To improve STD reporting and surveillance. Evaluation of staff, facilities, supplies and functions were done. This appears to have had a significant impact on control of STDs. Progress was seen in all these areas. Crisis and preventive counselling is done regularly.
Partner notification is done utilising passive methods in most instances.
A decline in STD rates has been noted at 13 surveillance sites since 1988. It is not possible, however, to determine whether a single factor is responsible for the declining trend. Certainly, adequate management of STDs and health education efforts have had an impact. The practice of polygamy in Zambia and a reluctance to regularly use condoms are a big hurdle in attaining the desired goals. Comparison of project clinics and non-project clinics reveals several shortcomings in the latter.