ABSTRACT

The most common and hidden, Gynecological morbidity which affect

millions of women worldwide is uterine prolapse and uterine prolapse impairs the

health related quality of life of individuals. The present study is intended to assess the

knowledge and barriers of health seeking behavior on uterine prolapse among married

women in the selected rural areas of Shahjhanpur district .The objectives of the

study are to assess the knowledge regarding uterine prolapse among married women,

identify the barriers of health seeking behavior on uterine prolapse among married

women, find the correlation between knowledge and barriers of health seeking

behavior on uterine prolapse among married women, find the association between

knowledge regarding uterine prolapse and selected socio-personal variables, find the

association between barriers of health seeking behavior on uterine prolapse and

selected socio-personal variables and prepare an information booklet on uterine

prolapse and its prevention. The conceptual framework adopted was based on

Rosenstock and Beckers Health Belief Model. A quantitative non-experimental

approach and descriptive survey design was used for the study. The tool used was an

interview schedule and five point rating scale to assess the knowledge and barriers of

health seeking behaviour on uterine prolapse. The sample consisted of 371 married

women between 30-60yrs of age in rural areas of Shahjhanpur . Data collection period

was from 31.01.17 to 18.03.17. The information booklet was distributed to all

subjects. The data were analyzed using descriptive and inferential statistics. The

results revealed that the subjects have moderate knowledge (54.99%) and mild

barriers of health seeking behavior (40.33%)on uterine prolapse. There is significant

moderate negative correlation between knowledge and barriers of health seeking

behavior on uterine prolapse

among married women. (r = -0.325 p<0.001). A significant association between

knowledge score regarding uterine prolapse and selected socio personal variables such as

education, occupation, type of family, monthly income of family, exposure to source of

information on uterine prolapse. A significant association between barriers of health

seeking behavior and selected socio personal variables such as education, occupation,

types of family, monthly income of family, number of children and exposure to source of

information on uterine prolapse. The study concludes that giving proper and timely health

education, can transform an individual/familys health beliefs, attitudes and concepts.

Hence effort to address the problem of uterine prolapse is very important for its

prevention and to overcome barriers in early treatment seeking behavior.

Keywords: Knowledge; Barriers; Health seeking behavior; Uterine prolapse;

Women.
 TABLE OF CONTENTS
List of tables
List of figures/ graphics
List of appendices

Chapters No Title Page No.

1 INTRODUCTION 1-21

2 REVIEW OF LITERATURE 22-40

3 METHODOLOGY 41-55

4 ANALYSIS AND INTERPRETATION 56-77

5 RESULTS 78-83

6 DISCUSSION, SUMMARY AND CONCLUSION 84-100

REFERENCES 101-109

APPENDICES 110-142
 LIST OF TABLES
Sl No. Title Page No.

1 Interpretation of knowledge score. 48

2 Interpretation of barrier rating 49

3 Distribution of sample according to age, religion, 57

education and occupation

4 Assessment of knowledge score regarding uterine 66

prolapse among married women

5 Mean, SD, and mean percentage of knowledge score 67

regarding uterine prolapse among married women

6 Assessment of barrier of health seeking behaviour 68

score on uterine prolapse among married women

7 Area wise mean, SD, mean percentage of barriers of 69

health seeking behaviour on uterine prolapse among

married women.

8 Correlation between knowledge and barriers of health 71

seeking behaviour on uterine prolapse among married

women.

9 Significance of Association between knowledge on 73

uterine prolapse among married women and selected

socio personal variables.

10 Significance of Association between barriers of health 76

seeking behaviour on uterine prolapse among married

women and selected socio personal variables

 LIST OF FIGURES

Sl No. Figures Page No.

1 Conceptual framework based on Rosen stock and 21

Beckers Health Belief Model

2 Schematic representation of the study 44

3 Distribution of samples according to marital status 59

4 Distribution of samples based on type of family 60

5 Distribution of samples according to monthly income 61

of family

6 Distribution of samples according to number of 62

children

7 Distribution of samples according to exposure to 63

source of Information on uterine prolapse

8 Distribution of sample based on source of information 64

regarding uterine prolapse

9 Distribution of sample based on family history of 65

uterine prolapse.

10 Distribution of sample based on history of uterine 65

prolapse and family member affected with uterine

Prolapse
 LIST OF APPENDICES

Appendices Page No.

Section A- English
List of Abbreviations 110

Criteria checklist for validation of the tool 111

Tool I - Structured interview schedule to assess the knowledge 115
on uterine prolapse among married women
Answer Key 122

Blue print of Tool I 123

Tool II-Rating scale to assess the barriers of health seeking 124
behaviour on uterine prolapse among married women.
Scoring and rating. 128
Information booklet 132