{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T02:32:46Z","timestamp":1792290766841,"version":"4.4.0"},"reference-count":49,"publisher":"AOSIS","issue":"0","license":[{"start":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:00:00Z","timestamp":1777420800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background:\u00a0Sexually transmitted infections (STIs) remain a significant public health challenge in Malawi, affecting millions of people every year. Despite the availability of effective treatments, STIs can have a significant impact on the well-being of those infected.\nAim:\u00a0The study aimed at exploring the lived experiences and coping behaviours of clients attending the STIs clinic at Mzuzu Urban Health Centre.\nSetting:\u00a0Urban Primary Health Centre in Mzuzu.\nMethods:\u00a0A qualitative approach with a descriptive phenomenological design was used in this study. Ten participants were purposively selected. A semi-structured interview guide was used to collect information on demographics, experiences and coping behaviours. Data collected was thematically analysed.\nResults:\u00a0Lived experiences were emotional strain on relationships, feelings of fear, Stigma and discrimination from the community, uncertainty about the future, anxiety and depression symptoms of the disease. However, adaptive coping behaviours were to seek comfort in close family members and friends and intrinsic personal motivation. While maladaptive coping behaviours were utilising traditional practices on the genitalia, and avoidance behaviours.\nConclusion:\u00a0Individuals with STIs predominantly face psychological experiences, concerns about fertility, with economic worries, often worsened by the link to HIV. Understanding the experiences and their coping strategies can help healthcare providers to intensify public awareness and health education on the treatment of STIs. Additionally, integration of mental health interventions for more personalised, holistic care is crucial.\nContribution:\u00a0The study highlights the psychological burden experienced by clients with STIs and importance of public awareness on treatment.<\/jats:p>","DOI":"10.4102\/hsag.v31i0.3131","type":"journal-article","created":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T08:39:34Z","timestamp":1777365574000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Experiences and coping behaviours of clients with sexually transmitted infections in Malawi"],"prefix":"10.4102","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-4118-4529","authenticated-orcid":false,"given":"Thandie","family":"Munthali","sequence":"first","affiliation":[{"name":"Department of Clinical Medicine, Faculty of Health Science, Saint John of God University, Mzuzu, Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8033-493X","authenticated-orcid":false,"given":"Chimwemwe","family":"Munthali","sequence":"additional","affiliation":[{"name":"Department of Nursing and Midwifery, Faculty of Health Sciences, Saint John of God University, Mzuzu, Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6512-0865","authenticated-orcid":false,"given":"George","family":"Chapweteka","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine, Faculty of Health Science, Saint John of God University, Mzuzu, Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6753-0842","authenticated-orcid":false,"given":"Patson","family":"Kumwenda","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine, Faculty of Health Science, Saint John of God University, Mzuzu, Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2394-128X","authenticated-orcid":false,"given":"Nixon","family":"Chidzere","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine, Faculty of Health Science, Saint John of God University, Mzuzu, Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6681-9841","authenticated-orcid":false,"given":"Catherine","family":"Mwale","sequence":"additional","affiliation":[{"name":"Department of Nursing and Midwifery, Faculty of Health Sciences, Saint