{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:48:04Z","timestamp":1777927684984,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[1994,7,1]],"date-time":"1994-07-01T00:00:00Z","timestamp":773020800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[1994,7]]},"abstract":"<jats:p>We studied the current management of STD-related syndromes by urban health facilities in Pikine (Senegal) in 252 consecutive patients presenting with STD-related complaints, to assess the cost and effectiveness of services and to estimate the potential benefit by introducing management protocols. Most common presenting complaints for women were vaginal discharge and low abdominal pain, reported for 122 (82.9%) and 22 (15.0%) of 147 female patients. Urethral discharge and genital ulceration were reported for 80 (76.2%) and for 17 (16.2%) of 105 male patients. The average cost was 4.01 ECU (1 European Currency Unit = 1.2 US$=334 Franc CFA) for male patients (ranging from 0.57 to 25.70 ECU) and 12.75 ECU for female patients (ranging from 0.57 to 37.60 ECU). Only 20 of 80 patients with urethral discharge (25%) received effective treatment. Effectiveness was not related to cost of therapy or qualification of staff. Utilization of management protocols improves the quality and accessibility of care for STD, by potentially doubling effectiveness and reducing the costs for patients to 12% of the current level.<\/jats:p>","DOI":"10.1177\/095646249400500407","type":"journal-article","created":{"date-parts":[[2017,1,17]],"date-time":"2017-01-17T14:24:35Z","timestamp":1484663075000},"page":"262-267","source":"Crossref","is-referenced-by-count":5,"title":["Management of STDs and Cost of Treatment in Primary Health Care Centres in Pikine, Senegal"],"prefix":"10.1177","volume":"5","author":[{"given":"F H","family":"van der Veen","sequence":"first","affiliation":[{"name":"EEC AIDS Task Force, Brussels"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I","family":"Ndoye","sequence":"additional","affiliation":[{"name":"National AIDS\/STD control programme, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Guindo","sequence":"additional","affiliation":[{"name":"District Health Team, Pikine, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I","family":"Deschampheleire","sequence":"additional","affiliation":[{"name":"District Health Team, Pikine, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Fransen","sequence":"additional","affiliation":[{"name":"EEC AIDS Task Force, Brussels"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1994,7,1]]},"reference":[{"key":"bibr1-095646249400500407","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-199301000-00015"},{"key":"bibr2-095646249400500407","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1988.03720070048033"},{"key":"bibr3-095646249400500407","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-198802000-00008"},{"key":"bibr4-095646249400500407","first-page":"403","volume":"3","author":"Piot P","year":"1990","journal-title":"AIDS"},{"key":"bibr5-095646249400500407","first-page":"81","volume":"59","author":"Jancloes M.","year":"1979","journal-title":"Ann Soc Belge Med Trop"},{"key":"bibr6-095646249400500407","unstructured":"Jeannee E, Gerard S, Guindo S. Participation et d\u00e9veloppement sanitaire en milieu urban africain, extrait de \u201cPublication du Bureau R\u00e9gional UNICEF pour l'Afrique de l'Ouest et du Centre\u201d, Dakar, March 1988."},{"key":"bibr7-095646249400500407","unstructured":"Projet Pikine, Soins de Sant\u00e9 Primaires en milieu urbain, Fascicule VI (ann\u00e9es 1986\u20131987), Dakar, F\u00e9vrier 1988."},{"key":"bibr8-095646249400500407","unstructured":"Van der Veen F, Ndoye I, Mboup, Samb N, Fransen L, Van de Velden L. Prevalence of STD and HIV infection in risk groups and control populations in various regions in Senegal; Abstract TAP3,\n                      Vth International Conference on AIDS\n                      , Montr\u00e9al, 4\u20139 June 1989."},{"key":"bibr9-095646249400500407","volume":"30","author":"Van de Velden L","year":"1983","journal-title":"M\u00e9dicine d'Afrique Noire"},{"key":"bibr10-095646249400500407","first-page":"227","volume":"70","author":"De Schampheleire I","year":"1990","journal-title":"Ann Soc Belge Mid Trop"},{"key":"bibr11-095646249400500407","first-page":"107","volume":"67","author":"Lind I","year":"1991","journal-title":"Genitourin Med"},{"key":"bibr12-095646249400500407","first-page":"18","volume":"17","author":"Attili V Ratnam","year":"1983","journal-title":"Med J Zambia"},{"key":"bibr13-095646249400500407","unstructured":"Direccao Nacional de Saude, Gabinete de Epidemiologia. Resumo dos dados de DTS notificados no pais durante o ano 1990, Maputo Ciudade."},{"key":"bibr14-095646249400500407","first-page":"343","volume-title":"Reproductive tract infections","author":"Bastos DOS","year":"1992"},{"key":"bibr15-095646249400500407","unstructured":"Ndoye I, Van der Veen FH, Samb ND, Mboup S, Sacho ML. Sentinel surveillance of STD, its implications for AIDS control in Senegal, Abstract no. 3178, VIth international conference on AIDS, San Francisco, June 1990."},{"key":"bibr16-095646249400500407","first-page":"227","volume":"70","author":"De Schampheleire I","year":"1990","journal-title":"Ann Soc Belge M\u00e9d Trop"},{"key":"bibr17-095646249400500407","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/6.4.309"},{"key":"bibr18-095646249400500407","unstructured":"Minist\u00e8re du Plan et de la Coop\u00e9ration; La soci\u00e9t\u00e9 S\u00e9n\u00e9galaise face au SIDA, rapport de synth\u00e8se, Dakar Novembre 1989."},{"key":"bibr19-095646249400500407","unstructured":"Latif AS, Mbengeranwa OL, Marowa E, Paraiwa E, Gutu S. The decentralization of Sexually Transmitted Diseases service and its integration into Primary Health Care. African J STD October 1986:85\u20138."},{"key":"bibr20-095646249400500407","volume-title":"STD treatment strategies","year":"1989"},{"key":"bibr21-095646249400500407","unstructured":"Over M, Piot P. HIV infection and sexually transmitted diseases. Health sector priorities review for the World Bank, Population and Human Resources Department, Washington DC, June 1991."}],"container-title":["International Journal of STD &amp; AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/095646249400500407","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/095646249400500407","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:51:29Z","timestamp":1777675889000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/095646249400500407"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,7]]},"references-count":21,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1994,7]]}},"alternative-id":["10.1177\/095646249400500407"],"URL":"https:\/\/doi.org\/10.1177\/095646249400500407","relation":{},"ISSN":["0956-4624","1758-1052"],"issn-type":[{"value":"0956-4624","type":"print"},{"value":"1758-1052","type":"electronic"}],"subject":[],"published":{"date-parts":[[1994,7]]}}}