Quality of sexually transmitted disease services in Jamaica: evaluation of a clinic-based approach. Collaborative Working Group on Indicators of STD Case Management
Bull World Health Organ
; 72(2): 239-47, 1994.
Artigo
em Inglês
| MedCarib
| ID: med-7222
Biblioteca responsável:
JM3.1
Localização: JM3.1; RA8.A13
ABSTRACT
As part of a larger strategy to develop global indicators of HIV (human immunodeficiency virus) infection prevention programmes, a clinic-based method for the assessment of sexually transmitted disease (STD) service quality was developed and field tested by trained observers who visited a random sample of public-sector clinics in Jamaica in October 1991. The assessment included an inventory of equiptment and drugs, interview with clinic staff, and observations of 27 health workers in 15 clinics as they provided services to 115 patients presented for STD care. This observation-based method provided Jamaican programme managers with descriptive data on STD case management in public clinics within a one-month study period at an approximate local cost of US$ 5000. Based on weighted estimates, 91 percent of public-sector STD patients in Jamaica were seen in clinics whose staff had received some training in STD case management during the preceding 12 months. The correct treatment rate was estimated to be 82 percent for those diagnosed with gonorrhoea, and 70 percent for those diagnosed with syphilis. Based on 98 observed encounters for first-time-for-episode patients, counselling included sex partner referral (57 percent), partner reduction (48 percent), and condom use (59 percent). Although 61 percent of STD patients were seen in clinics with condoms in stock on the day of the assessment, only 23 percent were offered condoms during their visit. The clinic-based assessment method can be adapted to the programme management and reporting needs of the countries at all stages of STD service development, and can provide data needed to improve programme operations and meet international reporting standards (AU)
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Coleções:
Bases de dados internacionais
Contexto em Saúde:
ODS3 - Saúde e Bem-Estar
Problema de saúde:
Meta 3.3: Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis
Base de dados:
MedCarib
Assunto principal:
Infecções Sexualmente Transmissíveis
/
Instituições de Assistência Ambulatorial
Tipo de estudo:
Estudo diagnóstico
/
Estudo de avaliação
/
Guia de prática clínica
Limite:
Adolescente
/
Adulto
/
Idoso
/
Humanos
País/Região como assunto:
Caribe Inglês
/
Jamaica
Idioma:
Inglês
Revista:
Bull World Health Organ
Ano de publicação:
1994
Tipo de documento:
Artigo