Epidemiological Treatment of Gonorrhœa

Meheus, A

doi:10.1016/s0140-6736(73)92515-4

Cited by 6 publications

(3 citation statements)

References 2 publications

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“…of the infected males indicate prostitutes as their source of infection. In a 9-month study among university students in Butare (Meheus, 1973), we found the incidence of gonorrhoea to be 55 2 per cent. ; 98-2 per cent.…”

Section: Resultsmentioning

confidence: 87%

Prevalence of gonorrhoea in prostitutes in a Central African town.

Meheus¹,

Clercq²,

Prat³

1974

Sexually Transmitted Infections

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Section: Resultsmentioning

confidence: 87%

Prevalence of gonorrhoea in prostitutes in a Central African town.

Meheus¹,

Clercq²,

Prat³

1974

Sexually Transmitted Infections

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“…Practice was also a precursor to policy reform for the initial adoption of STI syndromic management itself [51], indicating that in the interest of expediency of delivery, it may be the case that practice may often precede national STI policy reform [49]. Some argued that in the case of HSV-2, in private settings and on a small scale, practice was already preceding policy, as acyclovir is available and prescribed.…”

Section: Resultsmentioning

confidence: 99%

“…The researchers all felt that there was great difficulty in attracting the policy-makers’ attention to this issue: “there is so much going on, it sometimes doesn’t matter how loud your voice is.” The majority of researchers interviewed went further to predict that this is a case in which formal policy change will lag behind practice and that acyclovir might be used because of the high prevalence of HSV-2 among GUD cases, provided the drugs can be made available. Practice was also a precursor to policy reform for the initial adoption of STI syndromic management itself [ 51 ], indicating that in the interest of expediency of delivery, it may be the case that practice may often precede national STI policy reform [ 49 ]. Some argued that in the case of HSV-2, in private settings and on a small scale, practice was already preceding policy, as acyclovir is available and prescribed.…”

Section: Resultsmentioning

confidence: 99%

Getting research into policy - Herpes simplex virus type-2 (HSV-2) treatment and HIV infection: international guidelines formulation and the case of Ghana

Burris

Parkhurst

Adu‐Sarkodie

et al. 2011

Health Res Policy Sys

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BackgroundObservational epidemiological and biological data indicate clear synergies between Herpes simplex virus type 2 (HSV-2) and HIV, whereby HSV-2 enhances the potential for HIV acquisition or transmission. In 2001, the World Health Organization (WHO) launched a call for research into the possibilities of disrupting this cofactor effect through the use of antiherpetic therapy. A WHO Expert Meeting was convened in 2008 to review the research results. The results of the trials were mostly inconclusive or showed no impact. However, the WHO syndromic management treatment guidelines were modified to include acyclovir as first line therapy to treat genital ulcer disease on the basis of the high prevalence of HSV-2 in most settings, impact and cost-benefit of treatment on ulcer healing and quality of life among patients.MethodsThis paper examines the process through which the evidence related to HIV–HSV-2 interactions influenced policy at the international level and then the mechanism of international to national policy transfer, with Ghana as a case study. To better understand the context within which national policy change occurs, special attention was paid to the relationships between researchers and policy-makers as integral to the process of getting evidence into policy. Data from this study were then collected through interviews conducted with researchers, program managers and policy-makers working in sexual health/STI at the 2008 WHO Expert Meeting in Montreux, Switzerland, and in Accra, Ghana.ResultsThe major findings of this study indicate that investigations into HSV-2 as a cofactor of HIV generated the political will necessary to reform HSV-2 treatment policy. Playing a pivotal role at both the international level and within the Ghanaian policy context were ‘policy networks’ formed either formally (WHO) or informally (Ghana) around an issue area. These networks of professionals serve as the primary conduit of information between researchers and policy-makers. Donor influence was cited as the single strongest impetus and impediment to policy change nationally.ConclusionsPolicy networks may serve as the primary driving force of change in both international context and in the case of Ghana. Communication among researchers and policy-makers is critical for uptake of evidence and opportunities may exist to formalize policy networks and engage donors in a productive and ethical way.

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Variation in the diagnosis and notification of sexually transmitted diseases

Adler

1980

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Epidemiological Treatment of Gonorrhœa

Cited by 6 publications

References 2 publications

Prevalence of gonorrhoea in prostitutes in a Central African town.

Prevalence of gonorrhoea in prostitutes in a Central African town.

Getting research into policy - Herpes simplex virus type-2 (HSV-2) treatment and HIV infection: international guidelines formulation and the case of Ghana

Variation in the diagnosis and notification of sexually transmitted diseases

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