title: Social marketing of pre-packaged treatment for men with urethral discharge (Clear Seven) in Uganda.
abstract: We implemented social marketing of pre-packaged treatment for men with urethral discharge (Clear Seven) in Uganda, and studied its feasibility, acceptability and effectiveness as a possible means to treat STDs and thereby prevent HIV. Clear Seven was distributed at private health care outlets in three rural districts and two divisions of the capital. Comparisons were made with a pre-intervention period in the same sites plus one additional rural district. There were almost universally positive attitudes to Clear Seven. Cure rate (84% versus 47%), treatment compliance (93% versus 87%), and condom use during treatment (36% versus 18%) were significantly higher among Clear Seven users (n=422) than controls (n=405). Partner referral was similar but fewer Clear Seven partners were symptomatic when seeking treatment. Distribution of socially marketed pre-packaged treatment for male urethritis should be expanded in sub-Saharan Africa. Consideration should be given to developing similar kits for women.
authors.affiliation: Medical Research Council Programme on AIDS, Uganda Virus Research Institute, Entebbe, Uganda.
authors.forename: B
authors.initials: B
authors.lastname: Jacobs
authors.forename: F S K
authors.initials: FS
authors.lastname: Kambugu
authors.forename: J A G
authors.initials: JA
authors.lastname: Whitworth
authors.forename: M
authors.initials: M
authors.lastname: Ochwo
authors.forename: R
authors.initials: R
authors.lastname: Pool
authors.forename: A
authors.initials: A
authors.lastname: Lwanga
authors.forename: S
authors.initials: S
authors.lastname: Tifft
authors.forename: J
authors.initials: J
authors.lastname: Lule
authors.forename: J R
authors.initials: JR
authors.lastname: Cutler
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology / Q000635:transmission; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008389:Marketing of Health Services / Q000458:organization & administration*; D012725:Sexual Behavior / Q000523:psychology / Q000706:statistics & numerical data*; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*; D040241:Social Marketing; D014454:Uganda / Q000453:epidemiology; D014522:Urethral Diseases / Q000453:epidemiology / Q000628:therapy*