{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T06:22:45Z","timestamp":1791354165556,"version":"4.3.1"},"reference-count":70,"publisher":"Public Library of Science (PLoS)","issue":"11","license":[{"start":{"date-parts":[[2022,11,7]],"date-time":"2022-11-07T00:00:00Z","timestamp":1667779200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Merck Global Health Institute"}],"content-domain":{"domain":["www.plosntds.org"],"crossmark-restriction":false},"short-container-title":["PLoS Negl Trop Dis"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Female genital schistosomiasis (FGS) is a neglected manifestation of urogenital schistosomiasis caused by\n                      <jats:italic>S<\/jats:italic>\n                      .\n                      <jats:italic>haematobium<\/jats:italic>\n                      . The disease presents with symptoms such as pelvic pain, vaginal discharge and bleeding and menstruation disorders, and might lead to infertility and pregnancy complications. The perspectives of women with FGS have not been studied systematically. The aim of the study was to understand knowledge, experiences, and practices of women with FGS.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a qualitative study with seventy-six women diagnosed of having FGS, in the Ambanja district in Northwest Madagascar. Data collection was either through focus group discussion (N = 60) or in an individual semi-structured interview (N = 16). FGS was diagnosed by colposcopy. The data was analysed using Mayring\u00b4s qualitative content analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Knowledge on how the disease is acquired varied and ideas on prevention remained vague. Patients suffered from vaginal discharge and pelvic complaints. Some women expressed unbearable pain during sexual intercourse and compared their pain to an open wound being touched. FGS considerably impaired women\u00b4s daily activities and their quality of life. Infertility led to resignation and despair, conflicts with the partner and to social exclusion from the community. Women fearing to sexually transmit FGS refrained from partnership and sexual relations. Many women with FGS reported stigmatisation. A coping strategy was to share strain with other women having similar complaints. However, concealing FGS was a common behaviour which led to social isolation and delayed health care seeking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Our study underlines that FGS has an important impact on the sexual health of women and on their social life in the community. Our results highlight the importance of providing adequate health education and structural interventions, such as the supply of water and the provision of sanitation measures. Further, correct diagnosis and treatment of FGS in adolescent girls and women should be available in all\n                      <jats:italic>S<\/jats:italic>\n                      .\n                      <jats:italic>haematobium<\/jats:italic>\n                      -endemic areas.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec005\">\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>\n                      The qualitative study was embedded in a randomised controlled trial (RCT) in which two doses of praziquantel were compared (\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/clinicaltrials.gov\/ct2\/show\/NCT04115072\" xlink:type=\"simple\">https:\/\/clinicaltrials.gov\/ct2\/show\/NCT04115072<\/jats:ext-link>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pntd.0010901","type":"journal-article","created":{"date-parts":[[2022,11,7]],"date-time":"2022-11-07T13:23:43Z","timestamp":1667827423000},"page":"e0010901","update-policy":"https:\/\/doi.org\/10.1371\/journal.pntd.corrections_policy","source":"Crossref","is-referenced-by-count":33,"title":["Knowledge, experiences, and practices of women affected by female genital schistosomiasis in rural Madagascar: A qualitative study on disease perception, health impairment and social