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Title : Author(s) :
Publisher : Abstract/Note : Subject(s) :
ISBN/ISSN : GMD : Collection Type : Location :
Title Investigation of The Public Health Package for STI Prevention and Care in Central Java and East Java: Safe Motherhood Partnership and Family Approach National Coordinating Board for Family Planning Ministry of Healt, RI: World Bank Project
Call Number KAPAL Perempuan 613 DHA I
ISBN/ISSN 979-95396-8-4
Author(s) Nick G. Dharmaputra - Personal Name
Series Title
GMD Text
Language Indonesia
Publisher The Population Council
Publishing Year 2003
Publishing Place Jakarta
Collation VIII; 92 HLM; 25 CM
Abstract/Notes The overall goal of this study was to develop an integrated program of RTI/STD clinical services within two family planning clinics in urban-harbor, low-income neighborhoods. Multiple training programs to introduce a standardize dclini cal evaluation for the detection, treatment and management of RTI/STDs wereconducted. Prior and subsequent to training, observations of health care provider (HCP) and client interactions were conducted to evaluate the behavior hanges of the HCP.Each consenting client received a standardized reproductive health history, pelvicexam, and provided specimens for laboratory testing to detect the RTIs of : Candida albicans, Bacterial Vaginosis, Trichomonas vaginalis, hlamydiatrachomatis, Neisseriagonorrhoeae, and Treponema pallidum. On site laboratories

performed microscopic evaluations of combined Gram stains and wet mounts. TheGramstains were validated by a referral lab at the national infectious diseasehospital.Endocervical & erology specimens were sent to the referral lab for final confirmation. Of the 478 clients who presented to one of two family planning clinicswithin the 12 weeks, 89% (425) were willing to become study participant. A totalof 53 clients refused to participate due to fear of the exam and not enough time, and113clients were excluded from participation due to current menstruation orantibioticsuse. The final study sample was 312. Findings indicate that throug huniversal screening of the participants by an STD referral laboratory, 24.7% (n=77)of the participants were confirmed to have one or more RTI while 13.8% had one ormore STD9 women had two diagnoses). The following disease prevalences were found: hlamydia cervicitis 10.3%; candidiasis 6.7%; trichomoniasis 5.4%; bacterial vaginosis 5.1%; and gonococcal cervicitis 0.3%. No positive blood tests for syphilis were detected. HCPs were observed by trained research assistants who recorded anitemizede valuation of HCP ehavioral components. The results of this 70 item servation tool showed a preference for performing physical examination tasks,and a reluctance to perform history taking, education, partner treatment plans
and prevention counseling skills.

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