Table 1

Course of epidemics of sexually transmitted infections, suggested phase appropriate strategies and the actual control programme in Lambeth, Southwark and Lewisham

Suggested phase appropriate strategies*Prevention activity in Lambeth, Southwark and Lewisham
PhaseDescriptionMaintenance networkSpread networkMaintenance networkSpread network
*Adapted from reference 1.
IGrowth
IIHyperendemic (for example chlamydia)Mass media campaignsTargeted health promotionNational television and poster campaign for chlamydiaPilot study of community based outreach intervention
Detection and treatment servicesOutreach for screening and treatmentGenitourinary medicine clinics Screening of all attenders for chlamydia
Provider risk reduction counsellingPeer risk reduction counselling
Client initiated partner notificationHealth department assisted partner notificationRisk reduction counselling
Community level behavioural interventionsClient initiated partner notification
IIIDeclineDetection and treatment servicesTargeted health promotion
Provider risk reduction counsellingOutreach for screening and treatment
Client initiated partner notificationPeer risk reduction counselling
Health department assisted partner notification
Community level behavioural interventions
IVEndemic (for example gonorrhoea)Detection and treatment servicesTargeted health promotionGenitourinary medicine clinics Screening of all attenders for gonorrhoeaLocal “Soul Protection” radio and poster campaign
Provider risk reduction counsellingOutreach for screening and treatmentTraining for youth workers
Client initiated partner notificationPeer risk reduction counsellingRisk reduction counsellingCondom promotion events
Health department assisted partner notificationClient initiated partner notificationPilot study of community based outreach intervention
Community level behavioural interventions