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Prevalence Surveys of Sexually Transmitted Infections Among Seafarers and Women Attending Antenatal Clinics in Kiribati 2002-2003
World Health Organization, Manila, 2004, 30 pp
92 9061 174 x
Url Prevalence_Survey_of_STI_KIR_2002_2003.pdf

The study was supported by the World Health Organization Regional Office for the Western Pacific, coordinated by the Ministry of Health, Kiribati and the University of New South Wales, Sydney, Australia.


"A cross-sectional sexually transmitted infection (STI) prevalence survey was conducted by the Ministry of Health, Kiribati, in conjunction with the University of New South Wales, Sydney, Australia and with technical and financial support of WHO. A total of 386 seafarers recruited in Tarawa from January 2003 to July 2003, and 269 pregnant women attending antenatal clinics, recruited in Tarawa from February 2003 to August 2003, participated in the survey. All eligible participants gave written informed consent. Demographic, behavioural and clinical information of the participants was gathered by interviewer-administered questionnaires. Blood samples were collected from the women. Urine and blood samples were collected from the men. Urine was tested with polymerase chain reaction (PCR) for C. trachomatis and N. gonorrhoeae. Blood was tested for syphilis using rapid plasma reagin (RPR) serology as the screening test, and Treponema pallidum haemagglutination assay (TPPA) and fluorescent treponemal antibody absorption assay (FTA-ABS) as a confirmatory test. HIV testing was carried out using enzyme-linked immunosorbent assay (ELISA) and, if positive, a repeat ELISA and a western blot were undertaken for confirmation. Free treatment was provided to study participants diagnosed with an infection. The unacceptably high rates of treatable STI indicate that diagnostic, treatment and surveillance components of STI control programmes need to be strengthened in Kiribati. Further surveys of high-risk populations such as Kore Koreas (sex workers) need to be undertaken. In particular, policies and prevention strategies looking at safer sex practices and 100 per cent condom usage need to be developed for high-risk sub-populations such as seafarers."

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