John of God University, Mzuzu, Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6658-2504","authenticated-orcid":false,"given":"Esmie","family":"Mkwinda","sequence":"additional","affiliation":[{"name":"Department of Nursing and Midwifery, Faculty of Health Sciences, Saint John of God University, Mzuzu, 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patient experience on quality of care for ambulatory healthcare services in tertiary hospitals in Southeast Nigeria\u2019, BMC Health Services Research 20, 1\u20139. https:\/\/doi.org\/10.1186\/s12913-020-05332-0","DOI":"10.1186\/s12913-020-05332-0"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Aryal, R.P., 2017, \u2018HIV stigma and discrimination management in Pokhara, Nepal\u2019, Janapriya Journal of Interdisciplinary Studies 6, 97\u2013109. https:\/\/doi.org\/10.3126\/jjis.v6i0.19312","DOI":"10.3126\/jjis.v6i0.19312"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Banda Kamanga, T.M., Chirambo, L., Valeta, M. & Nyondo-Mipando, A.L., 2023, \u2018\u201cWe reach to people through different means\u201d: Factors that influence HIV counseling and testing among religious people in Lilongwe, Malawi\u2019, SAGE Open 13(2), 21582440231184854. https:\/\/doi.org\/10.1177\/21582440231184854","DOI":"10.1177\/21582440231184854"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Barrow, R.Y., 2020, \u2018Recommendations for providing quality sexually transmitted diseases clinical services, 2020\u2019, MMWR. Recommendations and Reports 68(5), 1\u201320. https:\/\/doi.org\/10.15585\/mmwr.rr6805a1","DOI":"10.15585\/mmwr.rr6805a1"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"Berg, R.C., Page, S. & \u00d8g\u00e5rd-Rep\u00e5l, A., 2021, \u2018The effectiveness of peer-support for people living with HIV: A systematic review and meta-analysis\u2019, PLoS One 16(6), e0252623. https:\/\/doi.org\/10.1371\/journal.pone.0252623","DOI":"10.1371\/journal.pone.0252623"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"Braun, V. & Clarke, V., 2006, \u2018Using thematic analysis in psychology\u2019, Qualitative Research in Psychology 3(2), 77\u2013101. https:\/\/doi.org\/10.1191\/1478088706qp063oa","DOI":"10.1191\/1478088706qp063oa"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Bretz, L.A., Keshwani, N. & Raphael, M., 2023, \u2018Relationship between mental health diagnoses and sexually transmitted infections\u2019, Bulletin of the Menninger Clinic 87(2), 115\u2013134. https:\/\/doi.org\/10.1521\/bumc.2023.87.2.115","DOI":"10.1521\/bumc.2023.87.2.115"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Brewer, A., Colbert, A.M., Sekula, K. & Bekemeier, B., 2020, \u2018A need for trauma informed care in sexually transmitted disease clinics\u2019, Public Health Nursing 37(5), 696\u2013704. https:\/\/doi.org\/10.1111\/phn.12784","DOI":"10.1111\/phn.12784"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"Caruso, G., Giammanco, A., Virruso, R. & Fasciana, T., 2021, \u2018Current and future trends in the laboratory diagnosis of sexually transmitted infections\u2019, International Journal of Environmental Research and Public Health 18(3), 1038. https:\/\/doi.org\/10.3390\/ijerph18031038","DOI":"10.3390\/ijerph18031038"},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"Coulson, N.S. & Buchanan, H., 2022, \u2018The role of online support groups in helping individuals affected by HIV and AIDS: Scoping review of the literature\u2019, Journal of Medical Internet Research 24(7), e27648. https:\/\/doi.org\/10.2196\/27648","DOI":"10.2196\/27648"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"Craig, S.L., McInroy, L.B., Eaton, A.D., Iacono, G., Leung, V.W., Austin, A. et al., 2019, \u2018An affirmative coping skills intervention to improve the mental and sexual health of sexual and gender minority youth (Project Youth AFFIRM): Protocol for an implementation study\u2019, JMIR Research Protocols 8(6), e13462.","DOI":"10.2196\/13462"},{"key":"ref12","unstructured":"Dafesh, B., 2017, \u2018Clinicians working with young women who have sexually transmitted infections\u2019, doctoral dissertation, Alliant International University, viewed 10 April 2025, from https:\/\/search.proquest.com\/openview\/aaf7ba458c9bf7db8e5f1abf2b534cbc\/1?pq-origsite=gscholar&cbl=18750."