Effectiveness of STD case management in Nairobi, Kenya: design

Abstract

This paper describes the design of a study to assess the quality of STD case management in Nairobi. All enumerated formal sector facilities in 5 selected sublocations of Nairobi were studied, as well as neighbouring and city centre facilities frequented by people of the selected areas, and all Nairobi public clinics strengthened for STD management. Inclusion criterion was having seen at least 4 STD patients in the previous week. Methods used in this study were: observations of provider–STD patient interactions, interviews with

providers, and simulated patient visits. In 142 facilities, 441 STD patients were observed and 192 providers were studied. The estimated distribution of background characteristics of providers and patients for the whole of Nairobi was nearly identical to the distribution in the study sample.