Table 2

Abnormal findings on clinical examination by country and for all countries combined

CountryIndiaPakistanKenyaMalawiTotal
Number of women assessed*209932873145292311 454
Clinical examination—general
VariableDefinition % % % % %
 Pulse rate
 (PR, beats per min)
PR≤50 or PR≥1000.71.87.37.44.5
 Respiratory rate (RR, breaths per min)RR≤8 or RR≥200.139.072.743.242.3
 Temperature (T, °C)T≤35 or T≥38.015.210.61.23.47.0
 Systolic blood pressure (mm Hg)≤90 or ≥1402.57.37.64.45.8
 Diastolic blood pressure (mm Hg)≤45 or ≥903.011.64.34.46.2
 Nutritional status (kg/m2)Body mass index≤18.5 kg/m2 3.02.51.53.02.5
Clinical examination—by organ system
 Organ systemAbnormal finding%%%%%
 GeneralConjunctival pallor40.943.96.14.723.0
Sclera0.73.50.10.01.2
Goitre0.26.30.20.22.0
Peripheral pitting oedema2.813.92.60.95.4
Central pitting oedema0.35.70.30.51.9
Total45.073.39.36.333.5
 SkinSkin rashes3.59.21.40.73.7
Skin ulcers0.22.40.20.00.8
Skin lump or growth0.45.70.80.22.0
Total4.117.32.40.96.5
 Oral cavityBleeding gums0.814.55.30.16.0
Oral thrush0.39.30.50.33.0
Mouth ulcers1.69.30.30.13.1
Total2.733.16.10.512.1
 BreastCracked nipples0.312.31.30.84.2
Abnormal engorgement3.320.60.70.56.8
Abnormal tenderness1.311.11.00.83.9
Abscess0.30.90.20.30.4
Lump1.20.80.60.30.7
Total6.445.73.82.716.0
 AbdominalAbnormal tenderness25.717.92.41.310.9
Abnormal mass0.16.30.20.01.9
Total25.824.22.61.312.8
Clinical examination—perineum and speculum examination†
 Number of women with indication and assessed563265422258466288
 Perineum%%%%%
  Leakage of urine0.07.10.60.53.3
  Excoriation0.012.00.52.25.5
  Swelling1.218.21.13.28.7
  Tear0.718.05.97.010.7
  Subtotal1.955.38.112.928.2
 Percentage of study sample0.544.65.73.715.5
 Number of women with indication and assessed36517293161542555
 Speculum examination%%%%
  Abnormal vaginal discharge11.843.517.252.636.4
  Abnormal bleeding2.215.133.41.314.8
  Subtotal14.058.650.653.951.2
 Percentage of study sample2.430.85.12.811.4
  • *Percentage with abnormal findings calculated as percentage of those who consented to the examination. Percentage of total (n=11 454) who provided consent for general examination 98.7%, skin and oral cavity examination 92.0%, breast examination 90.0% and examination of the abdomen 97.4%.

  • †Vaginal examination was only offered and consent obtained if clinically indicated; for perineum examination 54.9% of women; for speculum examination 20.1% of women.