Iipinge Scholastika N, Pretorius Louise
School of Nursing and Public Health, University of Namibia, Windhoek, Namibia.
Glob J Health Sci. 2012 Aug 13;4(5):156-71. doi: 10.5539/gjhs.v4n5p156.
The main objective for this study was to investigate the quality of Sexually Transmitted Infections (STI) treatment and control by the private sector in Namibia.
This was a cross-sectional study employing quantitative methodology using different methods of data collection. A self-administered questionnaire exploring General Practitioners (GPs) perceptions of factors that influence the way they manage Sexually Transmitted Infections (STI) which was then concluded with the face to face interviews and the checklist that was used while doing observations in the consulting rooms.
A total of 50 private general practitioners in the area of Windhoek were interviewed, 48 self-administered questionnaires plus all checklists were received back from the private general practitioners. None of the private general practitioners interviewed had specific training in the syndromic management of the STIs. The 86% of all patients were seen by these private general practitioners on a medical aid, while 14 % pay cash for service provided. With regard to Urethral Discharge, an average of 56.5% of GPs could treat urethral discharge correctly as per the Namibian syndromic approach guidelines. None of the GPs could demonstrate the correct treatment of genital ulcer (whether they received medical aid or not) as recommended in the syndromic approach guidelines in Namibia (GRN, 1999; 2000). Only 28% of the GPs could demonstrate the correct treatment of Pelvic Inflammatory Disease (PID) as per the syndromic management of the STIs. For patients without medical aid the drugs prescribed and their dosages for PID are correct but the frequencies are not in line with the guidelines as for patients with medical aid.
In general, patients presenting with STIs to the GPs in private practices are not given quality of care because not all private general practitioners have time to do investigations, counseling, give condoms and to notify the partners of those with urethral discharge, genital ulcers and PID looking for treatment.
本研究的主要目的是调查纳米比亚私营部门性传播感染（STI）的治疗和控制质量。
这是一项采用定量方法的横断面研究，使用了不同的数据收集方法。通过一份自我管理的问卷来探究全科医生（GP）对影响其管理性传播感染方式的因素的看法，随后进行面对面访谈，并在诊室观察时使用清单。
在温得和克地区共采访了50名私营全科医生，收到了48份自我管理问卷以及所有来自私营全科医生的清单。接受采访的私营全科医生中，没有一人接受过性传播感染综合征管理方面的专门培训。这些私营全科医生诊治的所有患者中，86%使用医疗救助，14%为所提供的服务支付现金。关于尿道分泌物，按照纳米比亚综合征方法指南，平均56.5%的全科医生能够正确治疗尿道分泌物。没有一名全科医生能够按照纳米比亚综合征方法指南（GRN，1999年；2000年）推荐的方法正确治疗生殖器溃疡（无论是否接受医疗救助）。按照性传播感染的综合征管理，只有28%的全科医生能够正确治疗盆腔炎（PID）。对于没有医疗救助的患者，治疗盆腔炎所开药物及其剂量是正确的，但用药频率不符合有医疗救助患者的指南。
总体而言，在私人诊所向全科医生求治性传播感染的患者未得到优质护理，因为并非所有私营全科医生都有时间进行检查、咨询、发放避孕套以及通知尿道分泌物、生殖器溃疡和寻求治疗的盆腔炎患者的性伴侣。
