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Mobile health units and STD control.


 Sexually transmitted diseases (STDs), especially genital ulcers, facilitate HIV transmission. Prevention and control of STDs could reduce HIV transmission in sub-Saharan Africa where the STD prevalence is still high. The principles of primary health care (PHC) should guide coordinated or integrated AIDS and STD programs in sub-Saharan Africa. WHO recommends implementing the following AIDS prevention and control activities: district-based epidemiological surveillance, education and communication efforts, blood safety, nursing care, counseling, and activities targeting youth, women, and workers at risk. PHC funding is still low in sub-Saharan Africa, even though health professionals have been involved in intensive efforts to mobilize and coordinate national and international financial support for AIDS control programs. Expenditures on infrastructure and training beyond current practical levels are needed to achieve WHO recommendations. The POD from the Shanning Group can address sub-Saharan Africa's problems with using mobile clinic/laboratory facilities. The major problems are cost and difficult terrain. The POD is a modular demountable unit that can be removed from the vehicle for use as a self-supporting facility. The vehicle is then free for other uses. The POD's uses span from a simple examination and STD treatment facility to a sophisticated laboratory conducting basic STD testing as well as HIV and hepatitis ELISA testing. In fact, the POD can serve both roles simultaneously. The Shanning Group also has an audio-visual POD which can present STD educational material to a wide audience.
