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Rapid sexually transmitted disease assessment in two developing countries

W L Roseberry1, D L Heymann, I Ndoye

  • 1World Bank, Washington, DC 20009.

Sexually Transmitted Diseases
|March 1, 1994
PubMed
Summary

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Rapid assessments in Senegal and Uganda aimed to find effective indicators for sexually transmitted disease (STD) detection. However, most simple tests, except for syphilis, failed to accurately predict STDs in diverse populations.

Area of Science:

  • Public Health
  • Epidemiology
  • Infectious Diseases

Background:

  • Sexually transmitted diseases (STDs) pose a significant global health challenge.
  • Accurate and rapid assessment of STD prevalence is crucial for effective public health interventions.
  • Existing rapid assessment methods require validation for diverse populations.

Purpose of the Study:

  • To develop and validate indicators for rapid STD assessment in populations.
  • To establish a standardized survey methodology for assessing STD prevalence.
  • To identify reliable and cost-effective methods for STD surveillance.

Main Methods:

  • Two rapid assessment studies were conducted in Senegal and Uganda (1989-1990).
  • Three indicators were evaluated: clinical signs, symptoms, and simple laboratory tests.
Keywords:
AfricaAfrica South Of The SaharaDeveloping CountriesDiseasesEastern AfricaEnglish Speaking AfricaEpidemiologic MethodsFrench Speaking AfricaInfectionsMeasurementMethodological StudiesPrevalenceReproductive Tract InfectionsResearch ReportSampling StudiesSenegalSexually Transmitted DiseasesSigns And SymptomsStudiesSurvey MethodologySurveysUgandaWestern Africa

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  • Indicators were validated against confirmatory laboratory tests (gold standard).
  • Target populations included military members, pregnant women, and female prostitutes.
  • Main Results:

    • Simple clinical signs and symptoms were poor predictors of most STDs.
    • Simple laboratory tests were also largely ineffective, except for the rapid plasma reagin (RPR) test for syphilis.
    • Confirmatory laboratory tests remain the gold standard for accurate STD diagnosis in these populations.

    Conclusions:

    • Current rapid assessment indicators are insufficient for accurate STD detection, excluding syphilis.
    • Development of easily performable, low-cost alternatives to gold standard laboratory tests is needed.
    • Continued reliance on gold standard laboratory tests is necessary for major STD surveillance in populations not seeking care.