Determinants of mid-life Health Among Rural Women of Central India: A Cross-Sectional Study

India has about 130 million women in menopausal age of which nearly half reside in rural locations. With the concentration of health care facilities in and around urban areas, attaining adequate mid-life health care in rural settings poses a distinct challenge. The role of primary care providers thus gains paramount significance in rural settings. An observational, cross-sectional study conducted at the rural district health centre of central India. All women above 40 years of age were offered voluntary participation. All health care providers were interviewed using a set questionnaire. Data recorded and analyzed to assess the awareness and attitudes towards menopausal health. Descriptive statistical analysis methods were used. Results: The mean age for all women was 56years.Lack of education (56%), long distance from the facility (55%), poor economic conditions (95%) and late reporting (70%) were common challenges. Overall, menopausal awareness among nursing and medical officers was good but the practices of screening for other medical conditions lacked in many (70% and 40%respectively). Conclusions: Promoting education, regular training of medical and paramedical staff at the periphery, the building of health care facilities close to community levels, health promotional activities and policy amendments are key to improve mid-life health in rural settings