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  • Title: Prevention works. Cameroon.
    Author: Zekeng L.
    Journal: Integration; 1998; (57):26-8. PubMed ID: 12294623.
    Abstract:
    This special report presents a profile on sexually transmitted diseases (STDs) and HIV/AIDS, their prevention and control, exacerbating factors, contraceptive availability, prevention strategies, and interventions. The "Report on the Global HIV/AIDS Epidemic" of UNAIDS informs that about 16,000 new cases of HIV infection are added yearly. 30.6 million lived with HIV/AIDS in 1997. 20.8 million of these lived in sub-Saharan Africa, of whom about 10 million were women. The World Health Organization (WHO) reports that about 165 million cases of STDs occur yearly among women aged 15-49 years (syphilis, 6.5 million; gonorrhea, 31.3 million; chlamydia, 47 million; trichomonas, 80 million). Diagnosis and treatment are constrained by lack of symptoms, difficulty in diagnosing, and low and inconsistent use of health services. Risk factors include age, gender, the large surface area of mucus membranes in the vagina and cervix, blood transfusions, lack of understanding about the woman's body, asymptomatic STDs, the WHO syndromic approach, douching with pharmaceutical products, use of intravaginal substances, female genital mutilation, anal sex, and alcohol consumption. A variety of contraceptives are available in Cameroon, but the infrastructure suffers from lack of services in some rural areas, shortages of supplies, misinformation, stigma, attitudes of health providers, fear of exposure by relatives, and fear of disagreement with a spouse or partner. Six general practices are discussed for prevention. Eight researchable topics are identified.
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