NATIONAL GUIDELINES FOR THE MANAGEMENT OF …

1 Federal Democratic Republic of Ethiopia Ministry of HealthJuly 2015 NATIONAL GUIDELINES FOR THE MANAGEMENT OF SEXUALLY transmitted infections using syndromic APPROACHNATIONAL GUIDELINES FOR THE MANAGEMENT OF SEXUALLY transmitted infections using syndromic APPROACHC ontentList of Abbreviation iForeword iiAcknowledgement iiiCHAPTER 1 INTRODUCTION Background Epidemiology of STIs Public

2 Health Impact of STIs 2 CHAPTER 2 RELATIONSHIP BETWEEN STISs AND HIV Effect of STI on HIV Effect of HIV on STI 4 CHAPTER 3 APPROACHES TO STI CASE MANAGEMENT Introduction to Flow Charts Assessment of Patients with STIs 8 CHAPTER 4

3 DIAGNOSIS AND TREATMENT OF STI SYNDROMES Urethral Discharge Syndrome Recurrent/Persistent Urethral Discharge Syndrome Genital Ulcer Syndrome Vaginal Discharge Syndrome Lower Abdominal Pain/Pelvic Inflammatory Disease (PID)

4 Scrotal Swelling Syndrome Inguinal Bubo Syndrome Neonatal Conjunctivitis 27 CHAPTER 5 STIS IN CHILDREN AND ADOLESCENTS 305.

5 STIs in Children and Adolescents 31 CHAPTER 6 MANAGEMENT OF STIS NOT PRESENTING WITH TYPICAL SYNDROMES Syphilis in Pregnancy Congenital Syphilis Genital Warts Genital Scabies Pediculosis Pubis Neonatal Herpes

6 40 CHAPTER 7 SCREENING OF STIS Syphilis screening Cervical infections screening Cervical Cancer Screening 44 CHAPTER 8 MARPS SERVICE DELIVERY GUIDING PRINCIPLE Service Delivery Guiding Principle for MARPs MANAGEMENT of STI for FSW and Thier Clients 47 CHAPTER 9 PRACTICAL CONSIDERATION IN MANAGING STIS Health Education and Counseling for STI patients Health Workers Attitudes

7 Condom Promotion and Supply Demand Creation Notification and MANAGEMENT of sexual partner Offering HIV testing and counseling Follow up Visit for Patients with STI Recording and reporting 54 CHAPTER 10 PREVENTION AND CONTROL OF SEXUALLY transmitted infections Primary prevention Secondary prevention Challenges of STIs Prevention and Control 57 CHAPTER 11 PROGRAM MANAGEMENT AND COORDINATION IN STI Clinical

8 Care Leadreship and Coordination of STI activities Procurement and distribution of STI drugs and supplies Advocacy and Social mobilization STI Surveillance 60 CHAPTER 12 STI LOGISTICS AND SUPPLY CHAIN MANAGEMENT Selection Quantification and Forecasting Procurement Kiting of

9 STI medicines Others STI related Medical Supplies/equipments and Materials Distribution and storage