Thesis equivalent (M.P.H.)--University of Michigan, 1947.

Thesis (Ph.D.)--University of Florida, 2005. / Typescript. Title from title page of source document. Document formatted into pages; contains 265 pages. Includes Vita. Includes bibliographical references.

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MPH, Faculty of Health Sciences, University of the Witwatersrand, 2009 / Introduction This study was conducted at selected Primary Health Care clinics in the Johannesburg Metro. The study explored the issues around Sexually Transmitted Infections by identifying gaps with regards to syndromic approach. Proper management and control of STI is crucial because STI lead to serious complications. Objectives To assess clinician knowledge and practices in the management of sexually transmitted diseases (STIs) in the Johannesburg Metro District. Methods A descriptive (cross-sectional) study involving a retrospective review of 210 patient records of STI treatment and questionnaire-based interviews of 38 health care providers of STI services in 22 primary health care facilities in the Johannesburg Metro District. Data was collected to measure staff training on STI, provider knowledge of STI syndromic management, and provider adherence to STI syndromic management guidelines based on the District STI Quality of Care Assessment tool. Results Of the 38 providers that were interviewed, 29 (76%) were trained in STI management. Half of these had received their training in STI management > 4 years prior to this study. The proportion of providers who correctly stated STI syndromic management were 33 (87.0%) for penile discharge; 24 (63.0%) for vaginal discharge, 15 (39.0%) for genital ulcer and 14 (37.0%) for pregnancy with PVD. Of the 210 iii patient records reviewed, 148 (70.5%) had prescriptions that were adherent to STI guidelines. Conclusion Clinicians in the public health facilities do have adequate knowledge of syndromic management of STI. Poor adherence to the national guidelines for STI management calls for an ongoing and regular training in STI management in the Johannesburg Metro District.

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Avhandlar ämnet sårbildningar, det vill säga sår som uppstår på annat sätt än genom yttre våld, och främst externa sådana.

Thesis (M.A.)--West Virginia University, 2009. / Title from document title page. Document formatted into pages; contains vi, 49 p. : ill. Includes abstract. Includes bibliographical references (p. 37-39).

Background: Sexually transmitted diseases (STD) remain a public health concern in worldwide. Human immunodeficiency virus (HIV), one of the STDs, is associated with the increase risk of other STD infections. According to Centers for Disease Control and Prevention (CDC), individuals who are infected with STDs are more likely to be infected with HIV than uninfected individuals. As HIV and other STDs share the same transmission route, the co-infection may be observed more frequently in the population. To control the number of co-infection, screening programs are essential in all areas. While screening for individual infections are necessary, the prevalence of co-infection should also be evaluated for surveillance programs. The prevalence of individual STDs have been studied in various reviews, but the population prevalence of the co-infection was not widely studied. Therefore, a systematic review is conducted to provide a summary of the prevalence of HIV with syphilis, chlamydia, gonorrhea and herpes simplex virus (HSV-2) and co-infection in various populations. Methods: PubMed database is chosen for selection of potential publications in this systematic review. Various keywords are used for the search and and only English publications are selected for review. Studies with statistical data on individual infection but not the co-infection were excluded. Results: Ten studies from various populations are selected for this review. Nine studies were conducted in healthcare facilities and one was conducted in a working site. The number of study participants ranged from 336 to 1661 with a mean age of 32 years old. The average of prevalence of HIV and the chosen STDs was around 20%—highest prevalence is observed in HSV-2 with HIV co-infection. Conclusion: The prevalence of co-infection is low but it cannot be neglected. Simultaneous screening for HIV and other STDs is not necessary in all areas, but it will be very useful in certain facilities where high-risk populations, for example sex workers, MSM etc are served. Such low prevalence of STD co-infection should be maintained and it is the responsibility of both the individuals and the society. / published_or_final_version / Public Health / Master / Master of Public Health