Social marketing of pre-packaged treatment for men with urethral discharge (Clear Seven) in Uganda

We implemented social marketing of pre-packaged treatment for men with urethral discharge (Clear Seven) in Uganda, and studied its feasibility, acceptability and effectiveness as a possible means to treat STDs and thereby prevent HIV. Clear Seven was distributed at private health care outlets in thr...

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Bibliographic Details
Published in:	International journal of STD & AIDS Vol. 14; no. 3; p. 216
Main Authors:	Jacobs, B, Kambugu, F S K, Whitworth, J A G, Ochwo, M, Pool, R, Lwanga, A, Tifft, S, Lule, J, Cutler, J R
Format:	Journal Article
Language:	English
Published:	England 01-03-2003
Subjects:	Acquired Immunodeficiency Syndrome - epidemiology Acquired Immunodeficiency Syndrome - transmission Health Knowledge, Attitudes, Practice Humans Interviews as Topic Male Marketing of Health Services - organization & administration Sexual Behavior - psychology Sexual Behavior - statistics & numerical data Sexually Transmitted Diseases - prevention & control Social Marketing Uganda - epidemiology Urethral Diseases - epidemiology Urethral Diseases - therapy Uganda
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Summary:	We implemented social marketing of pre-packaged treatment for men with urethral discharge (Clear Seven) in Uganda, and studied its feasibility, acceptability and effectiveness as a possible means to treat STDs and thereby prevent HIV. Clear Seven was distributed at private health care outlets in three rural districts and two divisions of the capital. Comparisons were made with a pre-intervention period in the same sites plus one additional rural district. There were almost universally positive attitudes to Clear Seven. Cure rate (84% versus 47%), treatment compliance (93% versus 87%), and condom use during treatment (36% versus 18%) were significantly higher among Clear Seven users (n=422) than controls (n=405). Partner referral was similar but fewer Clear Seven partners were symptomatic when seeking treatment. Distribution of socially marketed pre-packaged treatment for male urethritis should be expanded in sub-Saharan Africa. Consideration should be given to developing similar kits for women.
ISSN:	0956-4624
DOI:	10.1258/095646203762869250