Zambian National STD Control Program: a model program.

Important note: Information in this article was accurate in 1993. The state of the art may have changed since the publication date.

Zambian National STD Control Program: a model program.

Int Conf AIDS. 1993 Jun 6-11;9(1):103 (abstract no. WS-C22-6). Unique Identifier : AIDSLINE MED/93333243
Hira S; Sunkutu R; Uniformed Serv Univ Health Sciences, Bethesda.

Abstract: ISSUE. STD are major public health problem in Zambia. In 1980, upto 10% of outpatient attendances were related to STD. PROGRAM DESCRIPTION. The Zambian Ministry of Health launched the national STD Control Program in 1980 with the following objectives: 1. to improve STD management through specialized STD clinics which were to be established upto the district level; 2. to train clinical officers through 3-months course in STD; 3. institute intervention among high risk groups; 4. to increase public awareness of STD; 5. to coordinate research and surveillance. RESULTS. The program started with 2 STD clinics in 1980 including the national referral centre in Lusaka. By 1992 54 STD clinics had been established, 140 clinical officers were trained in STD courses, public awareness was increased, operational research was undertaken, and record keeping and surveillance were established. STD clinics as also rural health centres integrated their STD/AIDS activities. Surveillance has shown declining STD rates at 13 sentinnel sites: TABULAR DATA, SEE ABSTRACT VOLUME. CONCLUSION. Annual operational cost is $1.3 million. The declining STD rate is an indicator of an effective program.

Keywords: *Acquired Immunodeficiency Syndrome/PREVENTION & CONTROL *Population Surveillance *Sexually Transmitted Diseases/EPIDEMIOLOGY *Sexually Transmitted Diseases/PREVENTION & CONTROL
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