},{"key":"ref13","doi-asserted-by":"crossref","unstructured":"Evers, Y.J., Geraets, J.J., van Liere, G.A., Hoebe, C.J. & Dukers-Muijrers, N.H., 2020, \u2018Attitude and beliefs about the social environment associated with chemsex among MSM visiting STI clinics in the Netherlands: An observational study\u2019, PLOS ONE 15(7), e0235467. https:\/\/doi.org\/10.1371\/journal.pone.0235467","DOI":"10.1371\/journal.pone.0235467"},{"key":"ref14","doi-asserted-by":"crossref","unstructured":"Feroli, K.L., Burstein, G.R., 2003, \u2018Adolescent sexually transmitted diseases: New recommendations for diagnosis, treatment, and prevention\u2019, MCN: The American Journal of Maternal\/Child Nursing 28(2), 113\u2013118. https:\/\/doi.org\/10.1097\/00005721-200303000-00013","DOI":"10.1097\/00005721-200303000-00013"},{"key":"ref15","doi-asserted-by":"crossref","unstructured":"Gannon-Loew, K.E. & Holland-Hall, C., 2020, \u2018A review of current guidelines and research on the management of sexually transmitted infections in adolescents and young adults\u2019, Therapeutic Advances in Infectious Disease 7, 2049936120960664. https:\/\/doi.org\/10.1177\/2049936120960664","DOI":"10.1177\/2049936120960664"},{"key":"ref16","doi-asserted-by":"crossref","unstructured":"Gao, Y., MacDonald, D., Collins, K.D., Alaghehbandan, R. & Chen, Y., 2010, \u2018Role of social support in the relationship between sexually transmitted infection and depression among young women in Canada\u2019, Journal of Epidemiology 20(4), 313\u2013318. https:\/\/doi.org\/10.2188\/jea.JE20090133","DOI":"10.2188\/jea.JE20090133"},{"key":"ref17","doi-asserted-by":"crossref","unstructured":"Huda, M.N., Ahmed, M.U., Uddin, M.B., Hasan, M.K., Uddin, J. & Dune, T.M., 2022, \u2018Prevalence and demographic, socioeconomic, and behavioural risk factors of self-reported symptoms of sexually transmitted infections (STIs) among ever-married women: Evidence from nationally representative surveys in Bangladesh\u2019, International Journal of Environmental Research and Public Health 19(3), 1906. https:\/\/doi.org\/10.3390\/ijerph19031906","DOI":"10.3390\/ijerph19031906"},{"key":"ref18","doi-asserted-by":"crossref","unstructured":"Jansson, M., Smith, M., Benoit, C., Magnuson, D. & Healey, P., 2023, \u2018Challenges and benefits of disclosure of sex work to intimate partners\u2019, Journal of Sex Research 60(6), 890\u2013902. https:\/\/doi.org\/10.1080\/00224499.2022.2092587","DOI":"10.1080\/00224499.2022.2092587"},{"key":"ref19","doi-asserted-by":"crossref","unstructured":"Johnson, L.F., Dorrington, R.E., Bradshaw, D. & Coetzee, D.J., 2011, \u2018The effect of syndromic management interventions on the prevalence of sexually transmitted infections in South Africa\u2019, Sexual & Reproductive Healthcare 2(1), 13\u201320. https:\/\/doi.org\/10.1016\/j.srhc.2010.08.006","DOI":"10.1016\/j.srhc.2010.08.006"},{"key":"ref20","doi-asserted-by":"crossref","unstructured":"Kacholi, D.S. & Amir, H.M., 2023, \u2018Ethnobotanical study of medicinal plants traditionally used against erectile dysfunction in Tabora region, Tanzania\u2019, Ethnobotany Research and Applications 25, 1\u201312. https:\/\/doi.org\/10.32859\/era.30.5.1-12","DOI":"10.32859\/era.30.5.1-12"},{"key":"ref21","doi-asserted-by":"crossref","unstructured":"Kirschnick, L.B., Calderipe, C.B., Villa, A., Santana Dos Santos, E., Migliorati, C., Martins, M.D. et al., 2024, \u2018Patient communication protocols for sexually transmitted infections: A systematic review\u2019, Special Care in Dentistry 44(4), 990\u20131001. https:\/\/doi.org\/10.1111\/scd.12976","DOI":"10.1111\/scd.12976"},{"key":"ref22","doi-asserted-by":"crossref","unstructured":"Kontomanolis, E.N., Michalopoulos, S., Gkasdaris, G. & Fasoulakis, Z., 2017, \u2018The social stigma of HIV\u2013AIDS: