Pregnant Women’s Knowledge and Awareness of Sexually Transmitted Infections in Selected Public Health Facilities in the North West Province

Authors

DOI:

https://doi.org/10.25159/2520-5293/21699

Keywords:

awareness, knowledge, pregnant women, sexually transmitted infections, South Africa

Abstract

Background: South Africa is considered to have a high prevalence of sexually transmitted infections (STIs), which continue to impose a major public health burden. Untreated STIs can lead to long-term, irreversible and potentially fatal outcomes in pregnant women. This study aimed to assess the knowledge and awareness of pregnant women in the North West Province (NWP) regarding STIs.

Methods: A quantitative cross-sectional descriptive design was applied to reach the objective. Five health facilities were selected within one district in the NWP. A self-administered 58-item questionnaire was administered to 151 (n = 151) pregnant women and a 100% response rate was achieved. Data were analysed through inferential and descriptive statistics.

Results: The mean knowledge for respondents in this study was 28.35 out of 50 questions. HIV was the most well-known type of STI and trichomoniasis, chlamydia and hepatitis B were the least known. The respondents had the least knowledge regarding transmission of STIs through breastfeeding. Only 21.9% of respondents were aware that STIs could be asymptomatic. Approximately 62.3% of respondents did not know that some STIs could be prevented through vaccination.

Conclusion: There is poor knowledge regarding types of STI and more awareness strategies by health professionals are needed. Socio-demographic aspects was a major contributing factor to the poor knowledge regarding the types of STI and method of transmission.

References

Ahmad, M., and S. Wilkins. 2025. “Purposive Sampling in Qualitative Research: A Framework for the Entire Journey.” Quality Quantity 59: 1461–79. https://doi.org/10.1007/s11135-024-02022-5. DOI: https://doi.org/10.1007/s11135-024-02022-5

Anwar, M., S. A. S. Sulaiman, and T. M. Khan. 2010. “A Survey of Knowledge of Sexually Transmitted Infections Among Patients at a Public Hospital in Pulau Pinang, Malaysia.” Medical Principles and Practice 4(47): 312. https://doi.org/10.1159/000312719. DOI: https://doi.org/10.1159/000312719

Cegolon, L., M. Bortolotto, S. Bellizzi, A. Cegolon, L. Bubbico, G. Pichierri, G. Mastrangelo, and C. Xodo. 2022. “A Survey on Knowledge, Prevention, and Occurrence of Sexually Transmitted Infections among Freshmen from Four Italian Universities.” International Journal of Environmental Research and Public Health 19(2): 897. https://doi.org/10.3390/ijerph19020897 DOI: https://doi.org/10.3390/ijerph19020897

Craig, D. W., J. Hunyadi, T. J. Walker, L. Workman, M. McClam, A. Lamont, J. R. Padilla, P. Diamond, A. Wandersman, and M. E. Fernandez. 2025. “Using a Novel, Multi-Method Approach to Evaluate the Quality of Self-Report Survey Data in Organizational Readiness Research.” Implementation Science Communication 6(63). https://doi.org/10.1186/s43058-025-00751-8. DOI: https://doi.org/10.1186/s43058-025-00751-8

Figueiredo, R. G., C. M. Patino, and J. C. Ferreira. 2025. “Cross-Sectional Studies: Understanding Applications, Methodological Issues, and Valuable Insights.” Jornal Brasileiro de Pneumologia: Publicação Oficial da Sociedade Brasileira de Pneumologia e Tisiologia 51 (1): e20250047. https://doi.org/10.36416/1806-3756/e20250047. DOI: https://doi.org/10.36416/1806-3756/e20250047

Grant, J. S., R. M. Chico, A. C. Lee, N. Low, A. Medina-Marino, R. L. Molina, C. Morroni, D. Ramogola-Masire, C. Stafylis, W. Tang, A. J. Vallely, A. Wynn, N. Yeganeh, and J. D. Klausne. 2020. “Sexually Transmitted Infections in Pregnancy: A Narrative Review of the Global Research Gaps, Challenges, and Opportunities.” Sexually Transmitted Diseases 47(12): 779–89. https://doi.org/10.1097/OLQ.0000000000001258. DOI: https://doi.org/10.1097/OLQ.0000000000001258

Haile, E., A. T. Nega, F. Yenealem, K. S. Limenih, F. A. Chekole, W. F. Balcha, and T. E. Goshu. 2025. “Prevalence and Associated Factors of Sexually Transmitted Infections Among Pregnant Women Attending Antenatal Care in Public Hospitals in Addis Ababa, Ethiopia. BMC Infectious Diseases 25: 956. https://doi.org/10.1186/s12879-025-11388-2. DOI: https://doi.org/10.1186/s12879-025-11388-2

Jinfu, Z. 2024. “Reliability.” In The ECPH Encyclopedia of Psychology, edited by Z. Kan. Springer. https://doi.org/10.1007/978-981-99-6000-2_512-1. DOI: https://doi.org/10.1007/978-981-97-7874-4_512

