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A comparison of the chlamydia control provisions in United Kingdom and China--policy recommendations for china

Chen, Wanyue (2016) A comparison of the chlamydia control provisions in United Kingdom and China--policy recommendations for china. Master Essay, University of Pittsburgh.

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Abstract

Chlamydia is a curable sexually transmitted disease (STD) caused by infection with the bacterium Chlamydia trachomatis. It can cause infection of the reproductive system of women, and inflammation of the urethra, rectum and anus among both genders. Chlamydia is transmitted through sexual contact with the penis, vagina, mouth, or anus of an infected partner. It can also be transmitted prenatally through childbirth, causing ophthalmia neonatorum. Sexually active young people are in the high-risk group. Most CT-infected individuals are asymptomatic with no abnormal physical symptoms. If untreated, chlamydia infection can cause serious consequences for women, including pelvic inflammatory disease (PID), tubal factor infertility, fatal ectopic pregnancy, and chronic pelvic pain. Chlamydia is one of the most common curable STDs many developed countries, and is also very prevalent in developing countries in Asia and other parts of the world. This paper discusses the disease burden in the United States, the United Kingdom and China and analyzes the variations of policy guidelines regarding chlamydia control practices in the United Kingdom and China. Overall, the UK and US clinical guidelines are very similiar, but the UK has the most comprehensive national approach among all three counties. The National Chlamydia Screening Program (NCSP) of the UK is very well organized, implemented, and audited. The US also has a very distinctive approach for partner management. The policy recommendations in this paper are made to improve China’s national chlamydia control activities. The socio-ecological model is used to discuss the factors that affect the chlamydia control activities in China. Going forward, China should develop and implement action plans that contain more specific, measurable, achievable, relevant and time-bound objectives and national requirements, in order to guide the local health departments to effectively implement the STD control activities across the country. Recommendations offering four strategies for China are provided. Limitations of this paper are discussed. Public Health Significance Due to the high prevalance of the disease, chlamydia is an epidemic in many countries. Damage caused by chlamydia often goes unnoticed by infected individuals. However, serious complications can lead to both short and long term consequences. In addition, the treatment of chlamydia is relatively simple and affordable, compared to other types of STDs that require more supervision and more expensive drugs to treat. Therefore, it is important that this epidemic is being properly managed, and the spread of the disease is controlled, in order to minimize the negative effects it has on the health of the population. This paper offers policy recommendations for China, which intend to provide a potentially effective strategy to control the disease.


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Details

Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Chen, Wanyue
Contributors:
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairRohrer, Wesleywmrun@pitt.eduUNSPECIFIEDUNSPECIFIED
Committee MemberFrank, Lindafrankie@pitt.eduUNSPECIFIEDUNSPECIFIED
Date: 1 May 2016
Date Type: Publication
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Publisher: University of Pittsburgh
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Health Policy & Management
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Date Deposited: 07 Sep 2016 17:48
Last Modified: 20 Dec 2018 00:56
URI: http://d-scholarship.pitt.edu/id/eprint/27539

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