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

    Article - En anglais

    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 STI) syndromes in public and private sector health facilities in Hlabisa, South Africa.


    Over a 5-month period, 4,781 patients with an STI) 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.

    Mots-clés Pascal : Maladie sexuellement transmissible, Epidémiologie, Zone rurale, Soin santé primaire, Surveillance, Prévention, Communication information, Diagnostic, Symptomatologie, Evaluation, Homme, République Sud Africaine, Afrique, Appareil génital mâle pathologie, Appareil génital femelle pathologie, Education santé

    Mots-clés Pascal anglais : Sexually transmitted disease, Epidemiology, Rural area, Primary health care, Surveillance, Prevention, Information communication, Diagnosis, Symptomatology, Evaluation, Human, South Africa, Africa, Male genital diseases, Female genital diseases, Health education

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0074156

    Code Inist : 002B05A02. Création : 14/05/1998.