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Sexually Transmitted Diseases
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Goals

Section 1
Section 2
Section 3

- Topics
- Introduction
- Objectives
- Approaches
- Laboratory
- Clinical
- Syndromic
- Syndromic
- Strengths
- Weaknesses
- Accuracy
- Genital Ulcer
- Algorithm
- Urethral
- Algorithm
- Vaginal
- Vaginitis
- Cervicitis
- Algorithms
- Algorithms
- Algorithms
- Abdominal
- PID
- Algorithm
- Algorithm
- Other Issues
- Treatment
- Screening
- The Four Cs
- Resources
- HIV Testing
- Vaccination
> Preliminary
- Summary

Summary

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Section 3 - STD Management

Summary: STD Management: Preliminary Steps

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

Slide 80


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.
 

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