Improving the Quality of STI Care by Private General Practitioners: A South African Case Study
November 22, 2005
The authors implemented a multifaceted intervention to improve the quality of sexually transmitted infection (STI) care among 64 private general practitioners (GPs) working in two urban districts in Gauteng Province, South Africa. They then evaluated the intervention.
At the core of the intervention were four interactive continuing medical education seminars. The researchers evaluated changes in STI treatment practices through record reviews before and after the continuing medical education intervention in 17 randomly selected practices in the intervention districts and in nine randomly selected practices from a reference GP group (n=34).
"There were statistically significant improvements in the quality of drug treatment for urethral discharge but not pelvic inflammatory disease among both intervention and reference GPs," the investigators found.
"Improvements in STI quality were possibly the result of a background secular trend rather than the intervention itself," the authors concluded. "Further research is needed on financial and other incentives to improved quality of STI care in the private sector environment."
Sexually Transmitted Infections
10.05.05; Vol. 81: P. 419-420; H. Schneider; N. Chabikuli; D. Blaauw; I. Funani; R. Brugha
This article was provided by CDC National Prevention Information Network. It is a part of the publication CDC HIV/Hepatitis/STD/TB Prevention News Update.