impact"],"prefix":"10.1371","volume":"16","author":[{"given":"Angela","family":"Schuster","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bodo Sahondra","family":"Randrianasolo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliva Onintsoa","family":"Rabozakandraina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles Emile","family":"Ramarokoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorthe","family":"Br\u00f8nnum","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hermann","family":"Feldmeier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2022,11,7]]},"reference":[{"issue":"1","key":"pntd.0010901.ref001","first-page":"28","article-title":"Schistosomiasis: health effects on women","volume":"3","author":"NM Nour","year":"2010","journal-title":"Rev Obstet Gynecol"},{"issue":"9","key":"pntd.0010901.ref002","doi-asserted-by":"crossref","first-page":"e485","DOI":"10.1371\/journal.pntd.0000485","article-title":"Schistosomiasis in Africa: an emerging tragedy in our new global health decade","volume":"3","author":"PJ Hotez","year":"2009","journal-title":"PLoS Negl Trop Dis."},{"issue":"7","key":"pntd.0010901.ref003","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1016\/j.ijpara.2016.02.006","article-title":"Female genital schistosomiasis (FGS): from case reports to a call for concerted action against this neglected gynaecological disease","volume":"46","author":"V Christinet","year":"2016","journal-title":"International Journal for Parasitology [Internet]."},{"issue":"3","key":"pntd.0010901.ref004","doi-asserted-by":"crossref","first-page":"364","DOI":"10.4269\/ajtmh.2011.10-0585","article-title":"Urogenital schistosomiasis in women of reproductive age in Tanzania\u2019s Lake Victoria region","volume":"84","author":"JA Downs","year":"2011","journal-title":"Am J Trop Med Hyg"},{"issue":"1","key":"pntd.0010901.ref005","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/S0001-706X(97)00673-6","article-title":"Schistosoma haematobium induced lesions in the female genital tract in a village in Madagascar","volume":"66","author":"P Leutscher","year":"1997","journal-title":"Acta Trop"},{"issue":"1","key":"pntd.0010901.ref006","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1186\/1471-2334-6-134","article-title":"Female genital schistosomiasis as an evidence of a neglected cause for reproductive ill-health: a retrospective histopathological study from Tanzania.","volume":"6","author":"B Swai","year":"2006","journal-title":"BMC Infectious Diseases [Internet]"},{"issue":"6","key":"pntd.0010901.ref007","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1016\/0035-9203(89)90333-7","article-title":"Prevalence of vaginal schistosomiasis caused by Schistosoma haematobium in an endemic village in Niger","volume":"83","author":"G Renaud","year":"1989","journal-title":"Trans R Soc Trop Med Hyg"},{"issue":"3","key":"pntd.0010901.ref008","doi-asserted-by":"crossref","first-page":"1210","DOI":"10.1086\/315345","article-title":"Female genital schistosomiasis of the lower genital tract: prevalence and disease-associated morbidity in northern Tanzania","volume":"181","author":"G Poggensee","year":"2000","journal-title":"J Infect Dis"},{"issue":"4","key":"pntd.0010901.ref009","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1016\/S0001-706X(96)00026-5","article-title":"Female genital schistosomiasis due to Schistosoma haematobium. 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results among women with Schistosoma haematobium infection: a cross-sectional study in Madagascar","volume":"212","author":"BS Randrianasolo","year":"2015","journal-title":"J Infect Dis"},{"issue":"10","key":"pntd.0010901.ref013","doi-asserted-by":"crossref","first-page":"e0000007","DOI":"10.1371\/journal.pgph.0000007","article-title":"Female Genital Schistosomiasis (FGS) in Cameroon: A formative epidemiological and socioeconomic investigation in eleven rural fishing communities.","volume":"1","author":"MC Masong","year":"2021","journal-title":"PLOS Global Public Health [Internet]"},{"issue":"7","key":"pntd.0010901.ref014","doi-asserted-by":"crossref","first-page":"e2974","DOI":"10.1371\/journal.pntd.0002974","article-title":"Eosinophil granule proteins ECP and EPX as markers for a potential early-stage inflammatory lesion in female genital schistosomiasis (FGS)","volume":"8","author":"CE Ramarokoto","year":"2014","journal-title":"PLoS Negl Trop Dis."