In the control of reproductive-tract infections, including sexually transmitted infections (STIs), in low-income and middle-income countries, WHO recommends syndromic management for individuals with symptoms. This intervention was initially developed in areas where prevalence of such infections is high. The authors investigate the clinical effectiveness and cost of this approach among a group of women with a low prevalence of infection.
Hawkes, S.; Morison, L.; Foster, S.; Gausia, K.; Chakraborty, J.; Weeling, R.; Mabey, D. Reproductive-tract infections in women in low-income, low-prevalence situations: assessment of syndromic management in Matlab, Bangladesh. Lancet (1999) 354 (9192) 1776-1781. [DOI: 10.1016/S0140-6736(99)02463-0]