Evidence map›Paper›PMID 42285571›Full record

ArticleBMJ open2026

Barriers and facilitators to service utilisation and management of sexually transmitted infections in India: a multicentric mixed-method approach study protocol.

Sumit Aggarwal, Jyoti Khandekar, Bratati Banerjee, Pragati Agarwal, Sourabh Paul, Mamta Parashar, Akhil Dhanesh Goel, P V M Lakshmi, Kailash Datkhile, Bijaya Nanda Naik and 5 more

Abstract readMulticenter Study
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Sumit AggarwalDivision of Epidemiology and Communicable Diseases, Indian Council of Medical Research, New Delhi, Delhi, India drsumiticmr@gmail.com.ORCID http://orcid.org/0000-0002-0652-1611
Jyoti KhandekarLady Hardinge Medical College & Associated SSK & KSC Hospitals, New Delhi, Delhi, India.
Bratati BanerjeeCommunity Medicine, Maulana Azad Medical College, New Delhi, Delhi, India.
Pragati AgarwalIndian Council of Medical Research, New Delhi, Delhi, India.
Sourabh PaulAIIMS Raebareli, Raebareli, Uttar Pradesh, India.
Mamta ParasharLady Hardinge Medical College & Associated SSK & KSC Hospitals, New Delhi, Delhi, India.
Akhil Dhanesh GoelDepartment of Community Medicine & Family Medicine, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
P V M LakshmiDepartment of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh, India.ORCID http://orcid.org/0000-0002-6921-9794
Kailash DatkhileKrishna Institute of Medical Sciences (Deemed To Be University), Karad, Maharashtra, India.ORCID http://orcid.org/0000-0001-9222-8579
Bijaya Nanda NaikCommunity and Family Medicine, All India Institute of Medical Sciences - Patna, Patna, Bihar, India.
Manish GoelLady Hardinge Medical College & Associated SSK & KSC Hospitals, New Delhi, Delhi, India.
Vinita VermaNACO, New Delhi, Delhi, India.
Shobini RajanNACO, New Delhi, Delhi, India.
Chinmoyee DasNACO, New Delhi, Delhi, India.
Kuldeep NigamIndian Council of Medical Research, New Delhi, Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSexually transmitted infections (STIs) have emerged as significant public health concerns, imposing a substantial burden on both individuals and the healthcare system of the country. Additionally, STIs may also result in major extensive psychological consequences that profoundly affect individuals with STIs. Despite the government's implementation of different initiatives aimed at addressing STI-related challenges, these conditions are associated with shame and stigma which act as barriers to the effective utilisation of healthcare services. The purpose of the present study is to generate evidence on barriers and facilitators to service utilisation and management of STIs in India. METHODS AND ANALYSIS: Indian Council of Medical Research, New Delhi, is conducting a multi-centre study employing a mixed-method approach. The study involves different levels of healthcare systems, including both government and private healthcare facilities across seven sites in several states of India, including Maharashtra, Rajasthan, Punjab, Bihar, Uttar Pradesh and New Delhi. For the quantitative data, individuals seeking healthcare services related to STIs will be enrolled and assessed using a semi-structured pilot-tested questionnaire. In-depth interviews and focus group discussions will also be conducted with different stakeholders as per the standard guidelines of the qualitative method by the designated trained project staff. Descriptive and inferential statistics will be applied to the quantitative data, while the qualitative data will be analysed using a deductive approach with thematic content analysis. ETHICS AND DISSEMINATION: The study protocol has been approved by the ethics review committees of all the participating sites individually. The findings from this study will be published in peer-reviewed journals and disseminated through scientific conferences and meetings among policy-makers and government agencies. AIIMS/IEC/2024/609; AIIMS/Pat/IEC/2024/1205; F. 7/BIOETHICS/AIIMS-RBL/APPROEM/2021/1; KIMSDU/IEC/11/2022; LHMC/IEC/2024/11; IEC/02/EX/2024; PGI/IEC/2024EIC000373.

Indexed as

Health Services AccessibilityPatient Acceptance of Health CareSexually Transmitted DiseasesFemaleFocus GroupsHumansIndiaMulticenter Studies as TopicQualitative ResearchResearch DesignSurveys and QuestionnairesCommunity gynaecologyHealth ServicesSexually Transmitted Disease

Identifiers

PMID42285571
PMCPMC13289054

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.