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Type: Journal article
Title: The impact of sexually transmissible infection programs in remote Aboriginal communities in Australia: A systematic review
Author: Guy, R.
Ward, J.
Smith, K.
Su, J.
Huang, R.
Tangey, A.
Skov, S.
Rumbold, A.
Silver, B.
Donovan, B.
Kaldor, J.
Citation: Sexual Health, 2012; 9(3):205-212
Publisher: Csiro Publishing
Issue Date: 2012
ISSN: 1448-5028
Statement of
Rebecca Guy, James S. Ward, Kirsty S. Smith, Jiunn-Yih Su, Rae-Lin Huang, Annie Tangey, Steven Skov, Alice Rumbold, Bronwyn Silver, Basil Donovan and John M. Kaldor
Abstract: Objective: To systematically review evaluations of the impact of sexually transmissible infection (STI) programs delivered by primary health care services in remote Aboriginal communities. Methods: PubMed, Google Scholar, InfoNet, Cochrane Controlled Trials Register, Australian New Zealand Clinical Trial Registry, conference proceedings and bulletins were searched to April 2011 using variations of the terms 'Aboriginal', 'programs' and 'STI'. The primary outcome of interest in the review was the change in bacterial STI infection prevalence in the target age group assessed through cross-sectional screening studies over a 5-year period or more. The characteristics of the primary health care service, STI programs and other clinical service outcomes were also described. Results: Twelve reports described four distinct STI programs in remote communities and their impact on STI prevalence. In the Anangu Pitjantjatjara Yankunytjatjara (APY) lands of northern South Australia, there was a reduction in the age-adjusted chlamydia and gonorrhoea prevalence by 58% and 67%, respectively (1996–2003). In the Tiwi Islands of Northern Territory (NT), chlamydia and gonorrhoea positivity decreased by 94% and 34%, respectively (2002–2005). In the Ngaanyatjarra Lands of Western Australia, crude chlamydia and gonorrhoea prevalence decreased by 36% and 48%, respectively (2001–2005), and in the central Australian region of NT, there was no sustained decline in crude prevalence (2001–2005). Conclusion: In three of the four programs, there was some evidence that clinical best practice and well coordinated sexual health programs can reduce STI prevalence in remote Aboriginal communities.
Keywords: chlamydia; gonorrhoea; prevalence; program evaluation
Rights: © CSIRO 2012
RMID: 0020120407
DOI: 10.1071/SH11074
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Appears in Collections:Obstetrics and Gynaecology publications

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