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  1. Providing low-cost sexually transmitted diseases services in two semi-urban health centers in Central African Republic (CAR) : Characteristics of patients and patterns of health care-seeking behavior.

    Article - En anglais


    While treatment of symptomatic sexually transmitted diseases (STDs) has been shown to reduce the incidence of HIV infection, there are few published reports describing the delivery of high quality STD care in Africa.

    Goal : To test the feasibility of providing comprehensive, affordable STD services through the existing primary care infrastructure.


    STD treatment services using a syndromic approach were established in two semi-urban hospital outpatient departments (OPD) in Central African Republic (CAR) - A dedicated paramedical provider took a clinical history, performed an examination, explained the diagnosis and the importance of referring partners, dispensed drugs, and offered partner referral vouchers.

    A fee-for-service system was used to resupply drugs initially purchased with project funds.


    Of 9,552 visits by index patients and partners over a 28-month period starting in October 1993,60% were made by women ; of these women, 90% were symptomatic, 77% had « vaginal discharge, » 70% « lower abdominal pain, » and 7% « genital ulcer. » Among men, 64% were symptomatic, 38% had « urethral discharge, » and 14% « genital ulcer. » Half of all symptomatic patients presented within 1 week of the onset of symptoms ; 44% of men compared to 18% of women had sought care elsewhere before the clinic visit.

    The average cost per STD treated with recommended drugs was $3.90. (...)

    Mots-clés Pascal : Maladie sexuellement transmissible, Soin santé primaire, République centrafricaine, Afrique, Coût, Economie santé, Etude statistique

    Mots-clés Pascal anglais : Sexually transmitted disease, Primary health care, Central African Republic, Africa, Costs, Health economy, Statistical study

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

    Cote : 99-0517342

    Code Inist : 002B30A03B. Création : 18/05/2000.