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Foundations for effective strategies to control sexually transmitted infections

Voices from rural Kenya

Bibliographic Data

ID19442148
AuthorsWilliam J Moss (0000-0001-6579-3513, Johns Hopkins University, corresponding author), W MOSS
Year1999
Volume11
Issue1
Pages95-113
Publication date1999-02-01
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540129948234
PMID10434986
OpenAlexW1992908193
LanguageEN
Citations received12
References cited17

Achieving maximal benefit from clinic-based, sexually transmitted infection (STI) control strategies requires that persons seek treatment at public clinics. Community-based, ethnographic research methods were used to examine patterns of health-seeking behavior for sexually transmitted infections in western Kenya. Illness narratives of sexually transmitted infections provided the basis for an analysis of sequential steps in health-seeking behavior, namely recognition, classification, overcoming stigma, identification of treatment options and selection of a course of therapy. A variety of terms were used to identify STI, including multiple terms referring to "women's disease". The stigma associated with STI, reflected in the terminology, was based on a set of beliefs on the causes, contagiousness and sequelae of STI, and resulted in delays in seeking treatment. Five commonly used treatment options were identified, with multiple sources of care often used concurrently. The desire for privacy, cost and belief in the efficacy of traditional medicines strongly influenced health-seeking behaviour. A belief that sexually transmitted infections must be transmitted in order to achieve cure was professed by several respondents and promoted by a traditional healer. Implications for STI control strategies are derived, including the development of educational messages and the design of clinics

Family medicine · Help-seeking · Mental health · Psychiatry · Sexually transmitted disease · Syphilis · Terminology · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Medicine · Psychology · Reproductive tract infections research

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    Open Access•Mônica Malta, Francisco I Bastos et al.•BMC Public Health•2007

  • Health management’ in the private sector in the context of HIV/Aids

    Open Access•Gavin George, Tim Quinlan•Sustainable Development•2008

  • An interdisciplinary approach to HIV/Aids stigma and discrimination in Belize

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    Open Access•Ambika Kohli, Maphie Tosha Makambo et al.•Conflict and Health•2012

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Citations per year0.48
Citation span2001 - 2012 (12)
Highly citedNo

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