Public Health System’s Preparedness to Address Polycystic Ovarian Syndrome: A Rapid Assessment Survey of Health-care Providers in India

Author:

Joshi Beena Nitin1,Shaikh Sharmeen Akhtar2,Shukla Amlin3,Ganie Mohd. Ashraf4,Wani Imtiyaz Ahmad5,Suri Vanita6,Malhotra Neena7,Agarwal Sarita8,Chowdhury Subhankar9,Bhattacharya Prasanta Kumar10,Sahay Rakesh Kumar11,Rozati Roya12,Jabbar Puthiyaveettil Khadar13,Nair Abilash14,Kulkarni Bharti15,Rashid Aafia16,Khajuria Sunny17,Rajput Monica18,Meshram Gaivee Vinam18,Chowdhury Shouvik19,Bamon Rahul Harish20,Pasha Muhammed Shahid21,Begum Farhana22,Aravind Manoj Rema23,Arora Taruna24

Affiliation:

1. Scientist F, Department of Operational and Implementation Research, ICMR National Institute for Research in Reproductive and Child Health, Mumbai, Maharashtra, India

2. Project Junior Medical Officer, Department of Operational and Implementation Research, ICMR National Institute for Research in Reproductive and Child Health, Mumbai, Maharashtra, India

3. Scientist D, Reproductive Biology, Maternal and Child Health Division, Indian Council of Medical Research, India

4. Professor and Sub Dean Research, Department of Endocrinology and Clinical Research, Sher-I- Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India

5. Scientist D, Department of Endocrinology and Clinical Research, Sher-I- Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India

6. Professor and Head, Department of Obstetrics and Gynaecology, Postgraduate Institute of Medical Education and Research, Chandigarh, India

7. Professor, Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India

8. Professor and Head, Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India

9. Professor and Head, Department of Endocrinology and Metabolism, Institute of Postgraduate Medical Education and Research, Kolkata, West Bengal, India

10. Professor and Head, Department of General Medicine, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India

11. Professor, Department of Endocrinology, Osmania Medical College, Hyderabad, Telangana, India

12. Professor and Head, Department of Endocrinology, Osmania Medical College, Hyderabad, Telangana, India

13. Professor and Head, Department of Endocrinology, Government Medical College, Thiruvananthapuram, Kerala, India

14. Assistant Professor, Department of Endocrinology, Government Medical College, Thiruvananthapuram, Kerala, India

15. Scientist G and Head, Division of Reproductive Biology, Maternal and Child Health, Indian Council of Medical Research, New Delhi, India

16. Scientist, Department of Endocrinology and Clinical Research, Sher-I- Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India

17. Project Junior Medical Officer, Department of Obstetrics and Gynaecology, Postgraduate Institute of Medical Education and Research, Chandigarh, India

18. Project Junior Medical Officer, Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India

19. Project Junior Medical Officer, Department of Endocrinology and Metabolism, Institute of Postgraduate Medical Education and Research, Kolkata, West Bengal, India

20. Project Junior Medical Officer, Department of Community Medicine, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India

21. Project Junior Medical Officer, Department of Endocrinology, Osmania Medical College, Hyderabad, Telangana, India

22. Project Junior Medical Officer, Department of Obstetrics and Gynaecology, Maternal Health and Research Trust, Hyderabad, Telangana, India

23. Project Junior Medical Officer, Department of Endocrinology, Government Medical College, Thiruvananthapuram, Kerala, India

24. Scientist C, Reproductive Biology, Maternal and Child Health, Indian Council of Medical Research, New Delhi, India

Abstract

Background: Polycystic ovarian syndrome (PCOS) is one of the most common endocrine disorders largely affecting women of reproductive age group. Objectives: This study aimed to understand the Indian public health-care systems’ preparedness in addressing PCOS. Materials and Methods: A multicentric rapid assessment cross-sectional study was undertaken among 173 health-care providers serving across various public health-care facilities in India. This study was a component of a larger task force study that aimed to estimate the community-based prevalence of PCOS in India. Information on PCOS cases reported that knowledge about PCOS diagnosis, management practices, availability of diagnostic facilities, and drugs was explored. Results: Irregular menstrual cycle was the most commonly reported PCOS symptom. Most of the health-care providers (HCPs) lacked correct knowledge about diagnostic criteria and investigation needed for the diagnosis of PCOS. Diagnostic facilities and drugs were inadequate. However, some facilities had access to investigations through public–private partnerships. Awareness programs on PCOS in the community were negligible, and PCOS cases were not documented. Training HCPs on PCOS along with the availability of specialists and strengthening diagnostic facilities were some major demands from the HCPs. Conclusion: Results suggest the need for training HCPs, strengthening infrastructure with good referral linkages, and adequate supply of drugs to help improve PCOS management at public health-care facilities in India. There is a need to develop national technical and operational guidelines to address PCOS using a multidisciplinary approach across all levels of care. Creating demand for services and advocating healthy lifestyles through community awareness can help early diagnosis and prevention of complications.

Publisher

Medknow

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