Society\u2019s role\u2019, HIV\/AIDS: Research and Palliative Care 9(9), 111\u2013118. https:\/\/doi.org\/10.2147\/hiv.s129992","DOI":"10.2147\/HIV.S129992"},{"key":"ref23","doi-asserted-by":"crossref","unstructured":"Lariat, J., Chikwari, C.D., Dauya, 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https:\/\/ijdvl.com\/pre-and-post-exposure-prophylaxis-with-doxycycline-exploring-promises-for-prevention-of-sexually-transmitted-infections-in-the-indian-context\/.","DOI":"10.25259\/IJDVL_1078_2023"},{"key":"ref28","doi-asserted-by":"crossref","unstructured":"Mongalo, N.I. & Raletsena, M.V., 2022, \u2018An inventory of South African medicinal plants used in the management of sexually transmitted and related opportunistic infections: An appraisal and some scientific evidence (1990\u20132020)\u2019, Plants 11(23), 3241\u20133241. https:\/\/doi.org\/10.3390\/plants11233241","DOI":"10.3390\/plants11233241"},{"key":"ref29","doi-asserted-by":"crossref","unstructured":"Newton-Levinson, A., Leichliter, J.S. & Chandra-Mouli, V., 2016, \u2018Sexually transmitted infection services for adolescents and youth in low- and middle-income countries: Perceived and experienced barriers to accessing care\u2019, Journal of Adolescent Health 59(1), 7\u201316. https:\/\/doi.org\/10.1016\/j.jadohealth.2016.03.014","DOI":"10.1016\/j.jadohealth.2016.03.014"},{"key":"ref30","unstructured":"Nganzo, M.S., 2022, \u2018Perceptions of sexually transmitted infections in select youth and young adult African newcomers in Regina, Saskatchewan\u2019, Doctoral dissertation, University of Saskatchewan, viewed 03 March 2025, from https:\/\/harvest.usask.ca\/server\/api\/core\/bitstreams\/7a710b7c-99ed-45e6-8d15-30bf2727c3c7\/content."},{"key":"ref31","doi-asserted-by":"crossref","unstructured":"Ngobeni, B., Manduna, I.T., Malebo, N.J. & Mashele, S.S., 2023, \u2018Phytotherapy for sexually transmitted infections in ThabaNchu, Free State Province, South Africa\u2019, Pharmacognosy Journal 15(1), 21\u201330. https:\/\/doi.org\/10.5530\/pj.2023.15.4","DOI":"10.5530\/pj.2023.15.4"},{"key":"ref32","unstructured":"Njeula, J.C., 2022, \u2018A study on the influence of traditional initiation practices to reduce the spread of HIV and AIDS in Chileka, a rural area in Blantyre in Malawi\u2019, International Journal of Research and Review 2(1), viewed 16 April 2025, from https:\/\/ejournal.penerbitjurnal.com\/index.php\/research\/article\/view\/17."},{"key":"ref33","unstructured":"Obeagu, E.I. & Obeagu, G.U., 2024, \u2018Strength in unity: Building support networks for HIV patients in Uganda\u2019, Elite Journal of Medicine 2(1), 1\u201316."},{"key":"ref34","doi-asserted-by":"crossref","unstructured":"Payne, D., Wadonda-Kabondo, N., Wang, A., Smith-Sreen, J., Kabaghe, A., Bello, G. et al., 2023, \u2018Trends in HIV prevalence, incidence, and progress towards the UNAIDS 95-95-95 targets in Malawi among individuals aged 15\u201364 years: Population-based HIV impact assessments, 2015\u201316 and 2020\u201321\u2019, The Lancet HIV 10(9), e597\u2013e605. https:\/\/doi.org\/10.1016\/S2352-3018(23)00144-3","DOI":"10.1016\/S2352-3018(23)00144-3"},{"key":"ref35","doi-asserted-by":"crossref","unstructured":"Pintea-Trifu, M.-L., Vic\u0103, M.-L., Leucu\u021ba, D.-C., Coman, H.G., Neme\u0219, B. & Matei, H.-V., 2024, \u2018Dyadic adjustment of couples and state anxiety in patients tested for sexually transmitted infections\u2019, Journal of Clinical Medicine 13(5), 1449. https:\/\/doi.org\/10.3390\/jcm13051449","DOI":"10.3390\/jcm13051449"},{"key":"ref36","doi-asserted-by":"crossref","unstructured":"Rueda, S., Mitra, S., Chen, S., Gogolishvili, D., Globerman, J., Chambers, L. et al., 2016, \u2018Examining the associations between HIV-related stigma and health outcomes in people living with HIV\/AIDS: A series of meta-analyses\u2019, BMJ Open 6(7), e011453. https:\/\/doi.org\/10.1136\/bmjopen-2016-011453","DOI":"10.1136\/bmjopen-2016-011453"},{"key":"ref37","unstructured":"Sawyerr, R.T., 2019, Health seeking behaviour among persons with STIs in Ghana, doctoral dissertation, University of Ghana, viewed 08 April 2025, from http:\/\/ugspace.ug.edu.gh\/handle\/123456789\/35103."