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The practice of STI treatment among chemists and druggists in Pokhara, Nepal
  1. K P Bista1,
  2. P Chaudhary1,
  3. T E Slanger2,
  4. M H Khan2
  1. 1NCASC/UoH STD/HIV Project, Teku, Kathmandu, Nepal
  2. 2Department of Tropical Hygiene and Public Health, University of Heidelberg Medical Faculty, Heidelberg 69120, Germany
  1. Correspondence to:
 Dr Slanger;
 tracy.slanger{at}urz.uni-heidelberg.de

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Chemists and druggists working in “medical shops” play a significant part in the treatment of sexually transmitted infections (STIs) in resource poor countries.1–4 In some settings, chemists and druggists are consulted for first line treatment of STI symptoms more often than hospitals and clinics designed specifically to service such clients.1 Recent unpublished data from Pokhara, Nepal, suggest that in up to 80% of cases, treatment provided by chemists and druggists was inappropriate or incomplete.1 We report here on the quality of STI case management among a random sample of chemists and druggists from the 75 medical shops in Pokhara Municipality Area, Nepal.

Chemists and druggists working in all Pokhara medical shops, 65% of whom had received previous training in the national STD case management guidelines,5 based on WHO syndromic algorithms, …

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