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Sexually Transmitted Diseases
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Section 1

- Introduction
- Overview
- Objectives
- Infections
- Most Common
- Ulcerative
- Non-Ulcerative
- Curable
- Incurable
- Factors
- Consequences
- Risk of HIV
- STD Control
- Transmitters
- Containing
- Social Norms
- Condom Use
- Management
> Challenges
- Program Level
- Women at Risk
- Reaching Men
- Adolescents
- Adolescents
- Reaching
- Prevention
- Management
- Summary

Section 2
Section 3


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Section 1 - STDs: An Overview

Public Health Strategies: STD Control Challenges

STD Control Challenges chart

Source: Adapted from Piot and Fransen in Grosskurth et al, 1994.
Slide 18

Public health strategies include diagnosis and treatment, but there are significant obstacles to successful STD management.

Only a small fraction of STD-infected people in developing countries are cured, for reasons indicated on this slide. The bars show a conceptual model for inadequate cure; the model is not based on numerical data.

Reading left to right on this slide, one sees that a large proportion of people with STDs have no symptoms. Those without symptoms would not seek medical help. As shown in the second bar, only some of those with symptoms seek treatment or have access to diagnostic or treatment services. Moreover, only a proportion of those seeking treatment receive a correct diagnosis. Among those correctly diagnosed, only some receive correct treatment or complete their treatment regimen. Among those who receive correct and complete treatment, only a proportion are cured. Finally, only some of STD-infected people who are cured will refer their partners for treatment, avoiding risk of reinfection.



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