Sexually Transmitted Disease Syndromic Case Management Through Public Sector Facilities: Development and Assessment Study in Punjab Pakistan

Objective: Sexually transmitted infections (STIs) are a priority health problem. We proposed a prospective study in two districts of Punjab, using an intervention package, which included guidelines and protocols on syndrome-based management of STIs, adapted in light of technical guidelines from the...

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Autores principales:	Muhammad Amir Khan, Wajiha Javed, Maqsood Ahmed, John Walley, Muhammad Arif Munir
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2015
Materias:	HIV public sector sexually transmitted diseases Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/7b2292e46c934b73b0b81ad1dd45a528
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spelling	oai:doaj.org-article:7b2292e46c934b73b0b81ad1dd45a5282021-12-02T02:41:32ZSexually Transmitted Disease Syndromic Case Management Through Public Sector Facilities: Development and Assessment Study in Punjab Pakistan2214-999610.1016/j.aogh.2015.02.002https://doaj.org/article/7b2292e46c934b73b0b81ad1dd45a5282015-05-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2088https://doaj.org/toc/2214-9996Objective: Sexually transmitted infections (STIs) are a priority health problem. We proposed a prospective study in two districts of Punjab, using an intervention package, which included guidelines and protocols on syndrome-based management of STIs, adapted in light of technical guidelines from the National <a title="Learn more about HIV/AIDS" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/hiv-aids">AIDS</a> Control Program and the World Health Organization. The aim of this study was to assess the operational effectiveness of STI <a title="Learn more about Case management (mental health)" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/case-management-mental-health">case management</a> guidelines and to assess factors that determine the adherence to guidelines for management of STIs at public health facilities in Pakistan. Methods: A prospective study lasting 18 months (January 2008 to June 2009), which reviewed early implementation experiences of updated case management guidelines for delivery of syndrome-based STI/reproductive tract infection care, through public-sector <a title="Learn more about Health Care Facility" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/health-care-facility">health care facilities</a>. The project was implemented in two districts of Punjab, Sargodha and Jhang. A Cox regression model with stratification was done. Findings: The prevalence of STI was 26 per 100,000 patients. In women, the reported symptoms were 80% <a title="Learn more about Vaginal discharge" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/vaginal-discharge">vaginal discharge</a> and 12% abdominal pain. Forty-four percent of men had a <a title="Learn more about Genital ulcer" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/genital-ulcer">genital ulcer</a> and 29% of men had genital discharge. Age of participants ranged from 13 to 60 years. The study comprised 28.6% men and 71.4% women. The majority of the population attending these clinics was from rural areas (70%). The variables independently associated with adherence to guidelines were availability of male paramedic, age of patient, and type of diagnosis made. There was an important interaction (effect modification) present between the area of health facility and patient sex. Conclusion: Screening, diagnosis, and treatment costs for many STIs are expensive and thus an easier, low-cost, syndrome-based public health strategy is the adoption of the proposed STI syndrome case management guidelines.Muhammad Amir KhanWajiha JavedMaqsood AhmedJohn WalleyMuhammad Arif MunirUbiquity PressarticleHIVpublic sectorsexually transmitted diseasesInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 80, Iss 6, Pp 486-492 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	HIV public sector sexually transmitted diseases Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	HIV public sector sexually transmitted diseases Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Muhammad Amir Khan Wajiha Javed Maqsood Ahmed John Walley Muhammad Arif Munir Sexually Transmitted Disease Syndromic Case Management Through Public Sector Facilities: Development and Assessment Study in Punjab Pakistan
description	Objective: Sexually transmitted infections (STIs) are a priority health problem. We proposed a prospective study in two districts of Punjab, using an intervention package, which included guidelines and protocols on syndrome-based management of STIs, adapted in light of technical guidelines from the National <a title="Learn more about HIV/AIDS" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/hiv-aids">AIDS</a> Control Program and the World Health Organization. The aim of this study was to assess the operational effectiveness of STI <a title="Learn more about Case management (mental health)" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/case-management-mental-health">case management</a> guidelines and to assess factors that determine the adherence to guidelines for management of STIs at public health facilities in Pakistan. Methods: A prospective study lasting 18 months (January 2008 to June 2009), which reviewed early implementation experiences of updated case management guidelines for delivery of syndrome-based STI/reproductive tract infection care, through public-sector <a title="Learn more about Health Care Facility" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/health-care-facility">health care facilities</a>. The project was implemented in two districts of Punjab, Sargodha and Jhang. A Cox regression model with stratification was done. Findings: The prevalence of STI was 26 per 100,000 patients. In women, the reported symptoms were 80% <a title="Learn more about Vaginal discharge" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/vaginal-discharge">vaginal discharge</a> and 12% abdominal pain. Forty-four percent of men had a <a title="Learn more about Genital ulcer" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/genital-ulcer">genital ulcer</a> and 29% of men had genital discharge. Age of participants ranged from 13 to 60 years. The study comprised 28.6% men and 71.4% women. The majority of the population attending these clinics was from rural areas (70%). The variables independently associated with adherence to guidelines were availability of male paramedic, age of patient, and type of diagnosis made. There was an important interaction (effect modification) present between the area of health facility and patient sex. Conclusion: Screening, diagnosis, and treatment costs for many STIs are expensive and thus an easier, low-cost, syndrome-based public health strategy is the adoption of the proposed STI syndrome case management guidelines.
format	article
author	Muhammad Amir Khan Wajiha Javed Maqsood Ahmed John Walley Muhammad Arif Munir
author_facet	Muhammad Amir Khan Wajiha Javed Maqsood Ahmed John Walley Muhammad Arif Munir
author_sort	Muhammad Amir Khan
title	Sexually Transmitted Disease Syndromic Case Management Through Public Sector Facilities: Development and Assessment Study in Punjab Pakistan
title_short	Sexually Transmitted Disease Syndromic Case Management Through Public Sector Facilities: Development and Assessment Study in Punjab Pakistan
title_full	Sexually Transmitted Disease Syndromic Case Management Through Public Sector Facilities: Development and Assessment Study in Punjab Pakistan
title_fullStr	Sexually Transmitted Disease Syndromic Case Management Through Public Sector Facilities: Development and Assessment Study in Punjab Pakistan
title_full_unstemmed	Sexually Transmitted Disease Syndromic Case Management Through Public Sector Facilities: Development and Assessment Study in Punjab Pakistan
title_sort	sexually transmitted disease syndromic case management through public sector facilities: development and assessment study in punjab pakistan
publisher	Ubiquity Press
publishDate	2015
url	https://doaj.org/article/7b2292e46c934b73b0b81ad1dd45a528
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Sexually Transmitted Disease Syndromic Case Management Through Public Sector Facilities: Development and Assessment Study in Punjab Pakistan

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