Sexually transmitted disease management in Uganda's private-for-profit formal and informal sector and compliance with treatment
Sexually transmitted disease management in Uganda's private-for-profit formal and informal sector and compliance with treatment
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DOI：
10.1097/01.olq.0000143087.08185.17
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发表时间：
2004-11-01
影响因子：
3.1
通讯作者：
Pool, R
中科院分区：
文献类型：
--
作者：
Jacobs, B;Whitworth, J;Pool, R
目的：本研究的目的是调查乌干达私营部门诊所和药店对性传播疾病（STD）的管理情况。研究：在开始治疗后1至3周，对5个地区咨询过诊所（264）或药店（141）治疗的尿道分泌物男性进行了预编码问卷调查。77%的患者在症状出现后1周内寻求治疗，但只有7%得到适当管理（根据国家指南进行治疗，被告知使用避孕套或禁欲，并将其伴侣转诊）。报告的治愈率为47%，只有9%根据国家指南进行治疗。18%的患者在治疗期间使用避孕套，36%的患者说服他们的伴侣去接受治疗，87%的患者完成了推荐的治疗过程。没有治愈的患者，56%的人仍然会推荐治疗的friend.Conclusion：质量的性病管理的私人供应商是穷人。公共和私人设施的改善应同时进行。可能的战略包括培训和在社会上推销性病的预先包装治疗。
Objective: The objective of this study was to investigate the management of sexually transmitted diseases (STDs) in the Ugandan private sector clinics and drug shops.Study: Men with urethral discharge who had consulted clinics (264) or drug shops (141) for treatment in 5 districts were interviewed using a precoded questionnaire 1 to 3 weeks after initiation of treatment.Results: Seventy-seven percent of patients sought treatment within 1 week of onset of symptoms but only 7% were properly managed (treated according to National Guidelines, told to use a condom or abstain, and to refer their partner). The reported cure rate was 47% and only 9% were treated according to National Guidelines. Eighteen percent of patients used condoms during treatment, 36% persuaded their partner to go for treatment, and 87% completed the recommended treatment course. Of patients not reporting cure, 56% would still recommend the treatment to a friend.Conclusion: Quality of STD management by private providers is poor. Improvement should occur concurrently at public and private facilities. Possible strategies include training and social marketing of prepackaged treatment for STDs.