scholarly journals Syndromic Management of Female Sexually Transmitted Infections at Primary Care Level in Tunisia (Monastir 2007-2017)

2020 ◽  
Author(s):  
wafa Dhouib ◽  
Imen Zemni ◽  
Meriem Kacem ◽  
Cyrine Bennasrallah ◽  
Manel Ben Fredj ◽  
...  
Keyword(s):  
Public Health ◽  
Sexually Transmitted Infections ◽  
North Africa ◽  
Prevalence Rate ◽  
Reproductive Age ◽  
World Health ◽  
Positive Trend ◽  
Childbearing Age ◽  
Sexually Transmitted ◽  
The World

Abstract Background: In the world as in North Africa,Sexually Transmitted Infections (STIs) are a public health problem especiallyfor reproductive-age women.Since the quantification of the prevalence of STIs is important for the planning of interventions and the promotion of resources, it is necessary to have current data to evaluate the situation in the Maghreb and to give the answer as to the possibility of reaching the desired WHO goal of ending STIs epidemics as a public health concerns by 2030.The aim of this study was to determine the prevalence and trend of STIs during 11 yearsin Tunisia (2007-17).Methods: We conducted a descriptive cross-sectional study including all women with STIs diagnosed with the syndromic approach in all basic health care centers of the Governorate of Monastir (Tunisia) from 2007 to 2017.Syndromes included, Pelvic Pain (PP),Vaginal Discharge (VD)and Genital Ulceration (GU). Results: We analyzed 40388 cases of genital infection with a crude prevalence rate and age standardized prevalence rate of13.93/ 1000 inh and 72.38/ 1000 respectively.The prevalence rate was relatively high and showed a positive trend over 11 years for all age groups and syndromes. VD was the most common syndrome with a CPR of 11.7/1000. For all syndromes, women of childbearing age(20 to 39 years) were the most affected age group(p <0.05). Conclusion:Our results were consistent with the global evidence, suggesting a focus on primary prevention reinforcement and STIs surveillance system improving in North Africa countries to achieve the World health organization goalof ending STIs epidemics by 2030.

Syndromic Management of Female Sexually Transmitted Infections at Primary Care Level .A Descriptive Cross-Sectional Study Tunisia (Monastir 2007-2017)

2020 ◽  
Author(s):  
Wafa Dhouib ◽  
Imen Zemni ◽  
Meriem Kacem ◽  
Cyrine Bennasrallah ◽  
Manel Ben Fredj ◽  
...  
Keyword(s):  
Public Health ◽  
Sexually Transmitted Infections ◽  
North Africa ◽  
Prevalence Rate ◽  
Cross Sectional Study ◽  
World Health ◽  
Sectional Study ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
The World

Abstract Background: In the world as in North Africa, Sexually Transmitted Infections (STIs) are a public health problem especially for reproductive-age women. Since the quantification of the prevalence of STIs is important for the planning of interventions and the promotion of resources, it is necessary to have current data to evaluate the situation in the Maghreb and to give the answer as to the possibility of reaching the desired WHO goal of ending STIs epidemics as a public health concerns by 2030.The aim of this study was to determine the prevalence and trend of STIs during 11 years in Tunisia (2007-17). Methods: We conducted a descriptive cross-sectional study including all women with STIs diagnosed with the syndromic approach in all basic health care centers of the Governorate of Monastir (Tunisia) from 2007 to 2017. Syndromes included, Pelvic Pain (PP), Vaginal Discharge (VD) and Genital Ulceration (GU). Results: We analyzed 40388 cases of genital infection with a crude prevalence rate and age standardized prevalence rate of 13.93/ 1000 inh and 72.38/ 1000 respectively. The prevalence rate was relatively high and showed a positive trend over 11 years for all age groups and syndromes. VD was the most common syndrome with a CPR of 11.7/1000. For all syndromes, women of childbearing age (20 to 39 years) were the most affected age group (p <0.05). Conclusion:Our results were consistent with the global evidence, suggesting a focus on primary prevention reinforcement and STIs surveillance system improving in North Africa countries to achieve the World health organization goal of ending STIs epidemics by 2030.

