AEGiS-09IAC: STD partner notification and referral in primary health care clinics, Nairobi, Kenya.

9th International AIDS Conference


Berlin, Germany — June 6-11, 1993

Print this Article


STD partner notification and referral in primary health care clinics, Nairobi, Kenya.

Int Conf AIDS 1993 Jun 6-11; 9:132 (abstract no. WS-D29-2)
Njeru EK, Ngugi EN, Moses S, Eldridge G, Plummer F; University of Nairobi, Kenya.

INTRODUCTION: In trying to control the AIDS epidemic, management of STDs is especially important. Sexual partners of STD patients need special attention in order to accomplish this.

OBJECTIVE: To establish baseline characteristics of STD clients' partners and identify intervention measures that would increase the referral rate.

METHODS: A descriptive cross-sectional study. All consecutive patients attending two Nairobi Primary Health Care Clinics were enrolled in the study and given extra counselling in a two week period.

RESULTS: The majority, 65% had urethral discharge compared to 14% with genital ulcer diseases. More than half reported the spouse as the contact with 13%, 10%, 9% and 14% being pick-up prostitutes, boy/girl friend or an acquaintance, respectively. Of the 100 who returned for follow up, 64% had counselled their partners about the infection and 58% of the 100 partners had reported for STD management. Significant differences were found between those who came with STD symptoms and MCH/FP attenders in terms of age, marital status, education, employment, who the partner was, whether client told partner. Women were also more likely to be less educated, unemployed, more faithful, to tell partner and know whether their partners had been treated.

CONCLUSION: Women were much more likely to return for follow up, share information and seek STD preventive communication than men. One to one education increased partner referral from 15% to 58%. A larger scale study is necessary to articulate what works and why.

Keywords: AEGIS, Contact Tracing, Sexually Transmitted Diseases, Referral and Consultation, Ambulatory Care Facilities, Primary Health Care, Sexual Partners, Kenya, Communication, Counseling, Cross-Sectional Studies, Human, Female, Male, ICA9KWDaegis,contacttracing,sexuallytransmitteddiseases,referralandconsultation,ambulatorycarefacilities,primaryhealthcare,sexualpartners,kenya,communication,counseling,cross-sectionalstudies,human,female,male,ica9
930606
WSD292

Copyright © 1993 - International AIDS Society (IAS). Reproduction of this abstract (other than one copy for personal reference) must be cleared through the IAS.