},{"issue":"6","key":"pntd.0010901.ref015","doi-asserted-by":"crossref","first-page":"2075.e7","DOI":"10.1016\/j.fertnstert.2009.05.043","article-title":"Genital schistosomiasis as a cause of female sterility and acute abdomen","volume":"93","author":"A Schanz","year":"2010","journal-title":"Fertil Steril"},{"issue":"2","key":"pntd.0010901.ref016","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.pt.2011.10.008","article-title":"A review of female genital schistosomiasis","volume":"28","author":"EF Kjetland","year":"2012","journal-title":"Trends Parasitol"},{"issue":"6","key":"pntd.0010901.ref017","doi-asserted-by":"crossref","first-page":"1060","DOI":"10.4269\/ajtmh.2011.11-0135","article-title":"HIV target cells in Schistosoma haematobium-infected female genital mucosa","volume":"85","author":"PM Jourdan","year":"2011","journal-title":"Am J Trop Med 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Mazigo","year":"2021","journal-title":"PLoS Negl Trop Dis."},{"issue":"52","key":"pntd.0010901.ref027","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1080\/09688080.2018.1555422","article-title":"A critical examination of the barriers and social determinants of health impacting the implementation of a national sexual and reproductive health rights curriculum in Madagascar.","volume":"26","author":"R Grant","year":"2018","journal-title":"Reproductive Health Matters [Internet]"},{"issue":"3","key":"pntd.0010901.ref028","first-page":"101","article-title":"Maternal health practices, beliefs and traditions in southeast Madagascar","volume":"18","author":"JL Morris","year":"2014","journal-title":"Afr J Reprod Health."},{"key":"pntd.0010901.ref029","author":"World Bank","year":"2020"},{"key":"pntd.0010901.ref030","author":"J Cole","year":"2010"},{"issue":"9","key":"pntd.0010901.ref031","doi-asserted-by":"crossref","first-page":"1227","DOI":"10.1080\/13691058.2020.1773539","article-title":"\u2018Cleaning the womb\u2019: perspectives on fertility control and menstruation among students in Antananarivo, Madagascar","volume":"23","author":"KA Jansen","year":"2021","journal-title":"Cult Health Sex."},{"issue":"11","key":"pntd.0010901.ref032","doi-asserted-by":"crossref","first-page":"e3229","DOI":"10.1371\/journal.pntd.0003229","article-title":"The colposcopic atlas of schistosomiasis in the lower female genital tract based on studies in Malawi, Zimbabwe, Madagascar and South Africa","volume":"8","author":"HM Norseth","year":"2014","journal-title":"PLoS Negl Trop Dis."},{"key":"pntd.0010901.ref033","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1186\/s41182-017-0062-9","article-title":"High-resolution infrared thermography: a new tool to assess tungiasis-associated inflammation of the skin","volume":"45","author":"A Schuster","year":"2017","journal-title":"Trop Med Health"},{"key":"pntd.0010901.ref034","author":"MQ Patton","year":"1990"},{"issue":"1","key":"pntd.0010901.ref035","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1186\/s12879-018-3122-9","article-title":"Development and psychometric testing of the Knowledge, Attitudes and Practices (KAP) questionnaire among student Tuberculosis (TB) Patients (STBP-KAPQ) in China","volume":"18","author":"Y Fan","year":"2018","journal-title":"BMC Infect Dis."},{"key":"pntd.0010901.ref036","article-title":"A SYSTEMATIC REVIEW OF KAP-O FRAMEWORK FOR DIABETES","author":"TTH Wan","year":"2016","journal-title":"Medical Research Archives [Internet]."},{"key":"pntd.0010901.ref037","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1007\/978-3-658-21308-4_42","volume-title":"Handbuch Methoden der empirischen Sozialforschung [Internet].:","author":"P Mayring","year":"2019"},{"issue":"13","key":"pntd.0010901.ref038","doi-asserted-by":"crossref","first-page":"1802","DOI":"10.1177\/1049732316654870","article-title":"Member Checking: A Tool to Enhance Trustworthiness or Merely a Nod to Validation?","volume":"26","author":"L Birt","year":"2016","journal-title":"Qual Health Res."