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  • Title: The control and management of the sexually transmitted diseases: a comparison of the United Kingdom and the Russian Federation.
    Author: Renton AM, Borisenko KK, Tichonova LI, Akovbian VA.
    Journal: Int J STD AIDS; 1999 Oct; 10(10):659-64. PubMed ID: 10582633.
    Abstract:
    During the last 20 years, both the United Kingdom and the Russian Federation have seen changes to clinical services for sexually transmitted diseases (STDs) health systems and other mechanisms through which STDs are controlled. In the UK these changes followed the description of the acquired immunodeficiency syndrome (AIDS) and the human immunodeficiency virus (HIV); its causal agent. In Russia, the breakdown of the Soviet Union following glasnost and perestroika, and its associated political, social and economic changes generated substantial developments to the ideological and legislative framework within which STD control is achieved as well as a revolution in the financial base upon which clinical STD services operate. The purpose of this paper is to sketch these developments in STD services within the 2 countries to provide a context for the series of papers presented in this edition. This paper examines developments in the control and management of sexually transmitted diseases (STDs) in the United Kingdom and the Russian Federation. There have been substantial changes in the clinical services for STD health systems and other mechanisms through which the disease is controlled. In England and Wales, these clinical services have been dictated by the public health response to AIDS and HIV, both in terms of control, and resources for innovation and development. The principles of voluntary, open and confidential services have been maintained within genitourinary medicine. Furthermore, services have become more patient-focused and the role of non-statutory organizations and patients in service, and intervention development has grown. In Russia, since glasnost and perestroika, there has been considerable progress in a similar direction with increasing levels of confidentiality, greater coordination of services, and the development of activities in primary prevention at a time of economic difficulty and the outbreak of the syphilis epidemic. The key areas for development include the following: securing improvements to ethical and humane quality of clinical practice; promotion of evidenced-based; quality-controlled protocols for diagnosis; management; and balance of health promotion and clinical service provision.
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