Changes in chlamydia control activities in Europe between 2007 and 2012: A cross-national survey

Ingrid V. Van Den Broek*, Otilia Sfetcu, Marianne A. Van Der Sande, Berit Andersen, Björn Herrmann, Helen Ward, Hannelore M. Götz, Anneli Uusküla, Sarah Woodhall, Shelagh M. Redmond, Andrew J. Amato-Gauci, Nicola Low, Jan E. Van Bergen

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

16 Citations (Scopus)


Background: In 2012, the levels of chlamydia control activities including primary prevention, effective case management with partner management and surveillance were assessed in 2012 across countries in the European Union and European Economic Area (EU/EEA), on initiative of the European Centre for Disease Control (ECDC) survey, and the findings were compared with those from a similar survey in 2007. Methods: Experts in the 30 EU/EEA countries were invited to respond to an online questionnaire; 28 countries responded, of which 25 participated in both the 2007 and 2012 surveys. Analyses focused on 13 indicators of chlamydia prevention and control activities; countries were assigned to one of five categories of chlamydia control. Results: In 2012, more countries than in 2007 reported availability of national chlamydia case management guidelines (80% vs. 68%), opportunistic chlamydia testing (68% vs. 44%) and consistent use of nucleic acid amplification tests (64% vs. 36%). The number of countries reporting having a national sexually transmitted infection control strategy or a surveillance system for chlamydia did not change notably. In 2012, most countries (18/25, 72%) had implemented primary prevention activities and case management guidelines addressing partner management, compared with 44% (11/25) of countries in 2007. Conclusion: Overall, chlamydia control activities in EU/EEA countries strengthened between 2007 and 2012. Several countries still need to develop essential chlamydia control activities, whereas others may strengthen implementation and monitoring of existing activities.

Original languageEnglish
Pages (from-to)382-388
Number of pages7
JournalEuropean Journal of Public Health
Issue number3
Publication statusPublished - 27 Jun 2016

Bibliographical note

Funding Information:
This work was funded by the European Centre for Disease Prevention and Control, Framework Contract number ECDC/2011/031.

Publisher Copyright:
© 2015 The Author. Published by Oxford University Press on behalf of the European Public Health Association.

Copyright 2016 Elsevier B.V., All rights reserved.


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