},{"issue":"6","key":"pntd.0010901.ref039","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups","volume":"19","author":"A Tong","year":"2007","journal-title":"Int J Qual Health Care."},{"issue":"3","key":"pntd.0010901.ref040","doi-asserted-by":"crossref","first-page":"e0000059","DOI":"10.1371\/journal.pgph.0000059","article-title":"\u201cFemale genital schistosomiasis is a sexually transmitted disease\u201d: Gaps in healthcare workers\u2019 knowledge about female genital schistosomiasis in Tanzania. Kamndaya M, editor","volume":"2","author":"HD Mazigo","year":"2022","journal-title":"PLOS Glob Public Health"},{"key":"pntd.0010901.ref041","author":"S Sayed","year":"2015","journal-title":"Impact of seasonal water quality and trophic levels in the distribution of various freshwater snails in four Egyptian governorates"},{"issue":"1","key":"pntd.0010901.ref042","doi-asserted-by":"crossref","first-page":"38.e1","DOI":"10.1016\/j.ajog.2008.06.026","article-title":"Does douching increase risk for sexually transmitted infections? A prospective study in high-risk adolescents","volume":"200","author":"CS Tsai","year":"2009","journal-title":"Am J Obstet Gynecol."},{"issue":"4","key":"pntd.0010901.ref043","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/j.jpag.2004.05.008","article-title":"Vaginal douching among adolescent and young women: more challenges than progress","volume":"17","author":"T Simpson","year":"2004","journal-title":"J Pediatr Adolesc Gynecol"},{"issue":"2","key":"pntd.0010901.ref044","doi-asserted-by":"crossref","first-page":"e9119","DOI":"10.1371\/journal.pone.0009119","article-title":"Intravaginal practices, vaginal infections and HIV acquisition: systematic review and meta-analysis","volume":"5","author":"AM Hilber","year":"2010","journal-title":"PLoS One."},{"issue":"1","key":"pntd.0010901.ref045","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1186\/s12879-021-06380-5","article-title":"Association between cervical dysplasia and female genital schistosomiasis diagnosed by genital PCR in Zambian women","volume":"21","author":"H Rafferty","year":"2021","journal-title":"BMC Infect Dis."},{"issue":"3","key":"pntd.0010901.ref046","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/S0001-706X(01)00086-9","article-title":"Female genital schistosomiasis: facts and hypotheses","volume":"79","author":"G Poggensee","year":"2001","journal-title":"Acta Trop"},{"issue":"12","key":"pntd.0010901.ref047","doi-asserted-by":"crossref","first-page":"1509","DOI":"10.1111\/j.1365-3156.2008.02161.x","article-title":"Female genital schistosomiasis\u2014a differential diagnosis to sexually transmitted disease: genital itch and vaginal discharge as indicators of genital Schistosoma haematobium morbidity in a cross-sectional study in endemic rural Zimbabwe","volume":"13","author":"EF Kjetland","year":"2008","journal-title":"Trop Med Int Health"},{"key":"pntd.0010901.ref048","article-title":"Addressing a Silent and Neglected Scourge in Sexual and Reproductive Health in Sub-Saharan Africa by Development of Training Competencies to Improve Prevention","author":"J Jacobson","year":"2021","journal-title":"Diagnosis, and Treatment of Female Genital Schistosomiasis (FGS) for Health Workers (preprint)."},{"issue":"3","key":"pntd.0010901.ref049","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1007\/s00404-009-1108-y","article-title":"Exploring the feasibility and possible efficacy of mass treatment and education of young females as schistosomiasis influences the HIV epidemic","volume":"281","author":"LE Lillerud","year":"2010","journal-title":"Arch Gynecol Obstet"},{"issue":"9","key":"pntd.0010901.ref050","doi-asserted-by":"crossref","first-page":"1221","DOI":"10.1080\/17441692.2019.1582683","article-title":"A colonial legacy of HIV\/AIDS, NTD, and STI super-syndemics: Eugenicist foreign aid and intertwined health burdens in Nigeria","volume":"14","author":"M Maju","year":"2019","journal-title":"Glob Public Health."