Sexual Health Sexual Health Society
Publishing on sexual health from the widest perspective
EDITORIAL

Reducing the burden of sexually transmissible infections in Papua New Guinea requires strengthening of clinical services and engaging men

Jane S. Hocking A E , Cathy Vaughan B , Andrew Lau A , Dorothy A. Machalek C D and Simon Graham A
+ Author Affiliations
- Author Affiliations

A Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Vic. 3010, Australia.

B Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Vic. 3010, Australia.

C Department of Molecular Microbiology, Royal Women’s Hospital, 30 Flemington Road, Parkville, Vic. 3052, Australia.

D Murdoch Children’s Research Institute, 50 Flemington Road, Parkville, Vic. 3052, Australia

E Corresponding author. Email: j.hocking@unimelb.edu.au

Sexual Health 13(5) 401-403 https://doi.org/10.1071/SH16058
Submitted: 8 April 2016  Accepted: 31 May 2016   Published: 7 July 2016

Abstract

In this edition of Sexual Health, Vallely et al. report the results of a cross-sectional prevalence survey of sexually transmissible infections (STIs) among women attending their first antenatal visit in three provinces of Papua New Guinea (PNG). This Editorial examines potential reasons for these high prevalence estimates and discusses strategies for addressing high STIs rates in PNG.


References

[1]  Vallely L, Toliman P, Ryan C, Rai G, Wapling J, et al Prevalence and risk factors for Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis and other sexually transmissible infections among women attending antenatal clinics in three provinces in Papua New Guinea: a cross-sectional survey. Sex Health 2016;
Prevalence and risk factors for Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis and other sexually transmissible infections among women attending antenatal clinics in three provinces in Papua New Guinea: a cross-sectional survey.CrossRef | 27248708PubMed |

[2]  Vallely A, Page A, Dias S, Siba P, Lupiwa T, Law G, et al The prevalence of sexually transmitted infections in Papua New Guinea: a systematic review and meta-analysis. PLoS One 2010; 5 e15586
The prevalence of sexually transmitted infections in Papua New Guinea: a systematic review and meta-analysis.CrossRef | 1:CAS:528:DC%2BC3MXjvVSksQ%3D%3D&md5=9e551144b4086dc5ac80bca4444203cfCAS | 21203468PubMed |

[3]  Wangnapi RA, Soso S, Unger HW, Sawera C, Ome M, Umbers AJ, et al Prevalence and risk factors for Chlamydia trachomatis, Neisseria gonorrhoeae and Trichomonas vaginalis infection in pregnant women in Papua New Guinea. Sex Transm Infect 2015; 91 194–200.
Prevalence and risk factors for Chlamydia trachomatis, Neisseria gonorrhoeae and Trichomonas vaginalis infection in pregnant women in Papua New Guinea.CrossRef | 1:STN:280:DC%2BC2M3gtFWltg%3D%3D&md5=df0d00065c1bfde322a1b8244dab37c2CAS | 25313204PubMed |

[4]  World Health Organization Western Pacific Region. Second generation surveillance surveys of HIV, other STIs and risk behaviours in 6 Pacific Island countries: 2004–2005. Geneva: WHO; 2006.

[5]  Newman L, Rowley J, Hoorn SV, Wijesoorita N, Unemo M, Low N, et al Global estimates of the prevalence and incidence of four curable sexually transmitted infections in 2012 based on systematic review and global reporting. PLoS One 2015; 10 e0143304
Global estimates of the prevalence and incidence of four curable sexually transmitted infections in 2012 based on systematic review and global reporting.CrossRef | 26646541PubMed |

[6]  Bingham AL, Kavanagh AM, Fairley CK, Keogh LA, Bentley RJ, Hocking JS. Income inequality and Neisseria gonorrhoeae notifications in females: a country-level analysis. Sex Health 2014; 11 556–60.
Income inequality and Neisseria gonorrhoeae notifications in females: a country-level analysis.CrossRef | 25435192PubMed |

[7]  Rours GIJG, de Krijger RR, Ott A, Willemse HFM, de Groot R, Zimmermann LJI, et al Chlamydia trachomatis and placental inflammation in early preterm delivery. Eur J Epidemiol 2011; 26 421–8.
Chlamydia trachomatis and placental inflammation in early preterm delivery.CrossRef |

[8]  Rours GIJG, Duijts L, Moll HA, Arends LR, de Groot R, Jaddoe VW, et al Chlamydia trachomatis infection during pregnancy associated with preterm delivery: a population-based prospective cohort study. Eur J Epidemiol 2011; 26 493–502.
Chlamydia trachomatis infection during pregnancy associated with preterm delivery: a population-based prospective cohort study.CrossRef |

[9]  Silver BJ, Guy RJ, Kaldor JM, Jamil MS, Rumbold AR. Trichomonas vaginalis as a cause of perinatal morbidity: a systematic review and meta-analysis. Sex Transm Dis 2014; 41 369–76.
Trichomonas vaginalis as a cause of perinatal morbidity: a systematic review and meta-analysis.CrossRef | 24825333PubMed |