Mansor, N., N. Ahmad, and H. A. Rahman. 2020. “Determinants of Knowledge on Sexually Transmitted Infections Among Students in Public Higher Education Institutions in Melaka State, Malaysia. National University of Singapore. Plos One 15(10): e0240842. https://doi.org/10.1371/journal.pone.0240842. DOI: https://doi.org/10.1371/journal.pone.0240842

Muhammad, A., N. Khoirunnisa, and S. Supahar. 2020. “Effect of Variability on Cronbach Alpha Reliability in Research Practice. Jurnal Matematika, Statistika dan Komputasi 17: 223–30. https://doi.org/10.20956/jmsk.v17i2.11655. DOI: https://doi.org/10.20956/jmsk.v17i2.11655

Patel, P. K., T. B. Singh, S. K. Singh, and S. Singh, S. 2023. “Awareness and Knowledge of Sexually Transmitted Infections Among Patients Attending Tertiary Care Hospital. International Journal of Health Sciences and Research 13(7): 222–7. https://doi.org/10.52403/ijhsr.20230732. DOI: https://doi.org/10.52403/ijhsr.20230732

Semwogerere, M., N. Dear, J. Tunnage, D. Reed, H. Kibuuka, F. Kiweewa, M. Iroezindu, E. Bahemana, J. Maswai, J. Owuoth, A. Crowell, J. A. Ake, C. S. Polyak, and A. Esber. 2021. “Factors Associated with Sexually Transmitted Infections Among Care-Seeking Adults in the African Cohort Study.” BMC Public Health 21: 738. https://doi.org/10.1186/s12889-021-10762-4. DOI: https://doi.org/10.1186/s12889-021-10762-4

Singer, J. M. 2025. “Central Limit Theorems.” In International Encyclopedia of Statistical Science, edited by M. Lovric. Springer. https://doi.org/10.1007/978-3-662-69359-9_100. DOI: https://doi.org/10.1007/978-3-662-69359-9_100

South Africa. Department of Health. 2023. National Strategic Plan for HIV, TB and STIs 2023-2028. Government Printers. https://sanac.org.za/wp-content/uploads/2019/02/PIP_NorthWest_Final-1.pdf

South Africa. North West Department of Health. 2017. The Bokone Bophirima (North West) Provincial Implementation Plan on HIV, TB and STIs (2017–22). Bokone Bophirima.

Thukral, S., S. Kovac, and M. Paturu. 2023. “Chapter 29 – t-Test.” In Handbook for Designing and Conducting Clinical Translational Interventional Radiology, edited by A. E. M. Eltorai, T. Liu, R. Chand, and S. P. Kalva. Cambridge, MA: Academic Press. https://doi.org/10.1016/B978-0-12-823026-8.00104-8. DOI: https://doi.org/10.1016/B978-0-12-823026-8.00104-8

Vandever, C. 2020. “Introduction to Research Statistical Analysis: An Overview of the Basics.” HCA Healthcare Journal of Medicine 1(2), 71–5. https://doi.org/10.36518/2689-0216.1062. DOI: https://doi.org/10.36518/2689-0216.1062

Wilcox, R. R. 2022. “Two-way ANOVA: Inferences About Interactions Based on Robust Measures of Effect Size.” British Journal of Mathematical and Statistical Psychology 75, 46–58. https://doi.org/10.1111/bmsp.12244. DOI: https://doi.org/10.1111/bmsp.12244

World Health Organization (WHO). 2022. “Global Health Sector Strategies on, Respectively, HIV, Viral Hepatitis and Sexually Transmitted Infections for the Period 2022–30.” https://www.who.int/publications/i/item/9789240053779.

World Health Organization (WHO). 2025. “Sexually Transmitted Infections.” https://www.who.int/news-room/fact-sheets/detail/sexually-transmitted-infections-(stis).

Zlokovich, M. S., D. P. Corts, and M. M. Rogers. 2023. “Descriptive and Inferential Statistics.” In The Cambridge Handbook of Research Methods and Statistics for the Social and Behavioral Sciences: Volume 1: Building a Program of Research, edited by A. L. Nichols and J. Edlund, 468–93. Cambridge University Press. https://doi.org/10.1017/9781009010054.023. DOI: https://doi.org/10.1017/9781009010054.023

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Published

2026-09-02

How to Cite

Steenekamp, Simônd Croesér, and Khumoetsile Daphney Shopo. 2026. “Pregnant Women’s Knowledge and Awareness of Sexually Transmitted Infections in Selected Public Health Facilities in the North West Province”. Africa Journal of Nursing and Midwifery 28 (2):23 pages. https://doi.org/10.25159/2520-5293/21699.

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Articles
Received 2026-03-11
Accepted 2026-05-19
Published 2026-09-02