},{"issue":"1","key":"pntd.0010901.ref051","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1186\/s40249-017-0264-8","article-title":"Urogenital schistosomiasis and soil-transmitted helminthiasis (STH) in Cameroon: An epidemiological update at Barombi Mbo and Barombi Kotto crater lakes assessing prospects for intensified control interventions","volume":"6","author":"SJ Campbell","year":"2017","journal-title":"Infect Dis Poverty."},{"issue":"5","key":"pntd.0010901.ref052","doi-asserted-by":"crossref","first-page":"422","DOI":"10.3855\/jidc.2122","article-title":"Knowledge, attitudes, perceptions, and practices regarding cutaneous larva migrans in deprived communities in Manaus, Brazil","volume":"6","author":"H Lesshafft","year":"2012","journal-title":"J Infect Dev Ctries."},{"issue":"2","key":"pntd.0010901.ref053","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1080\/09540250902749075","article-title":"\u2018Even with higher education you remain a woman\u2019: a gender perspective on higher education and social change in the Toliara region of Madagascar","volume":"22","author":"M Skjortnes","year":"2010","journal-title":"Gender and Education [Internet]"},{"key":"pntd.0010901.ref054","article-title":"The Social Construction of Infertility.","author":"A Greil","year":"2011","journal-title":"Sociology Department, Faculty Publications [Internet]"},{"issue":"1","key":"pntd.0010901.ref055","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1111\/j.1755-618X.2006.tb00856.x","article-title":"The Continuity and Discontinuity of the Embodied Self in Infertility*.","volume":"43","author":"LH Clarke","year":"2006","journal-title":"Canadian Review of Sociology\/Revue canadienne de sociologie [Internet]"},{"key":"pntd.0010901.ref056","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1186\/1471-2393-13-72","article-title":"Infertility and childlessness: a qualitative study of the experiences of infertile couples in Northern Ghana","volume":"13","author":"PTN Tabong","year":"2013","journal-title":"BMC Pregnancy Childbirth."},{"key":"pntd.0010901.ref057","first-page":"368","volume-title":"Children caring for parents with HIV and AIDS: Global issues and policy responses [Internet].","author":"R Evans","year":"2009"},{"issue":"5","key":"pntd.0010901.ref058","doi-asserted-by":"crossref","first-page":"e237","DOI":"10.1371\/journal.pntd.0000237","article-title":"Stigma and the social burden of neglected tropical diseases","volume":"2","author":"MG Weiss","year":"2008","journal-title":"PLoS Negl Trop Dis."},{"issue":"1","key":"pntd.0010901.ref059","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1186\/s12884-020-02907-x","article-title":"Social concerns related to HIV status disclosure and participation in the prevention of mother-to-child transmission of HIV care among pregnant women in Kenya","volume":"20","author":"B Nordberg","year":"2020","journal-title":"BMC Pregnancy Childbirth."},{"issue":"1","key":"pntd.0010901.ref060","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1186\/s12879-019-3704-1","article-title":"It\u2019s not \u2018all in your head\u2019: critical knowledge gaps on internalized HIV stigma and a call for integrating social and structural conceptualizations","volume":"19","author":"M Pantelic","year":"2019","journal-title":"BMC Infect Dis."},{"issue":"3","key":"pntd.0010901.ref061","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1016\/j.cnur.2020.05.002","article-title":"The Stigma of Sexually Transmitted Infections","volume":"55","author":"ASD Lee","year":"2020","journal-title":"Nurs Clin North Am."},{"issue":"1","key":"pntd.0010901.ref062","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1186\/s12905-021-01271-y","article-title":"\u2018Feeling clean\u2019: stigma and intravaginal practices among female entertainment workers in Cambodia","volume":"21","author":"C Brody","year":"2021","journal-title":"BMC 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