Before implementing clinical
management of STDs, FP/MCH programs should:
- determine local prevalence of STDs
- determine proportion of clients at high risk
- assess staff expertise and available infrastructure
- assure training and supervisory systems
- assure drug supply and other resources
Before integrating clinical STD management services into FP/MCH
programs, program managers should take these preliminary steps:
- Determine the local prevalence of STDs. STD prevalence
studies should be done among client populations. The prevalence,
in combination with the factors below, should determine when
STD management services are added.
- Determine the proportion of clients at high risk. Where
the proportion is high, integration of STD management services
may be more justified.
- Assess staff expertise and available infrastructure. The
level of expertise must be taken into consideration, along
with issues such as adequate space for private consultations
and clinical exams.
- Assure that minimum training, supervision and technical
standards are in place.
- Assure that sufficient drug supplies and other resources
are available. The clinic must be able to procure, control
and manage STD treatment drugs, gloves and other commodities.