We compared the outcomes in 278 patients managed with clinic-based test of cure (phase 1) for gonorrhoea with 271 patients managed with the new policy of telephone follow-up (phase 2). Almost 98% of the patients in both phases were treated within 28 days of diagnosis. Follow-up of the patients was significantly better with telephone follow-up (phase 2), with an increase in proportion of patients reviewed (76.1% compared with 59.7% in phase 1, P < 0.001). Yield of partner notification was 0.22 and 0.31 contacts per case of gonorrhoea within four weeks of treatment of the index case in phases 1 and 2, respectively.