Search tips
Search criteria 


Logo of genitmedLink to Publisher's site
Genitourin Med. 1993 December; 69(6): 427–430.
PMCID: PMC1195144

High prevalence of sexually transmitted diseases in a rural area in Mozambique.


OBJECTIVE--To assess the extent of the sexually transmitted diseases (STDs) problem in a rural area of Mozambique. METHODS--A cross sectional study among pregnant women and patients presenting with genital complaints. Laboratory confirmation was done for gonorrhoea, chlamydial infection, active syphilis, trichomoniasis and HIV infection. SETTING--A primary health care setting in Vilanculos, Inhambane province, Mozambique. RESULTS--Evidence of one or more of the above STDs was found in 51% of 201 pregnant women, 56% of 85 women and 62% of 77 men with genital complaints. Neisseria gonorrhoea or Chlamydia trachomatis were found in 16% of pregnant women, 23% of female patients and 28% of male patients; genital ulcer disease was present in 6%, 28% and 36%, of respectively pregnant women, female and male patients. The prevalence of active syphilis was about the same in the three groups of study subjects, that is 15%. HIV infection was found in 4% of the male patients; no HIV infection could be detected in the female groups. CONCLUSION--STDs were a major health problem in this rural area in Mozambique. Though HIV infection was still low, the high prevalence of STDs indicates that the potential is there for an explosive spread of the HIV/AIDS epidemic.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (686K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Wasserheit JN. Epidemiological synergy. Interrelationships between human immunodeficiency virus infection and other sexually transmitted diseases. Sex Transm Dis. 1992 Mar-Apr;19(2):61–77. [PubMed]
  • Laga M, Manoka A, Kivuvu M, Malele B, Tuliza M, Nzila N, Goeman J, Behets F, Batter V, Alary M, et al. Non-ulcerative sexually transmitted diseases as risk factors for HIV-1 transmission in women: results from a cohort study. AIDS. 1993 Jan;7(1):95–102. [PubMed]
  • Roggen EL, De Breucker S, van Dyck E, Piot P. Antigenic diversity in Haemophilus ducreyi as shown by western blot (immunoblot) analysis. Infect Immun. 1992 Feb;60(2):590–595. [PMC free article] [PubMed]
  • Liljestrand J, Bergström S, Nieuwenhuis F, Hederstedt B. Syphilis in pregnant women in Mozambique. Genitourin Med. 1985 Dec;61(6):355–358. [PMC free article] [PubMed]
  • Guinness LF, Sibandze S, McGrath E, Cornelis AL. Influence of antenatal screening on perinatal mortality caused by syphilis in Swaziland. Genitourin Med. 1988 Oct;64(5):294–297. [PMC free article] [PubMed]
  • O'Farrell N, Hoosen AA, Kharsany AB, van den Ende J. Sexually transmitted pathogens in pregnant women in a rural South African community. Genitourin Med. 1989 Aug;65(4):276–280. [PMC free article] [PubMed]
  • De Schampheleire I, Van de Velden L, Van Dyck E, Guindo S, Quint W, Fransen L. Maladies sexuellement transmissibles dans la population féminine à Pikine, Sénégal. Ann Soc Belg Med Trop. 1990 Sep;70(3):227–235. [PubMed]
  • O'Farrell N, Hoosen AA, Coetzee KD, van den Ende J. Genital ulcer disease in men in Durban, South Africa. Genitourin Med. 1991 Aug;67(4):327–330. [PMC free article] [PubMed]
  • O'Farrell N, Hoosen AA, Coetzee KD, van den Ende J. Genital ulcer disease in women in Durban, South Africa. Genitourin Med. 1991 Aug;67(4):322–326. [PMC free article] [PubMed]
  • Nkowane BM. Prevalence and incidence of HIV infection in Africa: a review of data published in 1990. AIDS. 1991;5 (Suppl 1):S7–15. [PubMed]

Articles from Genitourinary Medicine are provided here courtesy of BMJ Group