rss
Sex Transm Infect 2002;78:i55-i63 doi:10.1136/sti.78.suppl_1.i55
  • Symposium

The effect of HIV, behavioural change, and STD syndromic management on STD epidemiology in sub-Saharan Africa: simulations of Uganda

  1. E L Korenromp1,
  2. R Bakker1,
  3. R Gray2,
  4. M J Wawer3,
  5. D Serwadda4,
  6. J D F Habbema1
  1. 1Erasmus University Rotterdam, Department of Public Health, Rotterdam, Netherlands
  2. 2Johns Hopkins University School of Public Health, Department of Population and Family Health Sciences, Baltimore, USA
  3. 3Centre for Population and Family Health, Columbia University School of Public Health, New York, USA
  4. 4Institute of Public Health, Makerere University, Kampala, Uganda
  1. Correspondence to:
 Dr E L Korenromp, Erasmus University Rotterdam, Department of Public Health, PO Box 1738, 3000 DR Rotterdam, the Netherlands;
 korenromp{at}mgz.fgg.eur.nl;
 korenrompe{at}who.int
  • Accepted 30 November 2001

Abstract

An assessment was made of how the HIV epidemic may have influenced sexually transmitted disease (STD) epidemiology in Uganda, and how HIV would affect the effectiveness of syndromic STD treatment programmes during different stages of the epidemic. The dynamic transmission model STDSIM was used to simulate the spread of HIV and four bacterial and one viral STD. Model parameters were quantified using demographic, behavioural, and epidemiological data from rural Rakai and other Ugandan populations. The findings suggest that severe HIV epidemics can markedly alter STD epidemiology, especially if accompanied by a behavioural response. Likely declines in bacterial causes of genital ulcers should be considered in defining policies on syndromic STD management in severe HIV epidemics.

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.