Lessons for management of sexually transmitted infection treatment programs as part of HIV/AIDS prevention strategies. 2006

Julienne McKay, and David Campbell, and Anna Cornelia Gorter
University of Sydney, Australia. julienne.mckay@gmail.com

We analyzed the treatment schedule of a long-running HIV/AIDS prevention program in Managua, Nicaragua, that targets sex workers through mass and specific clinic-based treatment of sexually transmitted infections and confirmed the role of frequency of treatment in generating a sustained reduction in measured prevalence of sexually transmitted infections. Unplanned variations in the time between treatments, a situation common to public health programs, provided the basis for attributing changes in measured levels of sexually transmitted infections to the program and for testing the statistical significance of the relationship. This information is critical to program design and funding and to resource allocation.

UI MeSH Term Description Entries
D008297 Male Males
D009527 Nicaragua A country in CENTRAL AMERICA, bordering both the Caribbean Sea and the North Pacific Ocean, between COSTA RICA and HONDURAS.
D010353 Patient Education as Topic The teaching or training of patients concerning their own health needs. Education of Patients,Education, Patient,Patient Education
D011477 Sex Work The act or practice of engaging in sexual relations for money or other benefit. Commercial Sex,Prostitution,Sex Industry,Industries, Sex,Sex Industries,Sex, Commercial,Work, Sex
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000163 Acquired Immunodeficiency Syndrome An acquired defect of cellular immunity associated with infection by the human immunodeficiency virus (HIV), a CD4-positive T-lymphocyte count under 200 cells/microliter or less than 14% of total lymphocytes, and increased susceptibility to opportunistic infections and malignant neoplasms. Clinical manifestations also include emaciation (wasting) and dementia. These elements reflect criteria for AIDS as defined by the CDC in 1993. AIDS,Immunodeficiency Syndrome, Acquired,Immunologic Deficiency Syndrome, Acquired,Acquired Immune Deficiency Syndrome,Acquired Immuno-Deficiency Syndrome,Acquired Immuno Deficiency Syndrome,Acquired Immuno-Deficiency Syndromes,Acquired Immunodeficiency Syndromes,Immuno-Deficiency Syndrome, Acquired,Immuno-Deficiency Syndromes, Acquired,Immunodeficiency Syndromes, Acquired,Syndrome, Acquired Immuno-Deficiency,Syndrome, Acquired Immunodeficiency,Syndromes, Acquired Immuno-Deficiency,Syndromes, Acquired Immunodeficiency
D012749 Sexually Transmitted Diseases Diseases due to or propagated by sexual contact. Venereal Diseases,STDs,STIs,Sexually Transmitted Infections,Disease, Sexually Transmitted,Disease, Venereal,Diseases, Sexually Transmitted,Diseases, Venereal,Infection, Sexually Transmitted,Infections, Sexually Transmitted,STI,Sexually Transmitted Disease,Sexually Transmitted Infection,Transmitted Infection, Sexually,Transmitted Infections, Sexually,Venereal Disease
D015658 HIV Infections Includes the spectrum of human immunodeficiency virus infections that range from asymptomatic seropositivity, thru AIDS-related complex (ARC), to acquired immunodeficiency syndrome (AIDS). HTLV-III Infections,HTLV-III-LAV Infections,T-Lymphotropic Virus Type III Infections, Human,HIV Coinfection,Coinfection, HIV,Coinfections, HIV,HIV Coinfections,HIV Infection,HTLV III Infections,HTLV III LAV Infections,HTLV-III Infection,HTLV-III-LAV Infection,Infection, HIV,Infection, HTLV-III,Infection, HTLV-III-LAV,Infections, HIV,Infections, HTLV-III,Infections, HTLV-III-LAV,T Lymphotropic Virus Type III Infections, Human

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