Document 2596
 DOCN  M94A2596
 TI    The feasibility of syndrome based STD management integrated into a rural
       primary health care setting.
 DT    9412
 AU    Grosskurth H; Mwijarubi E; Muhaya P; Mayaud P; Gavyole A; Mabey D; AMREF
       Tanzania.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):268 (abstract no. PB0503). Unique
       Identifier : AIDSLINE ICA10/94369979
 AB    OBJECTIVES: 1. To integrate STD control into the existing rural PHC
       system. 2. To assess its operational feasibility. METHODS: Over the last
       30 months, from each of 33 health units 2 health workers were trained on
       STDs (1 week classroom, 2 weeks practical). Effective STD drugs were
       supplied 6-8 weekly during support visits. Treatment was provided at the
       place of first encounter through a syndromic approach. Appropriate
       treatment seeking behaviour was promoted through IEC activities. Sexual
       partners were notified by index cases in order to achieve contact
       treatment. Treatment outcomes and drug consumption were monitored.
       RESULTS: 11,500 STD patients were treated (32% presented with male
       urethritis, 25% with vaginal discharge, 20% with PID, 18% with genital
       ulcers and 5% with other STD conditions). 55% of all returned after 1st
       line treatment, 70% of whom were cured, 11% were cured after 2nd or 3rd
       line treatment and 18% could not be followed-up. 0.4% were referred. 2
       cases of absolute treatment failure were recorded. DISCUSSION AND
       CONCLUSIONS: STD control can successfully be provided at PHC level, and
       seems to be the ideal approach in resource limited settings. This
       approach is more cost- effective than classical ways of STD control. A
       reference laboratory is required somewhere in the larger area to monitor
       microbial drug sensitivities.
 DE    Contact Tracing  Cost-Benefit Analysis  Curriculum  Feasibility Studies
       Female  Human  Inservice Training/ECONOMICS  Male  Primary Health
       Care/ECONOMICS  *Rural Health  Sexually Transmitted Diseases/*DRUG
       THERAPY/PREVENTION & CONTROL/  TRANSMISSION  Tanzania  MEETING ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).