scholarly journals PERILAKU SEKSUAL BERISIKO INFEKSI MENULAR SEKSUAL

2021 ◽  
Vol 16 (1) ◽  
pp. 150-154
Author(s):  
Lenny Irmawaty Sirait
Keyword(s):  
Sexually Transmitted Infections ◽  
Health Center ◽  
Sexual Intercourse ◽  
Reproductive Age ◽  
P Value ◽  
Childbearing Age ◽  
District Health ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
The Relationship

Sexually Transmitted Infections (STIs) are various infections that can be transmitted from one person to another through sexual contact. The spread of STIs to women and men (90%) occurs through sexual intercourse, both vaginal, anal and oral, the rest through blood products or tissue transfer that has been exposed to pathogens or can be transmitted through medical devices, as well as from mother to fetus in the womb or while birth process. This study aims to determine the relationship between sexual intercourse patterns and the incidence of sexually transmitted infections in women of reproductive age at the Makassar District Health Center, East Jakarta 2019. This research method is a type of quantitative research with a cross-sectional research design, using the inclusion and exclusion criteria for a sample of 55 people, the type of data. primer, measuring instrument questionnaire and laboratory results, analysis of chi square test data. The results showed that out of 46 women of childbearing age who had a poor pattern of sexual relations and sexually transmitted infections were 41 people (89.1%) and 5 people (10.9%) had sexually transmitted infections while 9 people had a pattern of sexual intercourse. well and sexually transmitted infections were 1 person (11.1) and sexually transmitted infections were 8 people (89.9%) pvalue = 0.01 (p <0.05). Conclusion The Relationship between Sexual Relationship Patterns and the Incidence of Sexually Transmitted Infection in Women of Fertile Age at the Makassar District Health Center 2019 (p value = 0.01)

Substantiation of the Сontemporary Сomplex Functional-Organizational Model of the Dermatovenerologic Service of Ukraine

2020 ◽  
Vol 4 (32) ◽  
pp. 54-60
Author(s):  
V. Korolenko ◽  
Keyword(s):  
Public Health ◽  
Medical Care ◽  
Sexually Transmitted Infections ◽  
World Health ◽  
Healthcare Sector ◽  
High Tech ◽  
Structural Elements ◽  
Organizational Model ◽  
Sexually Transmitted ◽  
Professional Self

Introduction. The health of the population and everyone is one of the greatest values ​​of our state. The transformation of the domestic healthcare sector is a key area of ​​its socio-political and economic development. The problems of socially significant specialized medical services, one of which is the dermatovenereologic service play an important role. Priority areas for counteracting the spread of socially dangerous diseases of dermatovenereologic profile are defined by World Health Organization strategic documents, which reflect the full range of services for patients with sexually transmitted infections and public health, taking into account the principle of universal coverage of health services. Development of dermatovenereology service in Ukraine in accordance with the priorities of state policy, United Nations sustainable development goals for 2016–2030, European Union policy requires improvement of this service taking into account the existing challenges and threats, development and implementation of its effective science-based functional and organizational model. The aim of the study. Improvement of dermatovenereologic service by substantiation of modern complex functional-organizational model. Materials and methods. Methods of system and process approach, bibliosemantic, medical-statistical, structural-logical analysis, modeling of policies of introduction of changes in dermatovenereologic service are used. Results. The principles and measures of counteraction to socially significant and socially dangerous dermatovenereologic pathology are substantiated, which are determined on the basis of the results of analysis of its prevalence, real state of struggle against it and taking into account provisions of strategic documents of state and international levels. A functional and organizational model of the dermatovenereologic service has been developed, which provides for an interdisciplinary, intersectoral and interdisciplinary approach to the development of the dermatovenereologic service, involving existing, improved and completely new structural elements (sexually transmitted infections units in public health centers, remote health units in regional dermatovenereologic centers, a body of professional self-government) in order to rationally coordinate the various links in the provision of medical care to dermatovenereologic patients. These structural elements ensure the performance of basic functions: management, coordination, logistics, information and analytical, training and management of personnel, scientific support, medical care, professional self-government, communication. The model was developed based on the results of the analysis of opinion polls of dermatovenereologists, patients and healthcare managers. The implementation of the model will allow optimizing the use of resources of the service and the healthcare system in general; improve the quality, efficiency and availability of dermatovenereologic care. Expert evaluation of the proposed model showed its innovativeness and compliance with the principles of complexity and continuity in the provision of medical care. Conclusions. The proposed conceptual functional and organizational model of dermatovenereologic service has a preventive focus, based on the principles of complexity, intersectoral and multidisciplinary approaches, patient-centeredness, scientific, high-tech, which can provide quality, affordable and effective prevention, diagnostics and treatment.

