Abstract:
Objective: Vulvo-vaginal discharge, which is a common gynaecological complaint, can be a normal phys- iological
discharge or a symptom of an underlying reproductive tract infection, genital tract neoplasm, or other reproductive
tract disorder. It is pertinent to differentiate physiological discharge from a pathological vulvo-vaginal discharge in
order to prevent complications of untreated reproductive tract infections. Women are not seeking health advices
for most of their gynaecological health issues and have different cultural practices to manage them. This study was
conducted to explore the different cultural practices associated with vulvo-vaginal discharge among females aged
18–49 years living in an estate community in Colombo district, Sri Lanka.
Methods: This descriptive qualitative study used three Focus Group Discussions (FGDs) with a total number of 20
women. Transcribed verbatim data were analyzed using qualitative content analysis.
Results: Majority of the participants were Indian Tamils (n = 17, 85%) and Hindu (n = 15, 75%). Most (65%) of
women were employed in the estate labour and educated up to grade 11 (n = 13). The major themes identified in
the present study were difficulty in differentiating normal from abnormal vaginal discharge, lack of knowledge on
causative factors, cultural influences and beliefs, unstable/limited source of income, fear of disclosing, and lack
of support system. Many participants explained that they have difficulty in accessing health care as they are busy
with their employment, household work, fear of internal examination, and fear of being admitted to the hospital
ward. The common practice was to use home remedies such as polpala herbal drink (Balipoovu, Aerva lanata) or
Neeramulliya (Asteracantha longifolia Linn) herbal drink, king coconut, Sauw (sago) Kanji, Uluhal (Fenugreek), and
Aloe vera juice prior consulting medical advice for abnormal vaginal discharge.
Conclusions: The findings of this study revealed the need of support for women in estate sector for their reproductive and sexual health matters. There is a high need of public health care worker’s guidance and counselling to
overcome barriers for health care utilization in this community.
