A project on health education and heallh services regarding human reproduction and contraception among adolescents was carried out in 1987-1988. It was conducted by the family Planning Unit of the Department of Obstetrics and Gynecology, Faculty of Medicine, Khon Kaen University, with the support of the United Nations Population Fund. The project design was a longitudinal, prospective study. A total of 5,651 students (2,875 male and 2,776 female) from three vocational schools in Khon Kaen were recruited as the target population, ranging in age from 15 to 26 years. For the health services, special adolescent clinics were set up in schools, in Khon Kaen City and in Srinagarind (University) Hospital. A total of 761 students (13.5%) in the project used the services. Seventy-five percent of the students who came to the clinics came for counselling on sex-related health matters and 25% for general health. Males came twice as often as females. Forty-one percent of the students requested birth control, 16.1% came for sexually-transmitted disease treatment and 9% came for counselling on unwanted pregnancies. Fewer students living with their families (parents) came for health counselling than those living independently.
Abstract Blackground : Menopause is the period of life after complete cessation of ovarian function. In this period, many physiologic changes occur as process of aging. Studying about menopausal symptoms in woman attending at the Menopausal Clinic provides basic information and will be useful in developing appropriate medical and health care services. Objective : To study menopausal symptoms among women attend at the Menopausal Clinic Srinagarind Hospital. Design : Descriptive study Setting : Menopausal Clinic, Srinagarind Hospital. Faculty of Medicine Khon Kaen University. Method ; One t housand and two hundred twenty-one records of menopausal women both natural and surgical menopause, attending the menopausal clinic at Srinagarind hospital during January 1997 to December 2006 were reviewed. Natural menopause was divided into 2 subgroups, peri-menopausal group and post-menopausal group. The results were expressed as mean value + standard deviation (SD). Chi-Square test were used for statistical comparison. The level of statistical significance was chosen as p< 0.05. Results : Mean age of the subjects were 51.53 + 6.05 years, 52.82% were post- menopausal group. Mean age of natural menopause was 48.76 + 4.33 years. The three most menopausal symptoms were forgetfulness (90.90%), muscle/joint pains (87.05%) and tiredness (83.12%). Hot flushes was significant higher in surgical menopausal women (70.7%) than natural menopausal groups. Those in natural menopause, moody and decreasing sexual desire were more presented in peri-menopausal women (87.6% and 75.5 % repectively) while vaginal dryness were mostly presented in post- menopausal group (62.8 % ). Conclusion : The three most common menopausal symptoms were forgetfulness, muscle/joint pains and tiredness. Hot flushes was significant higher in surgical menopausal women than those in natural menopause. Moody and decreasing sexual desire were more presented in peri-menopausal women while vaginal dryness were mostly presented in post- menopausal group. Key word : Menopausal symptoms, hot flush, sexual desire, vaginal dryness.
<em>Objectives</em>. To determine the prevalence of urogenital symptoms (vaginal dryness, dyspareunia, urinary incontinence) and assess patient’s consultation rate and desire for treatment. <em>Design and Methods.</em> This study was prospective descriptive study, performed with the participation of 125 women who presented in menopausal clinic, Srinagarind Hospital. Women completed the questionnaire including questions about their demographic properties and were interviewed by pre-validated questionnaire and in-depth interview to determine the prevalence of urogenital symptoms, consultation rate and patient’s desire for treatment. <em>Results</em>. The mean age of the participants was 57.1 years. Vaginal dryness was found to be the most common postmenopausal urogenital symptoms (71.2%), followed by urinary incontinence (62.4%) and dyspareunia (52.0%). The consultation rates were 62.2% in vaginal dryness, 46.2% in dyspareunia and 38.5% in urinary incontinence. Patient’s desire for treatment was 66.7% in vaginal dryness, 62.1% in dyspareunia and 53.8% in urinary incontinence. <em>Conclusions</em>. Urogenital symptoms are highly prevalent. Physicians need to improve patient-physician communication and increase their attention to these symptoms and their patient’s attitudes to improve patient’s quality of life.