scholarly journals Antimicrobial resistance in sexually transmitted infections

2019 ◽  
Vol 27 (1) ◽  
Author(s):  
Vivian Tien ◽  
Chitra Punjabi ◽  
Marisa K Holubar
Keyword(s):  
Antimicrobial Resistance ◽  
Condom Use ◽  
Sexually Transmitted Infections ◽  
Mycoplasma Genitalium ◽  
Therapeutic Options ◽  
World Health ◽  
Drug Resistant ◽  
Intrinsic Resistance ◽  
Sexually Transmitted ◽  
The World

Abstract Rationale for review International travel facilitates the spread of drug-resistant infections, including sexually transmitted infections (STIs). In 2016, the World Health Organization highlighted the global burden of ‘curable’ STIs, estimating 376 million new infections of gonorrhoea, chlamydia, syphilis and trichomoniasis annually, with considerable geographic variation in both the burden of disease and prevalence of resistance. Travelers’ risk of contracting and transmitting drug-resistant STIs depends in part on their geographic exposure. In this review, we describe the epidemiology of antimicrobial resistance (AMR) and the management of these four common STIs and Mycoplasma genitalium, an increasingly recognized cause of non-gonococcal urethritis. Key findings Multi-drug and extensively drug resistant gonorrhoea strains have been associated with international spread, particularly in travelers returning from Southeast Asia. Chlamydia is the most common bacterial STI worldwide. Although in vitro resistance has been reported, surveillance data suggest that clinically significant resistance to macrolides and tetracyclines is rare. Macrolide resistance in syphilis is now endemic in much of the world but there is no documented penicillin resistance, which remains first-line therapy. Trichomoniasis is the most common non-viral STI worldwide. Although clinical failure after treatment occurs, resistance to metronidazole is thought to be uncommon. Mycoplasma genitalium exhibits intrinsic resistance to many antibiotics, and the prevalence of resistance to both first- and second-line regimens (macrolides and fluoroquinolones) is increasing worldwide, with limited alternative therapeutic options. Recommendations International travelers are at risk for acquiring resistant STIs with limited therapeutic options. Improved diagnostics are urgently needed to improve AMR surveillance and the management of infected patients. As no vaccinations are currently available for these STIs, and pre-exposure prophylaxis is an area of active study with limited data, condom use is critical for prevention. Travel medicine providers should incorporate STI risk reduction counselling, with an emphasis on condom use, into the routine pre-travel consultation.

scholarly journals Treatment seeking behavior for sexually transmitted infections/reproductive tract infections among married women in urban slums of Mumbai, India

2016 ◽  
Vol 5 (2) ◽  
pp. 65-70
Author(s):  
Poonam P Shingade ◽  
Yasmeen Kazi ◽  
Madhavi LH
Keyword(s):  
Public Health ◽  
Sexually Transmitted Infections ◽  
Reproductive Tract ◽  
Married Women ◽  
Reproductive Age ◽  
Treatment Seeking ◽  
Reproductive Tract Infections ◽  
Sexually Transmitted ◽  
Seeking Behavior ◽  
Tract Infections

