Provision of Sexually Transmitted Infection Services in a Mobile Clinic Reveals High Unmet Need in Remote Areas of South Africa
| Autor: | Jean Railton, Remco P. H. Peters, Phumzile Sithole, Marleen M. Kock, Jan Henk Dubbink, Servaas A. Morré, James McIntyre, Nontembeko Mbambazela, Charlotte M. Hoffman |
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| Přispěvatelé: | Medical Microbiology and Infection Prevention, AII - Infectious diseases, RS: GROW - R4 - Reproductive and Perinatal Medicine, Institute for Public Health Genomics, RS: CAPHRI - R4 - Health Inequities and Societal Participation, MUMC+: DA MMI Staf (9) |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Cross-sectional study
Nurse practitioners Rural Health urologic and male genital diseases Health Services Accessibility South Africa 0302 clinical medicine Prevalence 030212 general & internal medicine Asymptomatic Infections health care economics and organizations High prevalence Rural health SYNDROMIC MANAGEMENT Diagnostic test WOMEN FACILITIES Middle Aged female genital diseases and pregnancy complications CHLAMYDIA Counselors Infectious Diseases Female 0305 other medical science Bacterial vaginitis GONORRHOEAE Adult Microbiology (medical) medicine.medical_specialty Adolescent Sexually Transmitted Diseases Dermatology Unmet needs Young Adult 03 medical and health sciences HIGH PREVALENCE medicine Humans Nurse Practitioners Aged TRICHOMONAS-VAGINALIS 030505 public health business.industry Public Health Environmental and Occupational Health MYCOPLASMA-GENITALIUM Cross-Sectional Studies Vaginal Discharge Family medicine Mobile clinic business Delivery of Health Care Mobile Health Units RESISTANCE |
| Zdroj: | Sexually Transmitted Diseases, 46(3), 206-212. Lippincott Williams and Wilkins Hoffman, C M, Mbambazela, N, Sithole, P, Morré, S A, Dubbink, J H, Railton, J, McIntyre, J A, Kock, M M & Peters, R P H 2019, ' Provision of Sexually Transmitted Infection Services in a Mobile Clinic Reveals High Unmet Need in Remote Areas of South Africa: A Cross-sectional Study ', Sexually Transmitted Diseases, vol. 46, no. 3, pp. 206-212 . https://doi.org/10.1097/OLQ.0000000000000931 Sexually Transmitted Diseases, 46(3). LIPPINCOTT WILLIAMS & WILKINS |
| ISSN: | 0148-5717 |
| Popis: | Background The burden of sexually transmitted infections (STIs) in areas of sub-Saharan Africa with poor access to health care services is not well documented. In remote areas of South Africa, we investigated the prevalence of STIs and approaches to providing STI services through a mobile clinic.Methods We recruited 251 adult women visiting a mobile clinic that normally provides general health education and screening services, but not STI care. Clinical and sexual history was obtained and vaginal specimens were tested for Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, and Mycoplasma genitalium infection and for Candida albicans and bacterial vaginosis.Results Laboratory test was positive for 133 (53%) of 251 women for at least 1 STI: C. trachomatis was observed in 52 (21%) women, N. gonorrhoeae in 39 (16%) women, T. vaginalis in 81 (32%) women and M. genitalium in 21 (8%) women. Eighty-one (32%) women met the criteria for vaginal discharge syndrome, of which 58% (47/81) would have been treated accurately. Among asymptomatic women 84 (49%) of 170 were diagnosed with an STI but untreated under the syndromic approach. We could not identify factors associated with asymptomatic STI infection.Conclusions There is a high unmet need for STI care in rural South African settings with poor access to health care services. Provision of STI services in a mobile clinic using the syndromic management approach provides a useful approach, but would have to be enhanced by targeted diagnostics to successfully address the burden of infection. |
| Databáze: | OpenAIRE |
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