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How many patients with a sexually transmitted infection are cured by health services? A study from Mwanza region, Tanzania

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dc.contributor.author Buvé, A. en_US
dc.contributor.author Changalucha, J. en_US
dc.contributor.author Mayaud, P. en_US
dc.contributor.author Gavyole, A. en_US
dc.contributor.author Mugeye, K. en_US
dc.contributor.author Todd, J. en_US
dc.contributor.author Clayton, T. en_US
dc.contributor.author Mosha, F. en_US
dc.contributor.author Grosskurth, H. en_US
dc.contributor.author Mabey, D. en_US
dc.contributor.author Laga, M. en_US
dc.contributor.author Van Lerberghe, W. en_US
dc.contributor.author Hayes, R. J. en_US
dc.date.accessioned 2007-12-06T14:46:33Z
dc.date.available 2007-12-06T14:46:33Z
dc.date.issued 2001 en_US
dc.identifier.issn 1360-2276 en_US
dc.identifier.doi http://dx.doi.org/10.1046/j.1365-3156.2001.00809.x
dc.identifier.other ITG-M1A en_US
dc.identifier.other ITG-M11A en_US
dc.identifier.other ITG-H12A en_US
dc.identifier.other MICRO en_US
dc.identifier.other U-HIVSTD en_US
dc.identifier.other HEALTH en_US
dc.identifier.other U-PUBLIC en_US
dc.identifier.other JIF en_US
dc.identifier.other JIF en_US
dc.identifier.other DOI en_US
dc.identifier.other MULTI en_US
dc.identifier.other ABSTRACT en_US
dc.identifier.other FTB en_US
dc.identifier.uri http://hdl.handle.net/10390/1688
dc.description The definitive version is available at www3.interscience.wiley.com
dc.description.abstract OBJECTIVES To estimate the proportion of symptomatic patients with a bacterial sexually transmitted infection (STI) cured by primary health care services in Mwanza Region, Tanzania, and to compare the cure rate achieved by health centres before and after the introduction of improved STI treatment services. METHODS A model was used that describes the different hurdles patients with an STI take before they can be considered cured by the health services. The values for the input parameters for the model were taken from different studies. Data from an intervention trial as well as from a population-based study on male urethritis were used to estimate the proportion of symptomatic patients with an STI who seek care from a health centre. An observational study in four health centres where improved STI treatment services had been introduced provided estimates of the proportions of patients with an STI correctly diagnosed and treated. Patients who returned to the health centres after 1 week were interviewed about compliance. An estimate of the efficacy of treatments prescribed for STIs in health centres before the introduction of improved STI services was obtained from a study on prescription patterns for genital discharge syndrome (GDS) and genital ulcer disease (GUD). RESULTS It was estimated that in the catchment area of health centres offering improved STI services, 51–72% of patients with STI symptoms sought care from those health centres. About 76–85% of cases were correctly diagnosed, and of these 69–80% received efficacious treatment. Compliance with full treatment was estimated at 84%. The estimated overall cure rate achieved by the health centres offering improved STI services ranged between 23 and 41%. The proportion of symptomatic STI patients who attended a health centre before improved STI services were introduced was estimated at 39%. The estimated efficacy of the treatments prescribed was 28%. The overall cure rate achieved by these health centres was less than 10%. CONCLUSIONS When assessing the performance of STI case detection and management all steps have to be taken into account that are taken by patients with an STI before they can be considered cured by the health services. The intervention to improve STI services in Mwanza Region has resulted in an improvement of the cure rate of STIs achieved by primary health care centres. en_US
dc.language English en_US
dc.publisher Blackwell Publishing
dc.subject Sexually transmitted diseases en_US
dc.subject STD en_US
dc.subject Primary health care en_US
dc.subject Health services en_US
dc.subject Case detection en_US
dc.subject Treatment en_US
dc.subject Outcome en_US
dc.subject Quality of care en_US
dc.subject Compliance en_US
dc.subject Tanzania en_US
dc.subject Africa, East en_US
dc.title How many patients with a sexually transmitted infection are cured by health services? A study from Mwanza region, Tanzania en_US
dc.type Article en_US
dc.citation.issue 12
dc.citation.jtitle Tropical Medicine and International Health en_US
dc.citation.volume 6 en_US
dc.citation.pages 971-979 en_US
dc.publisher.place Oxford
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/11737832
dc.citation.jabbreviation Trop Med Int Health en_US


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