Sexually Transmitted Infections/Reproductive Tract Infections (STIs/RTIs) are a major public health problem and a leading cause of morbidity among men and women in developing countries. The aim of the study is to explore treatment seeking behavior among the married women of reproductive age presented with symptoms of STI/RTI. A hospital-based observational study was carried out at the STI/RTI Clinic of Urban Health Centre, Shivaji Nagar, Govandi, Mumbai, India. The study involved a total of 273 married females who attended clinic for their symptoms during January to March 2012. Patients were interviewed using a pretested questionnaire to explore the detail of the treatment seeking behavior regarding STIs/RTIs. Out of total women who participated in the study, only 47.6% of the women with STIs/RTIs symptoms sought health care. Among those who did not seek treatment, 58.65 % females were belonging to 21-25 years of age group. Maximum 65.6% females who were illiterate had not sought any treatment for symptoms of these diseases as compared to 65% who had taken treatment for the presented symptoms who were educated up to higher secondary and above level. 62.5% females belonging to class V had never sought treatment as compared to 100% women who were classified to class I. The poor health seeking behavior was associated with literacy and socioeconomic class of the participants. Private sector was the most favored place for taking treatment by them. Commonest reason for not seeking treatment was no female doctor at clinic. Information, Education and Communication (IEC) sessions, about STI symptoms and the benefits of treat-ment, especially targeted at women and low socioeconomic groups might be an immediately feasible measure that will help to reduce the burden of the disease.South East Asia Journal of Public Health Vol.5(2) 2015: 65-70

Penile eczema: Not all genital ulcers are sexually transmitted infections

2019 ◽  
Vol 30 (14) ◽  
pp. 1443-1445
Author(s):  
John Verrinder Veasey ◽  
Rebeca Ruppert
Keyword(s):  
Complete Remission ◽  
Early Diagnosis ◽  
Sexually Transmitted Infections ◽  
World Health ◽  
Syndromic Management ◽  
Sexually Transmitted ◽  
The World ◽  
Syndromic Approach ◽  
Genital Ulcers ◽  
Health Organization

The presence of genital lesions leads some physicians and patients to instinctively think of sexually transmitted infections (STIs). In parallel, the World Health Organization guides the use of syndromic management to provide early diagnosis and immediate treatment in cases of genital lesions with suspected STI. We present two cases of patients with genital lesions for months that were unsuccessfully treated with the STI syndromic approach. Well-conducted histories were fundamental for the discovery of the eczematous etiology of genital ulcers due to the use of topical products indicated by both physicians and patients themselves, and the established therapy led to complete remission of the condition within a few weeks.

scholarly journals Syndromic surveillance of female sexually transmitted infections in primary care: a descriptive study in Monastir, Tunisia, 2007─2017

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wafa Dhouib ◽  
Imen Zemni ◽  
Meriem Kacem ◽  
Cyrine Bennasrallah ◽  
Manel Ben Fredj ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Incidence Rate ◽  
Public Health Problem ◽  
Descriptive Study ◽  
Reproductive Age ◽  
Positive Trend ◽  
Crude Incidence Rate ◽  
Crude Incidence ◽  
Sexually Transmitted ◽  
Syndromic Approach

Abstract Background Sexually Transmitted Infections (STIs) are a public health problem, especially for reproductive-age women. The aim of this study was to determine the incidence and trend of STIs during 11 years in Tunisia (2007–17). Methods We conducted a descriptive study including all women with curable STIs (chlamydia, gonorrhea, syphilis and trichomoniasis) diagnosed with the syndromic approach in all basic health care centers of the Governorate of Monastir (Tunisia) from 2007 to 2017. Syndromes included, Pelvic Pain (PP), Vaginal Discharge (VD) and Genital Ulceration (GU). Results We analyzed 40,388 episodes of curable STIs with a crude incidence rate and age standardized incidence rate of 1393 (95% Confidence Interval (CI); 1348–1438) / 100,000 Person Year (PY) and 1328 (95%CI; 1284–1372) /100,000 PY respectively. The incidence rate showed a positive trend over 11 years for all age groups and syndromes. VD was the most common syndrome with a crude incidence rate of 1170/100,000 PY. For all syndromes, women aged 20 to 39 were the most affected age group (p < 0.001). Conclusion In conclusion, the incidence rate of STIs episodes among women diagnosed with the syndromic approach was high, consistent with the global evidence. Focusing on reviewing STIs surveillance system in low and middle-income countries could allow the achievement of the ending of STIs epidemics by 2030.

