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World Health Organization Publication : 9241541989: Control of Sexually Transmitted Diseases

By World Health Organization

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Book Id: WPLBN0000145864
Format Type: PDF eBook
File Size: 4.6 MB
Reproduction Date: 2005
Full Text

Title: World Health Organization Publication : 9241541989: Control of Sexually Transmitted Diseases  
Author: World Health Organization
Volume:
Language: English
Subject: Health., Public health, Wellness programs
Collection: Medical Library Collection
Subcollection: World Health Collection
Historic
Publication Date:
Publisher: World Health Organization

Description
Medical Reference Publication

Excerpt
The prevalence of sexually transmitted diseases has reached a disturbing level in manly countries and the World Health Organization has alerted its Members to the gravity of the complications that may arise if these diseases are not treated adequately and at an early stage. These complications can have serious consequences for the individual, the family, and the community. The present situation has arisen not as a result of a lack of knowledge or a shortage of resources but because in many countries there has been (1) inadequate use of well-established techniques, (2) poor monitoring and poor evalua~tion of control, and (3) an incorrect social and educational approach. Iin order to achieve the goal of health for all by the year 2000 set by WHO'S ]Member States, this public health problem must be tackled by a multidiscipli.nary approach involving coordinated action by health personnel at all levels, and by the health education, information, and welfare services. In response to the current situation, and to requests from the World Health Assembly, three WHO Scientific Groups have examined different technical aspects of the problem and their reports have been published in the Technical Report Series. The present book has been prepared following the meeting of a scientific working group that was held in Washington in April 1982 to discuss the formulation of appropriate strategies and programmes for the control of this group of diseases.' This book emphasizes the need for such programmes to be integrated into general programmes for the control of communicable diseases and for the gynaecological, obstetric, paediatric, and urological services to play an active and dynamic part.

Table of Contents
Contents Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v Chapter 1. Introduction . . . . . . . . . . . . . . . . . . . . . . . . 1 PART I . INITIAL PLANNING STEPS . . . . . . . . . . . . . 7 Chapter 2 . Estimating the public health importance of sexually transmitted diseases . . . . . . . . . . . . . . . . . . 9 Chapter 3. Priority groups . . . . . . . . . . . . . . . . . . . . . . 14 Chapter 4 . Sociological aspects of control . . . . . . . . . . . . . 17 PART I1 . INTERVENTION STRATEGIES . . . . . . . . . . . 23 Chapter 5. Health promotion . . . . . . . . . . . . . . . . . . . . 25 Chapter 6 . Disease detection . . . . . . . . . . . . . . . . . . . . . 33 Chapter 7 . National treatment programmes . . . . . . . . . . . . 41 Chapter 8 . Contact tracing and patient counselling . . . . . . . . 47 Chapter 9. Clinical services . . . . . . . . . . . . . . . . . . . . . . 52 PART I11 . SUPPORT COMPONENTS . . . . . . . . . . . . . . 57 Chapter 10 . . Centres for prevention of sexually transmitted diseases . . . . . . . . . . . . . . . . . . . . . . . . . 59 Chapter 11 .. Information systems . . . . . . . . . . . . . . . . . . . 63 Chapter 12. . Professional training . . . . . . . . . . . . . . . . . . . 68 Chapter 13.. Laboratory services . . . . . . . . . . . . . . . . . . . . 72 PART IV . IMPLEMENTATION . . . . . . . . . . . . . . . . . . 77 Chapter 14 . Programme management . . . . . . . . . . . . . . . . . 79 Chapter 15 . Evaluation of control programmes . . . . . . . . . . . 84 Annex 1 . Tests available for the early detection of sexually transmitted diseases . . . . . . . . . . . . . . . . . . 91 Annex 2 . Prototype patient care protocol: urethral discharge . 95 Annex 3 . Prototype patient care protocol: vaginal discharge . 98 Annex 4 . Prototype patient care protocol: genital ulcers . . . . 102 Annex 5. Alternative uses of evaluation studies . . . . . . . . . 106 Annex 6. List of participants . . . . . . . . . . . . . . . . . . . . . . . . 109

 

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