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Where have all the STDs gone?

O I Fawole¹, M C Asuzu

¹Department of Preventive and Social Medicine, University College Hospital, Ibadan, Nigeria.

African Journal of Medicine and Medical Sciences

|September 25, 1999

Summary

Patient numbers at UCH Ibadan

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Area of Science:

Public Health
Epidemiology
Infectious Diseases

Background:

The UCH Ibadan Special Treatment Clinic (STC) has observed significant fluctuations in patient attendance.
Sexually Transmitted Diseases (STDs) remain a public health concern, with varying prevalence rates.
Understanding trends in STD clinic attendance is crucial for effective public health interventions.

Purpose of the Study:

To analyze trends in patient attendance at the UCH Ibadan STC.
To identify the most prevalent sexually transmitted diseases (STDs) among male and female patients.
To investigate factors contributing to the observed decline in clinic attendance.

Main Methods:

Retrospective review of clinic records from UCH Ibadan.
Analysis of patient attendance data from 1979 to 1996.
Examination of STD prevalence data for men and women.

Main Results:

Patient attendance peaked in 1987 and subsequently declined significantly, reaching a low in 1994.
Non-specific urethritis and gonorrhea were the most common STDs in men.
Candidiasis and non-specific vaginitis were the most prevalent conditions in women.

Conclusions:

Factors such as introduction of fees, social instability, and economic depression have negatively impacted clinic attendance.
The declining attendance may hinder the control of STDs.
The role of STCs in STD control requires re-evaluation in light of these challenges.

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