rss
Sex Transm Infect 2002;78:380-384 doi:10.1136/sti.78.5.380
  • Original Article

A survey of STI policies and programmes in Europe: preliminary results

  1. K L Dehne1,
  2. G Riedner1,
  3. C Neckermann1,
  4. O Mykyev2,
  5. F J Ndowa3,
  6. U Laukamm-Josten4
  1. 1Department of Tropical Hygiene and Public Health, University of Heidelberg, Germany
  2. 2National Medical University, Kiev, Ukraine
  3. 3Joint United Nations Programme on HIV/AIDS (UNAIDS), Geneva, Switzerland
  4. 4STI/HIV/AIDS Programme, STI Task Force, World Health Organization, Regional Office for Europe, Copenhagen, Denmark
  1. Correspondence to:
 Dr Ulrich Laukamm-Josten, World Health Organization, Regional Office for Europe, STI Task Force Secretariat, 8 Scherfigsvej, 2100 Copenhagen, Denmark;
 ULJ{at}who.dk
  • Accepted 30 May 2002

Abstract

Objectives: A survey was conducted to assess the adequacy of sexually transmitted infections (STI) prevention and control policies and programmes in the European region (including the central Asian republics).

Methods: An adapted World Health Organization (WHO) model questionnaire was sent to ministry of health officials in all 45 countries of Europe and central Asia. The questionnaire included questions on STI programme structure; STI case management; the different types and levels of services, including public and private service providers; partner notification and screening policies; services for vulnerable populations; monitoring and supervision; surveillance and research.

Results: Western European countries largely leave STI prevention and care to individual practitioners. Licensed providers exist at all levels of care, and access to consultations and treatment is usually free of charge. In the newly independent states (NIS), by contrast, programme efforts emphasise state guidance and supervision of local providers rather than individual practitioners. Access to services is limited in that in several NIS, only public sector specialists are licensed to treat STI. Formerly free of charge policies have been severely eroded. While in western Europe access to condoms appears to be good, in the NIS there are many fewer condom outlets. Regionwide, in 40% of countries the distribution of condoms is part of STI consultations.

Conclusions: Non-availability of affordable high quality STI services, including STI treatment and condoms, may be one of the causes for the much higher STI prevalence in parts of eastern Europe and NIS than in western Europe.

Footnotes

    This Article

    1. Abstract
    2. Full text
    3. PDF

    Responses

    1. Submit a response
    2. No responses published

    Register for free content

    The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.

    Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.