Cross-sectional survey of treatment practices for urethritis at pharmacies, private clinics and government health facilities in coastal Kenya: many missed opportunities for HIV prevention

@article{Mugo2013CrosssectionalSO,
  title={Cross-sectional survey of treatment practices for urethritis at pharmacies, private clinics and government health facilities in coastal Kenya: many missed opportunities for HIV prevention},
  author={Peter Mwangi Mugo and Sarah Duncan and Samuel Waweru Mwaniki and Alexander N. Thiong’o and Evans Gichuru and Haile Selassie Okuku and Elise M van der Elst and Adrian D. Smith and Susan M. Graham and Eduard J Sanders},
  journal={Sexually Transmitted Infections},
  year={2013},
  volume={89},
  pages={583 - 589}
}
Background While bacterial sexually transmitted infections (STIs) are important cofactors for HIV transmission, STI control has received little attention in recent years. The aim of this study was to assess STI treatment and HIV testing referral practices among health providers in Kenya. Methods In 2011 we assessed quality of case management for male urethritis at pharmacies, private clinics and government health facilities in coastal Kenya using simulated visits at pharmacies and interviews at… 
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Engaging young adult clients of community pharmacies for HIV screening in Coastal Kenya: a cross-sectional study
TLDR
Test uptake varied significantly by referring pharmacy and was higher for clients who presented at the pharmacy without a prescription versus those with a prescription, and for client who sought care for STI symptoms.
Three methods of delivering clinic-based training on syndromic management of sexually transmitted diseases in South Africa: a pilot study
TLDR
Continuing medical education on STIs was delivered at primary healthcare clinics using one of three training methods: lecture, computer and paper-based, with low quality and quality of healthcare measured.
HIV screening at health facilities and community pharmacies in Kenya: Enhancing test uptake and early diagnosis
  • P. Mugo
  • Medicine, Political Science
  • 2017
TLDR
It is demonstrated that an acute HIV infection detection strategy targeting young febrile adults seeking care at pharmacies and health facilities is feasible and low-cost mobile phone and in-person appointment reminders can increase uptake of repeat HIV testing by as much as 70%.
A national evaluation using standardised patient actors to assess STI services in public sector clinical sentinel surveillance facilities in South Africa
TLDR
This evaluation of STI services across South Africa found gaps in the availability of medications, adherence to STI guidelines, condom provision and prevention messaging, and interventions to improve quality should be prioritised.
Uptake and Acceptability of Oral HIV Self-Testing among Community Pharmacy Clients in Kenya: A Feasibility Study
TLDR
The uptake pattern observed suggests that a client-initiated approach is more feasible compared to pharmacy- initiated testing, and price is unlikely to be a barrier if set at about US$1 per test.
Antimicrobial resistance patterns in Neisseria gonorrhoeae among male clients of a sexually transmitted infections clinic in Kisumu, Kenya
TLDR
High rates of resistance to several drug classes, likely driven by background selective pressure, were observed in Kisumu, Kenya, as resistance was not observed among currently recommended Kenyan therapies for urethritis.
Trends and predictors of HIV positivity and time since last test at voluntary counselling and testing encounters among adults in Kilifi, Kenya, 2006-2017.
TLDR
While the proportion of encounters at which late retesting was reported decreased steadily over the period reviewed, efforts are needed to increase retesting among the most at-risk populations.
Trends and predictors of HIV positivity and time since last test at voluntary counselling and testing encounters among adults in Kilifi, Kenya, 2006-2017
TLDR
While the proportion of encounters at which late retesting was reported decreased steadily over the period reviewed, efforts are needed to increase retesting among the most at-risk populations.
Stretching the Boundaries: Tanzanian Pharmacy Workers’ Views and Experiences of Providing STI Services for Men Who Have Sex with Men
TLDR
The emotional commitment they developed for clients through this process led to a transgression of provider-client boundaries, which undermined objective decision-making when clients lacked prescription, which emerged as an underlying motivation for providing incomplete or inaccurate drug dosages.
Strengthening HIV health care services for men who have sex with men in coastal Kenya
TLDR
Qualitative assessments among MSM participants in a four-month oral pre-exposure prophylaxis (PrEP) phase I trial underscored the major role health care providers will play in future PrEP implementation, and sensitized health care provider in rights constrained environments can strengthen HIV health care services for MSM.
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