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  • Title: Zambia's STD control programme: a model for Africa?
    Author: Kamanga J.
    Journal: Afr Health; 1991 Sep; 13(6):10-1, 14. PubMed ID: 12346058.
    Abstract:
    The annual incidence of sexually transmitted diseases (STD) in Zambia is 34 per 10,000 population with an 1.9:1 male:female ratio. Complaints related to STDs is the third most common reason for attending health establishments and constitute a significant burden upon limited financial health resources already overwhelmed by other programs such as leprosy and nutrition. STDs are therefore a major health problem in Zambia, constituting 10% of adult outpatient attendances in both hospitals and primary health care centers. Due to the enormous health, social, and economic consequences of STDs, the Zambian health ministry launched in 1980 the national STD control program, a program which is particularly important in recent years given the appearance of HIV infection and increasing evidence that concomitant STDs are significant cofactors in the sexual transmission of HIV. Program objectives are to assess the extent and nature of STDs in Zambia on the basis of existing institutional data and population sample surveys, to improve the management of STDs through the establishment of specialized STD clinics at provincial and district levels, to train in-service personnel to man STD clinics, to increase public awareness of STDs by health education and factual information, and to coordinate research, treatment, and preventive activities to reduce the incidence of STDs. Program implementation, program activities, and achievements thus far are discussed.
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