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Sex Transm Infect. 2002 Feb;78(1):E2.

Syndromic management of sexually transmitted diseases at primary care level, Mozambique.

Author information

1
Faculdade de Medicina, Universidade Eduardo Mondlane, Maputo, Mozambique.

Abstract

OBJECTIVE:

To assess STD management in primary healthcare facilities where STD clinics and syndromic management guidelines had been introduced.

METHODS:

In 26 health facilities in selected sites, we observed management of all STD patients presenting in the adult general or STD clinic. We assessed the referral system by analysing patient registers.

RESULTS:

408 STD patients (65% in STD and 35% in general clinics) were observed. 70% were women. Women were examined less (26% against 75%, p<0.0001), had laboratory tests ordered more (74% against 45%, p=0.0002), were more often diagnosed syndromically (57% against 38%, p=0.008), and received less advice on condom use (19% against 87%, p<0.001) and contact treatment (47% against 81%, p=0.04). Examination, laboratory requests, diagnosis, and treatment were not significantly different in the STD and general clinic. Health education was better in the STD clinic (condom advice 47% against 8%, p <0.001). Only 41% of referred patients presented to the STD clinic.

CONCLUSIONS:

The better performance of STD clinics in health education was offset by high referral losses. A proposed integration of STD treatment into general outpatient clinics and better implementation of syndromic management and health education should improve STD case management at primary level in Mozambique.

PMID:
11872880
PMCID:
PMC1763701
DOI:
10.1136/sti.78.1.e2
[Indexed for MEDLINE]
Free PMC Article

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