant women in a rural

county hospital in Kilifi, Kenya. PLoS One. 2017;12(3):

e0175166. doi: 10.1371/journal.pone.0175166.

World Health Organization. Global prevalence and

incidence of selected curable sexually transmitted

infections: overview and estimates. Geneva: WHO;

World Health Organization: Sexually Transmitted

Infections(STI). 2016. Available from

Accessed as at 26th February 2018.

World Health Organization. Global Health Risks: Mortality

and Burden of Disease. 2009 Attributable to Selected

Major Risks. Available from as at 12th

December 2017.

Centre for Disease Control and Prevention. Sexually

Transmitted Diseases. Available from

htm. Accessed 26th February 2018

World Health Organization. Prevalence and incidence of

selected sexually transmitted infections, Chlamydia

trachomatis, Neisseria gonorrhoeae, syphilis and

Trichomonas vaginalis: methods and results used by

WHO to generate 2005 estimates, 2011. Available from

_eng.pdf Accessed 23rd May 2019.

Tang VA and Rosenthal KL. Intravaginal Infection with

Herpes Simplex Virus Type-2 (HSV-2) Generates a

functional Effector Memory T Cell Population That

Persists in the Murine Genital Tract. J Reprod Immunol.

; 87:39-44.

Rours G I, Duijts L, Moll HA, Arends LR, de Groot R,

Jaddoe VW, Hofman A, Steegers EA, Mackenbach JP,Ott A, Willemse HF, van der Zwaan EA, Verkooijen

RP and Verbrugh HA.Chlamydia trachomatis infection

during pregnancy associated with preterm delivery.

Euro J Epidemiol. 2011; 26(6): 493-502.

National Institutes of Health. How do sexually transmitted

diseases and sexually transmitted infections

(STDs/STIs) affect pregnancy. 2017 Available from

nfo/infant. Accessed 15th December 2017.

The American College of Obstetricians and Gynecologists.

Frequently asked questions. Gynecological problems.

May 2011 FAQ009. How to prevent sexually

transmitted diseases. Available from Patients/faq009.pdf External Web Site Policy

Medline Plus. Genital herpes. September 12th

Available at 10th September 2017.

Shaw M, van der Sande M, West B, Paine K, Bailey R,

Walraven G and McAdam K. Prevalence of herpes

simplex type 2 and syphilis serology among young

adults in a rural Gambian community. Sex Transm Inf.

; 77:358–365.

Mboto CI, Fielder M, Russell A and Jewell AP. Prevalence

of HIV-1, HIV-2, Hepatitis C and Co-Infection in The

Gambia. WAJM. 2009; 28(1):304-307.

Lujan J, de Onate WA, Delva W, Claeys P, Sambola F,

Temmerman M, Fernando J and Folgosa E. Prevalence

of Sexually Transmitted Infections in Pregnant Women

Attending Antenatal Care in Tete province,

Mozambique. S Afr Med J. 2008; 98(1): 49-51.

Svenkerud BA and Isachsen K. Knowledge of sexually

transmitted infections among women attending primary

health care clinics in Moshi, Tanzania. 2009 Available



Nour NM. Child Marriage: A Silent Health and Human

Rights Issue. Rev Obstet Gynecol. 2009; 2(1): 51-56.

Alsammani MA and Ahmed RS. Grand Multiparity: Risk

Factors and Outcome in a Tertiary Hospital: A

Comparative Study. Mater Sociomed. 2015; 27(4): 244-

Manyahi J, Jullu BS, Abuya MI, Juma J, Ndayongeje J,

Kilama B, Sambu V, Nondi J, Rabiel B, Somi G and

Matee MI. Prevalence of HIV and syphilis infections

among pregnant women attending antenatal clinics in

Tanzania. BMC Public Health. 2015; 15: 501. doi:


Adeneye AK, Mafe MA, Adeneye AA, Salami KK, Brieger

WR and Musbau A. Knowledge and perception of

HIV/AIDS among pregnant women attending antenatal

clinics in Ogun State, Nigeria. AJAR. 2009; 5(3): 273-


  • There are currently no refbacks.