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In practice
Improving the quality of STI care by private general practitioners: a South African case study
  1. H Schneider1,
  2. N Chabikuli1,
  3. D Blaauw1,
  4. I Funani1,
  5. R Brugha2
  1. 1Centre for Health Policy, School of Public Health, University of Witwatersrand, South Africa
  2. 2Health Policy Unit, London School of Hygiene and Tropical Medicine, UK
  1. Correspondence to:
 H Schneider
 Centre for Health Policy, PO Box 1038, Johannesburg 2000, South Africa; helen.schneidernhls.ac.za

Abstract

Objectives: Evaluation of an intervention to improve quality of sexually transmitted infections (STI) care among 64 private general practitioners (GPs) working in two urban districts in Gauteng Province, South Africa.

Methods: We implemented a multifaceted intervention, the core of which were four interactive continuing medical education seminars. Changes in STI treatment practices were evaluated 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).

Results: 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.

Conclusions: Improvements in STI quality were possibly the result of a background secular trend rather than the intervention itself. Further research is needed on financial and other incentives to improved quality of STI care in the private sector environment.

  • CME, continuing medical education
  • GPs, general practitioners
  • PID, pelvic inflammatory disease
  • STI, sexually transmitted infections
  • UD, urethral discharge
  • private sector
  • STIs
  • South Africa

https://doi.org/10.1136/sti.2004.010470

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    Footnotes

    • Conflicts of interest: none.