scholarly journals Effect of interventions based on educational technologies on the prevention of sexually transmitted infections in incarcerated women: protocol of a systematic review and meta-analysis

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e043373
Author(s):  
Isaiane da Silva Carvalho ◽  
Ryanne Carolynne Marques Gomes Mendes ◽  
Priscila de Oliveira Cabral Melo ◽  
Caroline Ferraz Simões ◽  
Luciana Pedrosa Leal ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Education ◽  
Sexually Transmitted Infections ◽  
Fixed Effects ◽  
Meta Analysis ◽  
Incarcerated Women ◽  
Mean Difference ◽  
World Health ◽  
Educational Technologies ◽  
Sexually Transmitted

IntroductionPrisons are places with high vulnerability and high risk for the development of sexually transmitted infections. World Health Agencies recommend establishing intervention measures, such as information and education, on the prevention of diseases. Thus, technologies as tools for health education have been used to reduce sexually transmitted infections. However, no systematic review has investigated the effectiveness of these interventions. Therefore, this review’s objective is to examine the effect of educational technologies used for preventing sexually transmitted infections in incarcerated women.Methods and analysisPreferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines will be strictly followed. The following electronic databases will be searched: Scopus; Cumulative Index of Nursing and Allied Health, Education Resources Information Center, Embase, PsycINFO, PubMed/Medline, Web of Science and Google Scholar. Randomised clinical trials of interventions that used educational technologies to prevent sexually transmitted infections in incarcerated women will be searched in the databases from the beginning of 2020 until December by two researchers independently. A narrative synthesis will be constructed for all included studies, and if there are sufficient data, a meta-analysis will be performed using the Review Manager software (V.5.3). Continuous results will be presented as the weighted mean difference or the standardised mean difference with 95% CIs. Under the heterogeneity of the included studies, a random-effects or fixed-effects model will be used. The studies’ heterogeneity will be assessed by the I2 method. The sensitivity analysis will be carried out to examine the magnitude of each study’s influence on the general results. A significance level of p≤0.05 will be adopted.Ethics and disclosureEthical approval is not required because no primary data will be collected. The results will be published in journals reviewed by peers.PROSPERO registration numberCRD42020163820.

scholarly journals Evaluation of the first pharmacy-led weight management programme in Greece

2021 ◽  
Vol 29 (Supplement_1) ◽  
pp. i45-i46
Author(s):  
A Peletidi ◽  
R Kayyali
Keyword(s):  
Public Health ◽  
Health Services ◽  
Potential Role ◽  
Annual Report ◽  
World Health ◽  
Public Health Services ◽  
Cvd Risk ◽  
The World ◽  
Health Organization

