HIV Prevention Knowledge Base
Biomedical Interventions: Diagnosis and Treatment of Sexually Transmitted Infections
Guidance for the Prevention of Sexually Transmitted HIV Infections
The Office of the Global AIDS Coordinator guidance is aimed at U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) country teams to provide them with the latest scientific data on prevention programs to increase the impact of their country portfolios. Prevention programs should be tailored to the epidemiological and social context of the country as well as optimizing on current programs implemented by other partners to help fill gaps. The guidance highlights the importance of knowing the country’s epidemic, context, response, and costs, as well as ensuring that HIV prevention is part of the overall country continuum for the response. It also outlines current evidence and program activities that PEPFAR funds will support in relation to the diagnosis and treatment of sexually transmitted infections.
A Strategic Approach to Strengthening Control of Reproductive Tract and Sexually Transmitted Infections: Use of the Programme Guidance Tool
National- and regional-level decision makers can use this Programme Guidance Tool to set goals and priorities for interventions to address reproductive tract infections. The tool has 10 steps, 7 of which are for strategic situation analysis, followed by development of recommendations, implementation of new measures, and expansion of those found to be successful. It gives detailed guidance about what items should be covered at each stage. There is a section on how to conduct rapid assessment, including details on who should be interviewed and what interview tools can be used. There is also a suggested funding proposal outline for financing the first stage of the tool.
Training Modules for the Syndromic Management of Sexually Transmitted Infections
This sexually transmitted infection (STI) management training program can be used for in-service training of health care workers in health centers, district hospitals, STI clinics, or other first-level health facilities. Seven modules cover STI prevention and control, syndromic case management, history-taking and examination, diagnosis and treatment, patient counseling and education, partner management, and recording and development. There is a trainer’s guide and a CD-ROM that can be used for self-learning or in conjunction with conventional training. The program is also available in French and Spanish.
Sexually Transmitted Diseases Treatment Guidelines 2006
These guidelines present sexually transmitted infections grouped by presenting symptom, with a section each for infections characterized by vaginal discharge, urethritis and cervicitis, and genital ulcers. Each section gives the range of recommended treatment regimens. The guidelines also cover partner management and special issues such as sexually transmitted infections during pregnancy; infections in babies, children, and adolescents; and, where applicable, treatment of drug-resistant disease strains. These guidelines are based on laboratory diagnosis rather than the syndromic management method that is used in resource-constrained settings.
National Guidelines for the Management of Sexually Transmitted Infections
These guidelines are part of a set of training materials that also includes a training manual, wall chart, and Arabic language promotional materials. The guidelines cover the syndromic management of sexually transmitted infections and have a diagnostic flow chart and treatment table for each common syndrome. They also highlight the importance of education and counseling as a component of both treatment and prevention of sexually transmitted infections. The training manual provides a sample workshop agenda and slides for each session. The wall chart, with a summary of symptom and treatment information, is ideal for use in clinics.
Integrating STI/RTI Care for Reproductive Health. Sexually Transmitted and Other Reproductive Tract Infections: A Guide to Essential Practice
This guide is a reference manual for use in reproductive health care settings such as family planning and maternal and child health care clinics. It focuses on women, as they are the typical users of such clinics and are less likely to use sexually transmitted infection (STI) clinics. There are sections giving basic information on STIs and other reproductive tract infections (RTIs), improving prevention and treatment services, and the clinical management of RTIs. HIV is mentioned in the guide but is not covered extensively because it is not a disease of the reproductive tract.