MANAGEMENT OF SEXUALLY-TRANSMITTED DISEAS ES IN URBAN ENVIRONMENTS INCAMEROON IN 1992

During the progress, in 1989, of a programme of social marketing of co ndoms in Cameroon, it was obvious that this approach should be supplem ented by a similar programme for the management of STD's. Nine surveys were carried out in 1992 in Yaounde and Douala in the sexually most a ctive male population (in the general community, at the workplace and in the leisure environment) in order to collect the basic data necessa ry for its implementation. Treatment essentially consists of mono-chem otherapy with drugs which are generally inefficient against the two pr incipal etiologies of urethritis: Neisseria gonorrhoeae and Chlamydia trachomatis. The cost of treatment is considered excessive and leads t o poor follow-up of the complete prescription. Simultaneous treatment of partners should be developed. All these data have been taken into a ccount for the elaboration of a pilot programme which should be implem ented in 1993.