A survey of STI policies and programmes in Europe: preliminary results
A survey of STI policies and programmes in Europe: preliminary results
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DOI：
10.1136/sti.78.5.380
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发表时间：
2002-10-01
影响因子：
3.6
通讯作者：
Laukamm-Josten, U
中科院分区：
文献类型：
--
作者：
Dehne, KL;Riedner, G;Laukamm-Josten, U
目的：进行了一项调查，以评估欧洲区域性传播感染预防和控制政策和方案是否充分。方法：采用世界卫生组织（WHO）标准问卷，对欧洲和中亚45个国家的卫生部官员进行调查，问卷内容包括STI项目结构、STI病例管理、STI预防和控制等。不同类型和水平的服务，包括公共和私营服务提供者;合作伙伴的通知和筛选政策;为弱势群体提供的服务;监测和监督;监督和研究。各级保健都有持照的提供者，通常免费提供咨询和治疗。相比之下，在新独立国家，方案工作强调国家对当地提供者的指导和监督，而不是对个别从业者的指导和监督。获得服务的机会有限，因为在若干国家创新系统中，只有公共部门的专家才有资格治疗性传播感染。以前的免费政策受到严重侵蚀。在西欧，避孕套的供应情况似乎不错，但在新独立国家，避孕套销售点要少得多。区域范围内，在40%的国家的安全套的分发是STI consultations.Conclusions的一部分：不提供负担得起的高质量的STI服务，包括STI治疗和安全套可能是高得多的STI患病率在东欧和新独立国家的部分地区比西欧的原因之一。
Objectives: A survey was conducted to assess the adequacy of sexually transmitted infections (STI) prevention and control policies and programmes in the European region (including the central Asian republics).Methods: An adapted World Health Organization (WHO) model questionnaire was sent to ministry of health officials in all 45 countries of Europe and central Asia, The questionnaire included questions on STI programme structure; STI case management; the different types and levels of services, including public and private service providers; partner notification and screening policies; services for vulnerable populations; monitoring and supervision; surveillance and research.Results: Western European countries largely leave STI prevention and care to individual practitioners. Licensed providers exist at all levels of care, and access to consultations and treatment is usually free of charge. In the newly independent states (NIS), by contrast, programme efforts emphasise state guidance and supervision of local providers rather than individual practitioners. Access to services is limited in that in several NIS, only public sector specialists are licensed to treat STI. Formerly free of charge policies have been severely eroded. While in western Europe access to condoms appears to be good, in the NIS there are many fewer condom outlets. Regionwide, in 40% of countries the distribution of condoms is part of STI consultations.Conclusions: Non-availability of affordable high quality STI services, including STI treatment and condoms may be one of the causes for the much higher STI prevalence in parts of eastern Europe and NIS than in western Europe.