Wanjala P, Tyndall MW, Agoki E, Malisa W, Ndinya-Achola JO, Plummer FA; International Conference on AIDS.
Int Conf AIDS. 1992 Jul 19-24; 8: C296 (abstract no. PoC 4310).
University of Nairobi, Kenya.
OBJECTIVES: The control of genital ulcer disease (GUD) is an important component of HIV/AIDS control programs. This study examines the treatment options and health seeking behaviour of men with GUD in Nairobi. METHODS: The study was conducted at the Special Treatment Clinic (STC) which is the referral centre for most STDs in Nairobi. Following examination, men with purulent GUD were asked to participate in a survey concerning sexual behaviour. Two trained interviewers administered all questionnaires. RESULTS: Of the 819 men who were interviewed, 42% had received treatment elsewhere. The source of initial treatment was a private physician in 48%, a community clinic in 46%, and a non-physician (chemist, friend, street vendor) in 6%. In nearly all cases the treatment was inappropriate. The mean time from initial ulcer symptoms until presentation at the STC was 17 days. This was extended to 21 days for those who had already received treatment. Eight percent reported having sex during this symptomatic period. Regular condom use was reported by less than 5%. CONCLUSIONS: Programs designed to control GUD should include i) increased public awareness of GUD, emphasizing the association with HIV, the importance of early treatment and the dangers of having sex when infected ii) easy access to effective treatment iii) the education of private physicians and community health workers in the management of GUD and iv) the need to use condoms.
Publication Types:
Keywords:
- Acquired Immunodeficiency Syndrome
- Animals
- Condoms
- Female
- Female Urogenital Diseases
- HIV Infections
- Health Behavior
- Humans
- Interviews as Topic
- Kenya
- Male
- Nairobi Sheep Disease
- Peptic Ulcer
- Questionnaires
- Sexual Behavior
- Sexually Transmitted Diseases
- Sheep
- Ulcer
- Urogenital System
Other ID:
UI: 102199731
From Meeting Abstracts