The project AIDS Prevention Strategies for Rural Families in Northeastern Thailand aimed to find effective strategies for AIDS education for rural families to promote non-risk behavior, non-discrimination while supporting care for individuals with HIV/AIDS in their families and in the community; to provide opportunities for family members, community leaders and HIV/AIDS organizations to cooperate, exchange ideas, and to participate in campaigns at the community level; and, to find appropriate media to improve the knowledge, understanding and awareness of HIV/AIDS among rural families. Data was collected through interviews by questionnaires, group discussions and in-depth interviews in two districts in the target province. A comparison of pre- and post test data analyzing knowledge of HIV transmission, AIDS prevention and treatment, attitudes and motivations, prevention behavior and women's empowerment all showed a significant improvement in all the above areas for the trial population.
The project aimed to conduct a pilot study and intervention trials among youths in a factory of Khon Kaen. After contacting and obtaining agreement from owners/managers of factories, a survey using a self administered questionnaire, in-depth interview and focus group with workers to determine their level of knowledge and awareness of AIDS and high risk behaviour. A series of in-depth interviews with 16 workers and group discussion with 8 groups were conducted to find out their possible motivation for prevention and their acceptance of interventions/media. The data was used as a baseline for evaluating change after interventions and to modify the intervention education strategies and content. The study showed that the groups of factory workers which were not involved in the AIDS prevention had a different level of knowledge, attitudes, and behavior related to AIDS prevention than the groups which received the intervention and the methods used in the intervention achieved a level of success. The information we collected also showed that the best kinds of media for this purpose were videos and informational cartoons, which were also of special interest to the study group. It is hoped that the models will be adopted by relevant government and non-government agencies to be used in factories throughout the country.This article presents the results of the pilot study and intervention trials conducted among youths in a factory in Khon Kaen, Thailand. A survey using a series of self-administered questionnaire, in-depth interview, and focus group was carried out to determine the level of knowledge and awareness of AIDS and high-risk behavior of the workers. To find out their possible motivation for prevention and acceptance for intervention, 16 workers underwent in-depth interviews and 8 other groups held discussions. The control group (from another factory) that did not receive the intervention was studied as well. The data was used as a baseline for evaluating change after interventions and to modify the intervention education strategies and content. Findings showed that most of the people in groups which received the intervention had better knowledge, attitudes and behavior related to AIDS-prevention than groups which had not yet received the intervention. This shows that the methods used in the intervention achieved a level of success. The information collected also showed that the best kinds of media for this purpose were videos and informational cartoons, which were also of special interest to the study group. It is hoped that the intervention models will be adopted by relevant government and non-government agencies to be used in factories throughout the country.
The fetal biparietal diameters (BPD) between 12 th and 40 th weeks were measured by two ultrasonologists, using a Hitachi model 50 A, at Srinagarind Hospital during October 1987-March 1990. The measurements that were confirmed gestational age by paediatricians after births were 565 occasions in 409 newborns. The gestational ages were based on the history of the last menstrual period and the correlated fundal height. No medical, surgical or obstetrical complication was found during these pregnancies. The mean increase in the BPD between the 12 th and 28 th weeks, the 29 th and 35 th weeks, the 36 th and 39 th weeks were 3.16 ± 0.9, 1.95 ± 1.2 and 0.61 ± 0.6 mm./mk. respectively. The growth of BPD in this study followd the curves similar to those in Western countries in the third trimester. The growth of BPD in this study compared with in country study was similar to Chula’s study but it was more than Health Promotion Center 4’s study.
Brothel workers in Thailand are at high risk of HIV infection but they alone do not have adequate bargaining power to insist on condom use with all clients. Brothel managers, on the other hand, are a source of influence over both clients and their workers and can promote universal condom use in their establishments. To test whether brothel managers in Khon Kaen City would adopt and successfully implement a condom-only policy in their establishments, all 24 brothel managers in Khon Kaen City attended a meeting on the dangers of HIV and benefits of an all-condom policy. Ideas on how to implement the policy were discussed. Follow-up visits were made once a month to brothels to resupply condoms, provide reinforcement and to collect data. All brothel managers approved of the condom-only in principle and are now implementing the policy. Results of the evaluation of condom use and degree of solidarity in these 24 brothels are available for the AIDS prevention programme. However, a condom-only policy in brothels can only succeed if managers and brothel workers show solidarity in rejecting all noncondom using clients. Laws to promote condom use may not be needed if brothels are given the opportunity to implement a condom-only policy using their own resourcefulness and determination.