Abstract Introduction Obesity is one of the main cardiovascular disease (CVD) risk factors.(1) In primary care, pharmacists are in a unique position to offer weight management (WM) interventions. Greece is the European country with the highest number of pharmacies (84.06 pharmacies per 100,000 citizens).(2) The UK was chosen as a reference country, because of the structured public health services offered, the local knowledge and because it was considered to be the closest country to Greece geographically, unlike Australia and Canada, where there is also evidence confirming the potential role of pharmacists in WM. Aim To design and evaluate a 10-week WM programme offered by trained pharmacists in Patras. Methods This WM programme was a step ahead of other interventions worldwide as apart from the usual measuring parameters (weight, body mass index, waist circumference, blood pressure (BP)) it also offered an AUDIT-C and Mediterranean diet score tests. Results In total,117 individuals participated. Of those, 97.4% (n=114), achieved the programme’s aim, losing at least 5% of their initial weight. The mean % of total weight loss (10th week) was 8.97% (SD2.65), and the t-test showed statistically significant results (P&lt;0.001; 95% CI [8.48, 9.45]). The programme also helped participants to reduce their waist-to-height ratio, an early indicator of the CVD risk in both male (P=0.004) and female (P&lt;0.001) participants. Additionally, it improved participants’ BP, AUDIT-C score and physical activity levels significantly (P&lt;0.001). Conclusion The research is the first systematic effort in Greece to initiate and explore the potential role of pharmacists in public health. The successful results of this WM programme constitute a first step towards the structured incorporation of pharmacists in public’s health promotion. It proposed a model for effectively delivering public health services in Greece. This study adds to the evidence in relation to pharmacists’ CVD role in public health with outcomes that superseded other pharmacy-led WM programmes. It also provides the first evidence that Greek pharmacists have the potential to play an important role within primary healthcare and that after training they are able to provide public health services for both the public’s benefit and their clinical role enhancement. This primary evidence should support the Panhellenic Pharmaceutical Association, to “fight” for their rights for an active role in primary care. In terms of limitations, it must be noted that the participants’ collected data were recorded by pharmacists, and the analysis therefore depended on the accuracy of the recorded data, in particular on the measurements or calculations obtained. Although the sample size was achieved, it can be argued that it is small for the generalisation of findings across Greece. Therefore, the WM programme should be offered in other Greek cities to identify if similar results can be replicated, so as to consolidate the contribution of pharmacists in promoting public health. Additionally, the study was limited as it did not include a control group. Despite the limitations, our findings provide a model for a pharmacy-led public health programme revolving around WM that can be used as a model for services in the future. References 1. Mendis S, Puska P, Norrving B, World Health Organization., World Heart Federation., World Stroke Organization. Global atlas on cardiovascular disease prevention and control [Internet]. Geneva: World Health Organization in collaboration with the World Heart Federation and the World Stroke Organization; 2011 [cited 2018 Jun 26]. 155 p. Available from: http://www.who.int/cardiovascular_diseases/publications/atlas_cvd/en/ 2. Pharmaceutical Group of the European Union. Pharmacy with you throughout life:PGEU Annual Report [Internet]. 2015. Available from: https://www.pgeu.eu/en/library/530:annual-report-2015.html

scholarly journals Are Countries of the Eastern Mediterranean Region on Track towards Meeting the World Health Assembly Target for Anemia? A Review of Evidence

2021 ◽  
Vol 18 (5) ◽  
pp. 2449
Author(s):  
Ayoub Al-Jawaldeh ◽  
Mandy Taktouk ◽  
Radhouene Doggui ◽  
Zahra Abdollahi ◽  
Baseer Achakzai ◽  
...  
Keyword(s):  
Iron Deficiency ◽  
Mediterranean Region ◽  
Eastern Mediterranean ◽  
Eastern Mediterranean Region ◽  
Reproductive Age ◽  
World Health ◽  
Deficiency Anemia ◽  
Micronutrient Deficiencies ◽  
World Health Assembly ◽  
The World

Anemia is a multifactorial condition, with a complex etiology that involves nutritional and non-nutritional factors. The misconception that iron deficiency is equivalent to anemia may mask the need to address other potential causative factors. This review paper aims to (1) assess the burden of anemia vs. iron deficiency anemia (IDA) amongst women of reproductive age (WRA), pregnant women (PW), and children under five years old (underfive children, U5C) in the Eastern Mediterranean region (EMR); (2) evaluate trends in anemia prevalence and whether countries are on track towards meeting the World Health Assembly (WHA) target for 2025; and (3) characterize anemia reduction efforts and provide a road map for future programs. A search of pertinent literature and databases was conducted. Anemia prevalence in the EMR ranged between 22.6% and 63% amongst PW, 27% and 69.6% amongst WRA, and 23.8% and 83.5% amongst U5C. Data showed that the EMR is not on course towards meeting the WHA target. The contribution of IDA to anemia was found to be less than half. Other potential contributors to anemia in the region were identified, including micronutrient deficiencies, parasitic infestations, and poor sanitation. A framework of action was proposed as a roadmap to meet the targets set by the WHA.

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