Original Research

Prevalence of genital Chlamydia trachomatis among women of reproductive age attending outpatient clinic at Kisumu County Referral Hospital, Kenya, 2021

Martha Nyakambi, Anthony Waruru, Adesina Oladokun
Journal of Public Health in Africa | Vol 13, No 3 | a460 | DOI: https://doi.org/10.4081/jphia.2022.2063 | © 2024 Martha Nyakambi, Anthony Waruru, Adesina Oladokun | This work is licensed under CC Attribution 4.0
Submitted: 11 April 2024 | Published: 07 September 2022

About the author(s)

Martha Nyakambi, Pan African University, Life and Earth Sciences Institute (Including Health and Agriculture), Ibadan, Nigeria
Anthony Waruru, Public Health Specialist, Epidemiologist, Kenya
Adesina Oladokun, University of Ibadan, Ibadan, Nigeria; Kisumu County Referral Hospital, Kisumu, Kenya

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Background. Chlamydia trachomatis is a common a sexually transmitted infections (STI). Asymptomatic Chlamydia is undetectable because it is asymptomatic. In Kenyan women ages 18 to 49, the disease is poorly understood.

Methods. This cross-sectional study was conducted at Kisumu County Referral Hospital, Kenya. 385 women consented and completed the electronic questionnaire. The women then provided vaginal swab samples which were tested for Chlamydia trachomatis using Chlamydia rapid diagnostic test kit.

Results. A total of 29 (7.5%) patients tested positive and were given medication. 65.2% of 385 participants were 18-25, with 5.7% prevalence. Women preferred self vaginal swab collection over health worker collection (0.3%). Multiple sexual partners, coinfection with other STIs, and upper tract infections are linked to genital Chlamydia. 92% of participants didn’t know Chlamydia’s effects.

Conclusions. The study’s prevalence of genital Chlamydia trachomatis was within previous estimates. Populations and screening methods vary. Patient and community education about genital Chlamydia infection is needed. Multiple sexual partners, marital status, education, and STI history are risk factors. Most women preferred self vaginal swab collection.


Chlamydia Rapid Diagnostic Test; Sexually-active women; Kenya


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