PMID: 9437780Jan 23, 1998Paper

Sexually transmitted disease syndromes in rural South Africa. Results from health facility surveillance

Sexually Transmitted Diseases
D WilkinsonS A Karim

Abstract

Surveillance for sexually transmitted diseases (STD) is important for priority setting, service development, and evaluating interventions. To conduct health facility-based surveillance for STDs to inform design of a control program and to provide baseline measures for evaluation of interventions. Surveillance system for patients with STD syndromes in public and private sector health facilities in Hlabisa, South Africa. Over a 5-month period, 4,781 patients with an STD were reported, 3,126 (65%) by clinics and 1,655 (35%) by general practitioners; 2,582 (54%) were in men. Most were diagnosed with a single syndrome. Discharge was most common (49% of both male and female patients), followed by ulcer (36% of men and 14% of women). Mean symptom duration was 18 days for women and 10 days for men (p < 0.0001). A quarter reported having another STD in the previous 3 months. The highest age-specific incidence was estimated at 16.4% among women 20 to 24 years of age. The burden of STDs is high in rural South Africa. There is considerable scope for improved disease control, and the private sector has an important role to play.

References

Nov 11, 1995·Lancet·I Wolffers, I Fernandez
Nov 11, 1995·Lancet·M ColvinD Wilkinson
Dec 1, 1994·American Journal of Public Health·S S Abdool Karim
Feb 3, 1996·BMJ : British Medical Journal·H GrosskurthR Hayes
Mar 1, 1996·Transactions of the Royal Society of Tropical Medicine and Hygiene·D Mabey

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Citations

Aug 11, 2000·Australian and New Zealand Journal of Public Health·D Wilkinson, G Dore
Nov 28, 2002·Journal of Clinical Microbiology·Prashini MoodleyA Willem Sturm
Aug 3, 2005·Sexually Transmitted Infections·L F JohnsonR E Dorrington
Jan 1, 2012·African Journal of Traditional, Complementary, and Alternative Medicines : AJTCAM·Lourens Johannes Christoffel ErasmusSandra Janet Lennox
Feb 12, 2014·International Journal of STD & AIDS·Fredrick Odhiambo OtienoKristen Mahle Gray
Jun 11, 1999·International Journal of STD & AIDS·A M ConnollyS S Karim

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