},{"key":"ref38","doi-asserted-by":"crossref","unstructured":"Scheinfeld, E., 2021, \u2018Shame and STIs: An exploration of emerging adult students\u2019 felt shame and stigma towards getting tested for and disclosing sexually transmitted infections\u2019, International Journal of Environmental Research and Public Health 18(13), 7179. https:\/\/doi.org\/10.3390\/ijerph18137179","DOI":"10.3390\/ijerph18137179"},{"key":"ref39","doi-asserted-by":"crossref","unstructured":"Singh, S. & Singh, S.K., 2021, \u2018Psychological health and well-being in patients with sexually transmitted infections: A prospective cross-sectional study\u2019, Indian Journal of Sexually Transmitted Diseases and AIDS 42(2), 125\u2013131. https:\/\/doi.org\/10.4103\/ijstd.IJSTD_77_19","DOI":"10.4103\/ijstd.IJSTD_77_19"},{"key":"ref40","doi-asserted-by":"crossref","unstructured":"Slemp, G.R., Field, J.G., Ryan, R.M., Forner, V.W., Van den Broeck, A. & Lewis, K.J., 2024, \u2018Interpersonal supports for basic psychological needs and their relations with motivation, well-being, and performance: A meta-analysis\u2019, Journal of Personality and Social Psychology 127(5), 1012\u20131037. https:\/\/doi.org\/10.1037\/pspi0000459","DOI":"10.1037\/pspi0000459"},{"key":"ref41","doi-asserted-by":"crossref","unstructured":"Sundler, A.J., Lindberg, E., Nilsson, C. & Palm\u00e9r, L., 2019, \u2018Qualitative thematic analysis based on descriptive phenomenology\u2019, Nursing Open 6(3), 733\u2013739. https:\/\/doi.org\/10.1002\/nop2.275","DOI":"10.1002\/nop2.275"},{"key":"ref42","unstructured":"Tabata, N.P., 2018, \u2018Potential health risk factors amongst students at a higher education institution in the Western Cape with regard to sexuality and HIV\/AIDS\u2019, Doctoral dissertation, Cape Peninsula University of Technology, viewed 27 February 2025, from https:\/\/mro.massey.ac.nz\/items\/4d33187b-ff66-409b-8d6d-addb5167ef0a."},{"key":"ref43","doi-asserted-by":"crossref","unstructured":"Than, P.Q., Tran, B.X., Nguyen, C.T., Truong, N.T., Thai, T.P., Latin, C.A. et al., 2019, \u2018Stigma against patients with HIV\/AIDS in the rapid expansion of antiretroviral treatment in large drug injection-driven HIV epidemics of Vietnam\u2019, Harm Reduction Journal 16(1), 6. https:\/\/doi.org\/10.1186\/s12954-019-0277-7","DOI":"10.1186\/s12954-019-0277-7"},{"key":"ref44","unstructured":"Townsend, M.C. & Morgan, K.I., 2017, Psychiatric mental health nursing: Concepts of care in evidence-based practice, FA Davis, viewed 02 March 2025, from https:\/\/www.fadavis.com\/product\/nursing-psychiatric-mental-health-concepts-of-care-evidence-based-practice-townsend-8."},{"key":"ref45","doi-asserted-by":"crossref","unstructured":"Van Gerwen, O.T., Muzny, C.A. & Marrazzo, J.M., 2022, \u2018Sexually transmitted infections and female reproductive health\u2019, Nature Microbiology 7(8), 1116\u20131126. https:\/\/doi.org\/10.1038\/s41564-022-01177-x","DOI":"10.1038\/s41564-022-01177-x"},{"key":"ref46","doi-asserted-by":"crossref","unstructured":"Workowski, K.A. & Bachmann, L.H., 2022, \u2018Centres for disease control and prevention\u2019s sexually transmitted diseases infection guidelines\u2019, Clinical Infectious Diseases 74(Supplement_2), S89\u2013S94. https:\/\/doi.org\/10.1093\/cid\/ciab1055","DOI":"10.1093\/cid\/ciab1055"},{"key":"ref47","unstructured":"World Health Organization (WHO), 2021, Guidelines for the management of symptomatic sexually transmitted infections, World Health Organization, Geneva, viewed 12 May 2025, from https:\/\/iris.who.int\/bitstream\/handle\/10665\/342523\/9789240024168-eng.pdf."},{"key":"ref48","doi-asserted-by":"crossref","unstructured":"Zaki, S.A., Naous, J., Ghanem, A., Abou Abbas, D., Tomb, R., Ghosn, J. et al., 2021, \u2018Prevalence of STIs, sexual practices and substance use among 2083 sexually active 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