Sexually transmitted disease services in Madras: could their role in AIDS prevention be strengthened?

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dc.contributor.authorKantharaj, Ken_US
dc.contributor.authorMertens, T Een_US
dc.contributor.authorSmith, G Den_US
dc.contributor.authorMugrditchian, Den_US
dc.contributor.authorVan Dam, C Jen_US
dc.contributor.authorRadhakrishnan, K Men_US
dc.date.accessioned1995-07-01en_US
dc.date.accessioned2009-06-01T09:55:14Z
dc.date.available1995-07-01en_US
dc.date.available2009-06-01T09:55:14Z
dc.date.issued1995-07-01en_US
dc.description.abstractA baseline evaluation of the quality of STD case management was conducted in five areas of Madras city in 1992, using HIV prevention indicators recommended by the World Health Organization. Eighty-four interviews and 108 observations of private and public clinic practitioners were conducted. Sixty-one percent of interviewed doctors reported making only specific "clinical" diagnoses and 17% reported making only the WHO recommended syndrome-based diagnoses while 22% reported making both types of diagnosis. The adequacy of treatment was compared against various standards, including the Indian National Guidelines for STD management. Almost half of the health care providers (HCP) reported using a treatment effective against the two main pathogens that may cause male urethritis, while 20% reported using a treatment that was not effective against either. For male ulcers only 12% of HCPs reported using treatment effective against both syphilis and chancroid. Seventy-nine percent of the HCP reported that they advised their patients to use condoms, but in 30% only of observed consultations, condoms were promoted for STD or HIV/AIDS prevention. As information concerning the relative prevalence of pathogens in different areas is unlikely to be available, there is an urgent need for the syndromic approach to STD treatment be adopted by health care providers.en_US
dc.description.affiliationState AIDS Project Cell, Tamil Nadu.en_US
dc.identifier.citationKantharaj K, Mertens TE, Smith GD, Mugrditchian D, Van Dam CJ, Radhakrishnan KM. Sexually transmitted disease services in Madras: could their role in AIDS prevention be strengthened? Indian Journal of Public Health. 1995 Jul-Sep; 39(3): 93-9en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/109465
dc.language.isoengen_US
dc.subject.meshAcquired Immunodeficiency Syndrome --epidemiologyen_US
dc.subject.meshAdulten_US
dc.subject.meshDeveloping Countriesen_US
dc.subject.meshFemaleen_US
dc.subject.meshHealth Knowledge, Attitudes, Practiceen_US
dc.subject.meshHumansen_US
dc.subject.meshIndia --epidemiologyen_US
dc.subject.meshMaleen_US
dc.subject.meshPatient Care Team --statistics & numerical dataen_US
dc.subject.meshPopulation Surveillanceen_US
dc.subject.meshQuality Assurance, Health Careen_US
dc.subject.meshRisk Factorsen_US
dc.subject.meshSexually Transmitted Diseases --epidemiologyen_US
dc.subject.meshUrban Population --statistics & numerical dataen_US
dc.titleSexually transmitted disease services in Madras: could their role in AIDS prevention be strengthened?en_US
dc.typeJournal Articleen_US
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