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.
Six half-day STD seminars were presented at 3-4-month intervals and repeated in three separate geographic locations.
All Jamaican practitioners received invitations.
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.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0025119
Code Inist : 002B05C02D. Création : 31/05/1999.