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

Abstract:

BACKGROUND AND OBJECTIVE:Surveillance for sexually transmitted diseases (STD) is important for priority setting, service development, and evaluating interventions. GOAL:To conduct health facility-based surveillance for STDs to inform design of a control program and to provide baseline measures for evaluation of interventions. STUDY DESIGN:Surveillance system for patients with STD syndromes in public and private sector health facilities in Hlabisa, South Africa. RESULTS: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. CONCLUSIONS: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.

journal_name

Sex Transm Dis

authors

Wilkinson D,Connolly AM,Harrison A,Lurie M,Karim SS

doi

10.1097/00007435-199801000-00005

subject

Has Abstract

pub_date

1998-01-01 00:00:00

pages

20-3

issue

1

eissn

0148-5717

issn

1537-4521

journal_volume

25

pub_type

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