Experiences and coping behaviours of clients with sexually transmitted infections in Malawi

Abstract

Background: Sexually 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.
Aim: The study aimed at exploring the lived experiences and coping behaviours of clients attending the STIs clinic at Mzuzu Urban Health Centre.
Setting: Urban Primary Health Centre in Mzuzu.
Methods: A 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.
Results: Lived 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.
Conclusion: Individuals 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.
Contribution: The study highlights the psychological burden experienced by clients with STIs and importance of public awareness on treatment.