An Integrated Care Model With Implementation Roadmap to Improve Chlamydia trachomatis Management and Control in India

Frontiers in Public Health

Pierre P. M. Thomas²  Elena Ambrosino²  Remco P. H. Peters³  Jonathan A. Lal⁴  Jelena Malogajski⁵  Servaas A. Morré⁶  Ramesh R. Allam⁷ 

[1]Clinical Care and Research, Anova Health Institute, Johannesburg, South Africa

[2]Department of Genetics and Cell Biology, Faculty of Health, Medicine and Life Sciences, Institute for Public Health Genomics (IPHG), GROW School for Oncology and Developmental Biology, Maastricht University, Maastricht, Netherlands

[3]Department of Medical Microbiology, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, Netherlands

[4]Department of Molecular and Cellular Engineering, Jacob Institute of Biotechnology and Bioengineering, Sam Higginbottom University of Agriculture, Technology and Sciences, Allahabad, India

[5]Department of Public Health, School of Health Professions, Long Island University, Brooklyn, NY, United States

[6]Laboratory of Immunogenetics, Department of Medical Microbiology and Infection Control, VU University Medical Center, Amsterdam, Netherlands

[7]SHARE India, Hyderabad, India

关键词: Chlamydia trachomatis;    sexually transmitted diseases;    integrated care;    sexual and reproductive health;    India;   

DOI  :  10.3389/fpubh.2018.00321

来源: DOAJ

【 摘 要 】

Chlamydia trachomatis is the world's most prevalent bacterial Sexually Transmitted infection (STI). It is associated with a wide range of health consequences and sequelae in both the short and long term. Enhanced control of urogenital C. trachomatis infection is particularly important in low- and middle-income countries such as India, where most of the burden goes unnoticed and where limited systematic data is available to gauge the current situation. The World Health Organization (WHO) recently issued its latest strategy on STIs, which is aligned with the achievement of the Sustainable Development Goals (SDGs). Taking the WHO framework into account; this paper puts forward an integrated care model to strengthen the management and control of C. trachomatis in India. The model is compiled of five key components of STI management (awareness, prevention diagnosis, treatment and follow-up). The model considers barriers to effective C. trachomatis control into account. The barriers are discussed and compiled into different categories. A roadmap for the implementation of other similar models to enhance C. trachomatis control in the future is provided.

【 授权许可】

Unknown