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

Pierre P. M. Thomas*, Ramesh R. Allam, Elena Ambrosino, Jelena Malogajski, Jonathan A. Lal, Servaas A. Morre, Remco P. H. Peters

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

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 similarmodels to enhance C. trachomatis control in the future is provided.

Original languageEnglish
Article number321
Number of pages8
JournalFrontiers in Public Health
Volume6
DOIs
Publication statusPublished - 9 Nov 2018

Keywords

  • Chlamydia trachomatis
  • sexually transmitted diseases
  • integrated care
  • sexual and reproductive health
  • India
  • SEXUALLY-TRANSMITTED INFECTIONS
  • HEALTH-CARE
  • DEVELOPING-COUNTRIES
  • SOUTH-AFRICA
  • WOMEN
  • HIV
  • CHALLENGES
  • SERVICES
  • SECTOR
  • RISK

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