RESUMO
During the progress, in 1989, of a programme of social marketing of condoms in Cameroon, it was obvious that this approach should be supplemented by a similar programme for the management of STD's. Nine surveys were carried out in 1992 in Yaounde and Douala in the sexually most active male population (in the general community, at the workplace and in the leisure environment) in order to collect the basic data necessary for its implementation. Treatment essentially consists of mono-chemotherapy with drugs which are generally inefficient against the two principal etiologies of urethritis: Neisseria gonorrhoeae and Chlamydia trachomatis. The cost of treatment is considered excessive and leads to poor follow-up of the complete prescription. Simultaneous treatment of partners should be developed. All these data have been taken into account for the elaboration of a pilot programme which should be implemented in 1993.
Assuntos
Antibacterianos/uso terapêutico , Infecções Sexualmente Transmissíveis/prevenção & controle , Adolescente , Adulto , Antibacterianos/administração & dosagem , Camarões , Infecções por Chlamydia/prevenção & controle , Preservativos/estatística & dados numéricos , Custos de Medicamentos , Resistência Microbiana a Medicamentos , Feminino , Gonorreia/prevenção & controle , Humanos , Masculino , Infecções Sexualmente Transmissíveis/economia , População Urbana , Uretrite/etiologia , Uretrite/prevenção & controleRESUMO
Une etude a ete menee dans les grands centres urbains du Cameroun pour essayer d'evaluer le cout des traitements prescrits dans les urethrites masculines. Il ressort d'abord de cette etude que l'utilisation des preservatifs est devenue monnaie courante au Cameroun. Ensuite; la standardisation du prix de ces traitements a permis de reduire nettement les depenses des malades. Cela a ete finalement un grand succes pour les autorites sanitaires du Cameroun
Assuntos
Análise Custo-Benefício , Infecções Sexualmente Transmissíveis/prevenção & controle , Saúde da População Urbana , Uretrite , Uretrite/tratamento farmacológicoRESUMO
Afin de determiner si les methodes et procedes de gestion du personnel de sante peripherique sont de nature a favoriser le developpement d'un systeme de sante de district auto-responsable et operationnel; les auteurs ont realise une enquete transversale a passage unique avec renseignement de questionnaires aupres du personnel medico-sanitaire des formations sanitaires publiques dans les huit Arrondissements de la Mefou. Il ressort de cette etude que la gestion du personnel de sante peripherique est caracterisee par une mauvaise utilisation des effectifs disponibles; un encadrement inadequat et une insuffisance de motivation materielle et psychologique du personnel
