Individual counseling of patients with sexually transmitted diseases. A way to improve partner notification in a Zambian setting?
BACKGROUND
Sexually transmitted diseases (STD) are a major health problem in Zambia. Partner notification, which is a recommended strategy to decrease STD, must be improved.


OBJECTIVE
To assess whether individual counseling of patients with STD, combined with contact slip(s), had any impact on the proportion of sex partners traced in an urban setting in Zambia.


METHODS
A randomized trial comprised of 94 women and 302 men with STD.


RESULTS
Women and men in the intervention group informed more partners than did those in the control group. In the intervention group, 1.8 partners per man was treated compared to 1.2 in the control group (P < 0.001). There was no difference between the two groups of women. There was a gradual decline from numbers of partners informed to numbers of partners treated according to the patient to number of contact slips filed.


CONCLUSIONS
Individual counseling of men with STD improved partner notification.
Faxelid
E
E
Department of International Health and Social Medicine, Karolinska Institutet, Stockholm, Sweden.
Tembo
G
G
Ndulo
J
J
Krantz
I
I
D000293:Adolescent; D000328:Adult; D016358:Contact Tracing / Q000379:methods*; D003376:Counseling / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012737:Sex Factors; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000453:epidemiology / Q000517:prevention & control*; D014504:Urban Health; D015024:Zambia