OBJECTIVES: To describe health seeking and sexual behaviour including condom use among @entity1 presenting with @entity2953 ( @entity2953 ) and, to identify sociodemographic and behavioural risk factors associated with "no condom use" during the symptomatic period. METHODS: A cross sectional study of consecutive new STI cases presenting at the district STI clinic in Thyolo, Malawi. They were interviewed by STI counsellors after obtaining informed consent. All @entity1 were treated according to national guidelines. RESULTS: Out of 498 new STI clients, 53% had taken some form of medication before coming to the STI clinic, the most frequent alternative source being the traditional healer (37%). 46% of all clients reported sex during the symptomatic period (median 14 days), the majority (74%) not using condoms. 90% of all those who had not used condoms resided in villages and had seen only the traditional healer. Significant risk factors associated with "no condom use" included visiting a traditional healer, being female, having less than 8 years of school education, and being resident in villages. @entity1066 ( @entity1066 ) was the most common STI in males (49%) while in females this comprised 27% of @entity2953 . CONCLUSIONS: These findings, and especially the extremely high @entity1066 prevalence is of particular concern, considering the high national @entity645 prevalence in Malawi (9%) and the implications for STI and @entity645 transmission. There is an urgent need to integrate traditional healers in control activities, encourage their role in promoting safer sexual behaviour, and to reorient or even change existing strategies on condom promotion and STI control.

Health seeking and sexual behaviour in @entity1 with XXXX : the importance of traditional healers in Thyolo, Malawi.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1066 :: ('MESH:D014456', 'Disease') :: ['GUD', 'Genital ulcer disease'] @entity645 :: ('57667', 'Species') :: ['HIV'] @entity2953 :: ('MESH:D012749', 'Disease') :: ['sexually transmitted infections', 'STIs']
@entity2953 :: (MESH:D012749,Disease) :: ['sexually transmitted infections']
