GHENT UNIVERSITY Karoline FONCK - International Centre for ...

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Wilkinson D, Ndovela N, Harrison A, et al. Family planning services in developing countries: an opportunity to treat asymptomatic and unrecognised genital tract infections? Genitourin Med. 1997; 73:558-560. Wilkinson D, Sach M, Connolly C. Epidemiology of syphilis in pregnancy in rural South Africa: opportunities for control. Trop Med Int Health 1997; 2:57-62. Williams AO. More on vaginal inflammation in Africa [letter]. N Engl J Med 1993; 328:888. Winfield J, Latif AS. Tracing contacts of persons with sexually transmitted diseases in a developing country. Sex Transm Dis 1985; 12:5-7. Wölner-Hanssen P, Eschenbach DA, Paavonen J et al. Association between vaginal douching and acute pelvic inflammatory disease. JAMA 1990; 263:1936-41. World Bank. Investing in Health. New York, NY. Oxford University Press 1993;115. Yala F et al. Enquête virologique et bactériologique sur l’infection materno-foetale à Brazzaville. Bull Soc Path Ex 1991; 84:627-34. Zhang J, Thomas G, Leybovich E. Vaginal douching and adverse health effects: a metaanalysis. Am J Public Health 1997; 87:1207-11. References 125
WHO Collaborating Center on HIV/AIDS, Nairobi, Kenya A NNEX The WHO Collaborating Group at the University of Nairobi has played a major role in STI/HIV research in Kenya and has resulted in world-renowned data. The group started as a partnership between the University of Nairobi, the Nairobi City Council, the University of Manitoba (Winnipeg, Canada), the Institute of Tropical Medicine (Antwerp, Belgium) and the University of Washington (Seattle, USA). The group has become larger over the years as the good working environment, the optimal research infrastructures, and the collaborative atmosphere attracted other universities. During the study period, the group counted in addition the Oxford University (Oxford, England), the Erasmus University (Rotterdam, Holland) and the Ghent University (Ghent, Belgium). The Institute of Tropical Medicine was no longer part of the group. The shared interest in STI, especially genital ulcer disease (GUD) of the Department Heads of Medical Microbiology at the University of Nairobi and the University of Manitoba, Herbert Nsanze and Allan Ronald respectively, created the opportunity that sparked the collaboration in 1980. Two senior infectious disease fellows, Margaret Fast during 1980 and Frank Plummer during 1981 began the Nairobi-Manitoba exchange. Laboratory space was provided at the University of Nairobi, Department of Medical Microbiology. Dr DaCosta invited the team to begin clinical research in the special Treatment Clinic, a referral clinic for STI in downtown Nairobi. In 1981, Dr Peter Piot from the Institute of Tropical Medicine in Antwerp joined the partnership. Over the subsequent decade, three Belgian physicians, Lieve Fransen, Marie Laga and Marleen Temmerman worked in Nairobi, focusing on STI/HIV in reproduction. Marleen Temmerman, after becoming Professor in obstetrics-gynecology at the Ghent University, and where she created the International Center for Reproductive Health (ICRH) continued the collaboration but now out of this institution and this from 1992. In 1983, the World Health Organization (WHO) formally recognized the research group and designated it as a WHO Collaborating Center for Sexually Transmitted Diseases. Annex 126
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GHENT UNIVERSITY STI PREVENTION AND
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AIDS Acquired Immune Deficiency Syn
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1.1. Sexually Transmitted Infection
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countries, the rate of reporting co
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district of Uganda randomized villa
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By identifying where significant
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4.5%, 3.9%, 67.7% and 30.1% while t
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female primary health care or anten
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The research data have been publish
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2.1. OBJECTIVES 2.1.1. General obje
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2.2.3. Laboratory procedures The mi
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C HAPTER 3 PREVALENCE AND RISK FACT
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After registration by the clinic cl
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The majority of the women were infe
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eing single, ever having been treat
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prevalence found in a family planni
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3.2. Declining Syphilis Prevalence
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Training Nurses at the antenatal cl
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We believe that the observed declin
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Wasserheit 1992, Laga 1993). In Nai
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Table 1: Demographic data of 471 pa
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women. Overall, significantly fewer
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Stigmatization by health staff also
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4.2. Health-Seeking Behavior and Se
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Between September and November 1998
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Table 2: Healthcare-seeking behavio
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Thirteen women had engaged in sex w
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Men reported more extramarital affa
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C HAPTER 5 DIAGNOSIS AND MANAGEMENT
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discharge and abdominal pain-two co
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Data were entered and analyzed in S
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One of the peripheral health center
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Evaluation of Algorithms The result
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In this study of symptomatic women,
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C HAPTER 6 PREVENTION OF SEXUALLY T
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Table 1: Syphilis Rapid Plasma Reag
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One should keep these problems in m
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Page 87 and 88: Widows, divorcees and separated wom
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Page 91 and 92: The low prevalence of the other STD
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Page 95 and 96: Table 1. Characteristics of HIV- po
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Page 101 and 102: patients. The analysis revealed hig
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Page 107 and 108: with intensive behavioral change in
Page 109 and 110: C HAPTER 8 FINAL REMARKS STIs illus
Page 111 and 112: to protect themselves and be empowe
Page 113 and 114: Bell G, Ward H, Day S et al. Partne
Page 115 and 116: Fleming D and Wasserheit J. From ep
Page 117 and 118: Jackson DJ, Rakwar JP, Chohan B et
Page 119 and 120: Manning B, Moodley J, Ross SM. Syph
Page 121 and 122: Oberlander L, Elverdam B. Malaria i
Page 123 and 124: Serwadda D, Gray R, Wawer M et al.
Page 125: Van Dam J, Anastasi MC. Male Circum
Page 129 and 130: S UMMARY Sexually transmitted infec
Page 131 and 132: notification. Innovative and locall
Page 133 and 134: connaissance des femmes sur la sant
Page 135 and 136: Nous avons démontré que le coût
Page 137 and 138: vonden we een hoge prevalentie van
Page 139 and 140: We hebben aangetoond dat de kost va
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