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1996-02-26
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Document 1062
DOCN M9621062
TI A community trial of the impact of improved sexually transmitted disease
treatment on the HIV epidemic in rural Tanzania: 1. Design.
DT 9602
AU Hayes R; Mosha F; Nicoll A; Grosskurth H; Newell J; Todd J; Killewo J;
Rugemalila J; Mabey D; London School of Hygiene and Tropical Medicine,
UK.
SO AIDS. 1995 Aug;9(8):919-26. Unique Identifier : AIDSLINE MED/96014967
AB OBJECTIVE: To describe the rationale and design of a randomized trial of
the impact of improved services for the treatment of sexually
transmitted diseases (STD) on the incidence of HIV infection in Mwanza
Region, Tanzania. METHODS: The likely impact of improved STD treatment
services on HIV incidence, and the need for empirical information on the
effectiveness of this intervention strategy, are discussed. The
rationale and design of such an intervention programme in Mwanza Region,
and of a community-randomized trial to measure the impact of the
programme on HIV and other STD, are presented. Problems in the design
and interpretation of the trial are reviewed. RESULTS: Results of the
baseline survey of the cohort of over 12,000 adults in 12 communities
are presented in a companion paper. CONCLUSION: There is an urgent need
for effective preventive measures against the HIV epidemic in
sub-Saharan Africa and other developing regions. Improved STD treatment
has been promoted as a potentially effective strategy, but there is
little empirical information on its impact. The trial in Mwanza Region
is the first randomized study of this intervention and should provide
valuable data for health policy makers.
DE Adult Algorithms Community Health Services Female Human HIV
Infections/*EPIDEMIOLOGY/*PREVENTION & CONTROL Male Outcome Assessment
(Health Care) Prospective Studies Randomized Controlled Trials/METHODS
Rural Population Sexually Transmitted Diseases/*THERAPY Support,
Non-U.S. Gov't Tanzania/EPIDEMIOLOGY CLINICAL TRIAL JOURNAL ARTICLE
RANDOMIZED CONTROLLED TRIAL
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).