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    Jan 26, 2021
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    Sexually transmitted infections among prison inmates in a rural district of Malawi.

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    Authors
    Zachariah, R
    Harries, A D
    Chantulo, A
    Yadidi, A E
    Nkhoma, W
    Maganga, O
    Affiliation
    Mission (Malawi), Medecins sans Frontieres-Luxembourg, 70 rue de Gasperich, L-1617, Luxembourg. zachariah@internet.lu
    Issue Date
    2008-02-14T11:00:30Z
    
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    Journal
    Transactions of the Royal Society of Tropical Medicine and Hygiene
    Abstract
    As part of a comprehensive human immunodeficiency virus (HIV) prevention strategy targeting high-risk groups, sexually transmitted infection (STI) clinics are offered to all prisoners in Thyolo district, southern Malawi. Prison inmates are not, however, allowed access to condoms as it is felt that such an intervention might encourage homosexuality which is illegal in Malawi. A study was conducted between January 2000 and December 2001 in order to determine the prevalence, incidence, and patterns of STIs among male inmates of 2 prisons in this rural district. A total of 4229 inmates were entered into the study during a 2-year period. Of these, 178 (4.2%) were diagnosed with an STI. This included 83 (46%) inmates with urethral discharge, 60 (34%) with genital ulcer disease (GUD), and 35 (20%) inmates with epididymo-orchitis. Fifty (28%) STIs were considered incident cases acquired within the prisons (incidence risk 12 cases/1000 inmates/year). GUD was the most common STI in this group comprising 52% of all STI. This study shows that a considerable proportion of STIs among inmates are acquired within prison. In a setting of same-sex inmates, this suggests inter-prisoner same-sex sexual activity. The findings have implications for HIV transmission and might help in developing more rational policies on STI control and condom access within Malawi prisons.
    Publisher
    Elsevier
    URI
    http://hdl.handle.net/10144/18254
    PubMed ID
    12625135
    Additional Links
    http://www.sciencedirect.com/science/journal/00359203
    Language
    en
    ISSN
    0035-9203
    Collections
    HIV/AIDS

    entitlement

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