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AJPH First Look, published online ahead of print May 2, 2006
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October 2006, Vol 96, No. 10 | American Journal of Public Health 1760-1761
© 2006 American Public Health Association
DOI: 10.2105/AJPH.2005.062596

RESEARCH AND PRACTICE

Lessons for Management of Sexually Transmitted Infection Treatment Programs as Part of HIV/AIDS Prevention Strategies

Julienne McKay, MIPH, David Campbell, BS (Hons) and Anna Cornelia Gorter, MD, PhD

At the time of writing, Julienne McKay was a candidate for a master’s degree at the University of Sydney, Australia. David Campbell is with ACIL Tasman Pty Ltd., Sydney, Australia. Anna Cornelia Gorter is an international consultant on reproductive health issues and HIV/AIDS, Managua, Nicaragua.

Correspondence: Requests for reprints should be sent to Julienne McKay, PO Box 170, Northbridge 2063, Australia (e-mail: julienne.mckay{at}gmail.com).

We analyzed the treatment schedule of a long-running HIV/AIDS prevention program in Managua, Nicaragua, that targets sex workers through mass and specific clinic-based treatment of sexually transmitted infections and confirmed the role of frequency of treatment in generating a sustained reduction in measured prevalence of sexually transmitted infections.

Unplanned variations in the time between treatments, a situation common to public health programs, provided the basis for attributing changes in measured levels of sexually transmitted infections to the program and for testing the statistical significance of the relationship. This information is critical to program design and funding and to resource allocation.






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