An assessment of care provided by a public sector STD clinic in Cape Town.
A study was undertaken in a Cape Town public sector STD clinic to evaluate the content and quality of care provided since it has been recognized that appropriate improvements in the management of conventional sexually transmitted diseases (STDs), including provision of correct therapy, health education, condom promotion and partner notification, could result in a reduced incidence of HIV infection.
Our objectives were to assess patients'needs for health education and to assess the quality of STD management in terms of health education, condom promotion, partner notification, the validity of the clinical diagnoses and the adequacy of the treatments prescribed.
The study subjects were sampled systematically, according to their gender.
Patients included in the study were given a standardized interview and their clinical records reviewed.
Specimens were collected for laboratory investigations.
For each STD detected, the treatment was defined as adequate if drugs currently known to be active against that infection were prescribed.
One hundred and seventy men and 161 women were included in the study (median age : females 22 years, males 26 years).
While almost all patients believed their STD may have been caused by unprotected sexual intercourse, many also believed it may have been caused by other factors, such as bewitchment with traditional medicine. (...)
Mots-clés Pascal : Maladie sexuellement transmissible, Qualité, Soin, Contrôle qualité, Secteur public, Hôpital, Education santé, Traitement, Condom, Information, Partenaire sexuel, Méthode, Prévention, République Sud Africaine, Afrique, Homme, Organisation santé
Mots-clés Pascal anglais : Sexually transmitted disease, Quality, Care, Quality control, Public sector, Hospital, Health education, Treatment, Condom, Information, Sex partner, Method, Prevention, South Africa(Republic), Africa, Human, Public health organization
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0037415
Code Inist : 002B05A02. Création : 31/05/1999.