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S10.2 Building STD clinical infrastructure in LMIC – role of general vs. specialized infrastructure
  1. Ligang Yang
  1. Dermatology Hospital, Southern Medical University, STD Dept, Guangzhou, China


Making clinical service for STD patients accessible in LMICs will require to recognize common medical conditions. In China, general hospitals are the most visited by patients, including those with STD. Data from 105 Chinese STD sentinel sites in 2018 showed that 77.2% of syphilis cases were reported from general hospitals, followed by 5.6% from women and children hospitals, only 4.7% of syphilis cases from STD specialized institutions. Community health centers, although providing comprehensive medical services, are generally considered to be of lower level and only 3.0% syphilis cases were rereported from the community health centers and other primary care centers. In LMICs with limited human resources, general hospitals play very important role in providing clinical services for STD patients but are often unsatisfactory in preventive services. A survey from China found, the rates of contact tracing and partner notification were very low in general hospital as the physicians lack time and willingness for preventive services. The main function for general hospitals, women and child health care hospitals, are to provide STD screening and corresponding treatment for out-patients, inpatients and pregnant women. As for the specialized STD institutions, it usually includes the following functions:1. Develop appropriate local STD case management procedures (flow chart); 2. STD surveillance, including case auditing and active surveillance; 3. STD testing center including external STD lab quality assessment; 4. Young people clinics, MSM clinics, et al; 5. Training. To make these services effective, integration of general and specialized institutions at the managerial and administrative levels will be crucial.

Disclosure No significant relationships.

  • STI
  • clinical service

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