[10]  Watson-Jones D, Changalucha J, Gumodoka B, Weiss H, Rusizoka M, Ndeki L, et al Syphilis in pregnancy in Tanzania. I. Impact of maternal syphilis on outcome of pregnancy. J Infect Dis 2002; 186 940–7.
Syphilis in pregnancy in Tanzania. I. Impact of maternal syphilis on outcome of pregnancy.CrossRef | 12232834PubMed |

[11]  Rours GIJG, Hammerschlag MR, Van Doornum GJJ, Hop WCJ, de Groot R, Willemse HFM, et al Chlamydia trachomatis respiratory infection in Dutch infants. Arch Dis Child 2009; 94 705–7.
Chlamydia trachomatis respiratory infection in Dutch infants.CrossRef | 1:STN:280:DC%2BD1MrntVSltA%3D%3D&md5=2da5921fa9a116a881d6107162e6936dCAS |

[12]  Fleming DT, Wasserheit JN. From epidemiological synergy to public health policy and practice: the contribution of other sexually transmitted diseases to sexual transmission of HIV infection. Sex Transm Infect 1999; 75 3–17.
From epidemiological synergy to public health policy and practice: the contribution of other sexually transmitted diseases to sexual transmission of HIV infection.CrossRef | 1:STN:280:DyaK1MznslCntg%3D%3D&md5=74001a199fce1c9cbcc260ee6474b808CAS | 10448335PubMed |

[13]  Rijken MJ, McGready R, Boel ME, Poespoprodjo R, Singh N, Syafruddin D, et al Malaria in pregnancy in the Asia-Pacific region. Lancet Infect Dis 2012; 12 75–88.
Malaria in pregnancy in the Asia-Pacific region.CrossRef | 22192132PubMed |

[14]  Gaydos C, Hardick J. Point of care diagnostics for sexually transmitted infections: perspectives and advances. Expert Rev Anti Infect Ther 2014; 12 657–72.
Point of care diagnostics for sexually transmitted infections: perspectives and advances.CrossRef | 1:CAS:528:DC%2BC2cXotVelur0%3D&md5=8befcc185bacc9e80c0b7e94b8071ad4CAS | 24484215PubMed |

[15]  Mola G. Manual of standard managements in obstetrics and gynaecology for doctors, HEOs and nurses in Papua New Guinea, 6th edn. 2010. Available online at: http://hicsigwiki.asid.net.au/images/c/c1/Ogstm_27_July_2010_FINAL.pdf [verified 23 June 2016].

[16]  Chico RM, Mayaud P, Ariti C, Mabey D, Ronsmans C, Chandramohan D. Prevalence of malaria and sexually transmitted and reproductive tract infections in pregnancy in sub-Saharan Africa: a systematic review. JAMA 2012; 307 2079–86.
Prevalence of malaria and sexually transmitted and reproductive tract infections in pregnancy in sub-Saharan Africa: a systematic review.CrossRef | 1:CAS:528:DC%2BC38Xnt1yjurw%3D&md5=3ebb986ef6e8980774ccd72ffcb548d5CAS | 22665107PubMed |

[17]  Swartzendruber A, Steiner RJ, Adler MR, Kamb ML, Newman LM. Introduction of rapid syphilis testing in antenatal care: a systematic review of the impact on HIV and syphilis testing uptake and coverage. Int J Gynaecol Obstet 2015; 130 S15–21.
Introduction of rapid syphilis testing in antenatal care: a systematic review of the impact on HIV and syphilis testing uptake and coverage.CrossRef | 26001704PubMed |

[18]  Natoli L, Maher L, Shephard M, Hengel B, Tangey A, Badman SG, et al Point-of-care testing for chlamydia and gonorrhoea: implications for clinical practice. PLoS One 2014; 9 e100518
Point-of-care testing for chlamydia and gonorrhoea: implications for clinical practice.CrossRef | 24956111PubMed |

[19]  Vallely A. Point of care testing and treatment of sexually transmitted infections to improve pregnancy outcomes in high burden settings. World STI & AIDS Congress Conference Proceedings; 2015 September 13–16; Brisbane, Australia.

[20]  Holmes W, Wambo G, Gabong R, Kavang E, Luana S, Sawa A, et al ‘Because it is a joyful thing to carry a baby’: involving men in reproductive, maternal and newborn health in East New Britain, Papua New Guinea. P N G Med J 2012; 55 24–34.
| 1:STN:280:DC%2BC2M3ivVamtA%3D%3D&md5=ada85013cf6dad6d5eaa8854cdeef416CAS | 25338472PubMed |

[21]  Fairley CK, Hocking JS. Sexual health in Indigenous communities. Med J Aust 2012; 197 597–8.
Sexual health in Indigenous communities.CrossRef | 23230912PubMed |


Full Text PDF (121 KB) Corrigendum (121 KB) Export Citation

View Altmetrics