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Assessment of the quality of STI services in Johannesburg metro: resource availability

ABSTRACT
Introduction:
Sexually transmitted infections (STI) are a major public health concern because they are frequent,
with high prevalence and incidence; they can result in serious complications and sequaelae; they
have social and economic consequences; and a number of STIs have been identified as facilitating
the spread of HIV. STI’s are a major public health concern in South Africa, accounting for about 11
million cases annually. It is estimated that approximately 5.3 million South Africans were infected
with HIV at the end of 2002 and controlling STI by a steady supply of resources, among other
interventions, could contribute to lowering of the incidence of HIV.
Methods:
The study was a cross-sectional descriptive survey of fixed primary health care clinics offering STI
services in three sub-districts of the Johannesburg Metro. A convenient sample of 22 fixed clinics
was surveyed. The 11 Johannesburg Metro sub-districts were stratified according to suburban,
township and inner-city. Descriptive statistics were used to analyse the data. These were
proportions(percentages) to summarise categorical data; and means were used to summarise
numerical variables
Results:
All facilities had adequate equipment except for two clinics (10% of facilities), one in region 10 and
the other in region 8. More than 70% of PHC facilities had clinical management guidelines in every
consultation room. Over 60% of clinics reported having no IEC materials written in local language.
All facilities had condoms strategically located in accessible places and only two reported condom
stock-outs. Two clinics reported drugs stock-outs prior to assessment and only one reported drug
stock-outs during the assessment. All the clinics offered services between 7am and 4pm daily and
more than 80% of clinics offered counselling and HIV testing. Partner notification was a problem in
facilities in all the regions.

Identiferoai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:wits/oai:wiredspace.wits.ac.za:10539/5078
Date16 July 2008
CreatorsPelesa, Motlatsi
Source SetsSouth African National ETD Portal
LanguageEnglish
Detected LanguageEnglish
TypeThesis
Format28079 bytes, 135253 bytes, 1717467 bytes, 16580 bytes, 22256 bytes, 14060 bytes, application/pdf, application/pdf, application/pdf, application/pdf, application/pdf, application/pdf, application/pdf, application/pdf, application/pdf, application/pdf, application/pdf, application/pdf

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