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  1. Improving sexually transmitted disease management in the private sector : the Jamaica experience.

    Article - En anglais

    Objectives 

    To improve the quality of sexually transmitted disease (STD) case management in Jamaica by providing comprehensive continuing medical education to private practitioners who manage 60% of all STDs on the island.

    Methods 

    Six half-day STD seminars were presented at 3-4-month intervals and repeated in three separate geographic locations.

    All Jamaican practitioners received invitations.

    The subjects were as follows 

    Urethritis, genital ulcer disease, HIV infection, vaginal discharge syndrome, STDs in children and adolescents, and a review seminar.

    The program effectiveness was evaluated with a written, self-reported pre-test and a telephone post-test that measured changes in clinical management.

    Results 

    Six hundred and twenty eight practitioners attended at least one seminar.

    Comparing pre-versus post-test scores, there were practitioner improvement trends in all four of the general STD management categories :

    • counseling/education (69.8-73.3% ; P>0.05) ;

    • diagnostics/screening (57.2-71.0% ; P=0.042) ;

    • treatment (68.3-74.5% ; P>0.05) ;

    • and knowledge (66.4-83.2% ; P=0.002).

    Obtaining syphilis serologies during pregnancy rose from 38.3 to 83.8% (P=0.001), and providing effective treatment for gonorrhea rose from 57.8 to 81.1% (P=0.002), but correct responses on treatment for mucopurulent cervicitis at the post-test was a low 32.4%. (...)

    Mots-clés Pascal : Maladie sexuellement transmissible, Contrôle qualité, Soin, Prévention, Jamaïque, Antilles, Amérique Centrale, Amérique, Formation permanente, Médecin généraliste, Programme sanitaire, Organisation santé

    Mots-clés Pascal anglais : Sexually transmitted disease, Quality control, Care, Prevention, Jamaica, West Indies, Central America, America, Continuing education, General practitioner, Sanitary program, Public health organization

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

    Cote : 99-0025119

    Code Inist : 002B05C02D. Création : 31/05/1999.