Interventions for Gonorrhoea

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Age Cohort: Pregnancy and newborn

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Education at ANC and CWC on symptoms of Gonococcal eye infection in neonates and what to do if such symptoms occur Education for high risk reproductive age women on regular condom use with non-regular partners			Home based supervision of women with confirmed Gonococcal infection to comply with treatment Referral of newborns with purulent conjunctivitis to hospital for investigation and treatmentHome based supervision of treatment of newborns with Gonococcal conjunctivitis Referral of pregnant women with offensive vaginal discharge to next level of care for investigation and treatment
Primary Care
Education at ANC and CWC on symptoms of gonococcal eye infection in neonates and what to do if such symptoms occur Education for high risk reproductive age women on regular condom use with non-regular partners	Examination and investigation of pregnant women with offensive vaginal discharge for sexually transmitted infections or drops to asymptomatic babies of mothers with confirmed Gonorrhea 1% silver nitrate drops, 0.5% erythromycin or 1% tetracycline ointments Screening of high risk women for sexually transmitted infections
Referral Facility: General
Education for high risk reproductive age women on regular condom use with non-regular partners Education at ANC and CWC on symptoms of Gonococcal eye infection in neonates and what to do if such symptoms occur	Screening of high risk women for sexually transmitted infections Examination and investigation of pregnant women with offensive vaginal discharge for sexually transmitted infections Use 1% silver nitrate drops, 0.5% erythromycin or 1% tetracycline ointments or drops to asymptomatic babies of mothers with confirmed Gonorrhoea		Treatment with single dose of Ceftriaxone or Cefixime Concomitant treatment for ChlamydiaTreatment of sex partners treatment of Gonococcal conjunctivitis in newborns with Tetracycline ointments or drops and saline irrigation Systemic treatment of newborns with Gonococcal conjunctivitis with IM Ceftriaxone
Referral Facility: Specialist
Education at ANC and CWC on symptoms of Gonococcal eye infection in neonates and what to do if such symptoms occur Education for high risk reproductive age women on regular condom use with non-regular partners	Examination and investigation of pregnant women with offensive vaginal discharge for sexually transmitted infections Screening of high risk women for sexually transmitted infections Use 1% silver nitrate drops, 0.5% erythromycin or 1% tetracycline ointments or drops to asymptomatic babies of mothers with confirmed Gonorrhoea		Concomitant treatment for ChlamydiaTreatment of sex partners Treatment of Gonococcal conjunctivitis in newborns with Tetracycline ointments or drops and saline irrigationSystemic treatment of newborns with Gonococcal conjunctivitis with IM Ceftriaxone Treatment with single dose of Ceftriaxone or Cefixime

Age Cohort: 5 - 11 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Education of parents on the risks and prevention of sexual abuse of children			Home based supervision of girls with confirmed Gonococcal diagnosis for treatment compliance Referral of girls with offensive vaginal discharge to next level for examination and treatment
Primary Care
	Screening of girls for evidence of sexual abuse Examination and investigation of girls with offensive vaginal discharge for sexually transmitted infections		Treatment with single dose of Ceftriaxone or Cefixime Concomitant treatment for Chlamydia
Referral Facility: General
	Screening of girls for evidence of sexual abuse Examination and investigation of girls with offensive vaginal discharge for sexually transmitted infections
Referral Facility: Specialist
	Examination and investigation of girls with offensive vaginal discharge for sexually transmitted infections Screening of girls for evidence of sexual abuse

Age Cohort: 12 - 24 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
	Adolescent centered education on delaying sexual debut and safe sex practices School-based education on sexuality and safe sex practices Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms		Home based supervision of adolescents with confirmed Gonococcal diagnosis for treatment compliance Referral of female adolescents with offensive vaginal discharge to next level for examination and treatment Referral of male adolescents with mucopurulent urethritis to next level for examination and treatment	Referral of women and men with infertility to hospitals for investigation and treatment Referral of men with suspected urethral stricture to hospitals	Psychological support for people with infertility
Primary Care
	Examination and investigation of female adolescents with offensive vaginal discharge for sexually transmitted infections Examination and investigation of male adolescents with mucopurulent urethritis for sexually transmitted infections		Treatment with single dose of Ceftriaxone or Cefixime Concomitant treatment for Chlamydia Treatment of sex partners	Referral of women and men with infertility to hospitals for investigation and treatment	Psychological support for people with infertility
Referral Facility: General
	Examination and investigation of female adolescents with offensive vaginal discharge for sexually transmitted infections Examination and investigation of males with mucopurulent urethritis for sexually transmitted infections			Investigation and treatment of men and women with infertility Investigation and treatment of men with urethral stricture	Psychological support for people with infertility
Referral Facility: Specialist
	Examination and investigation of female adolescents with offensive vaginal discharge for sexually transmitted infections Examination and investigation of males with mucopurulent urethritis for sexually transmitted infections			Investigation and treatment of men and women with infertility Investigation and treatment of men with urethral stricture	Psychological support for people with infertility

Age Cohort: 25 - 59 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms General public education on condom use and maintaining one sexual partner	Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms General public education on condom use and maintaining one sexual partner		Home based supervision of men and women with confirmed Gonococcal diagnosis for treatment compliance Referral of women with offensive vaginal discharge to next level for examination and treatment Referral of males with mucopurulent urethritis to next level for examination and treatment	Referral of women in reproductive age and men with infertility to hospitals for investigation and treatment Referral of men with suspected urethral stricture to hospitals	Psychological support for people with infertility
Primary Care
	Screening of high risk women for sexually transmitted infections Examination and investigation of women with offensive vaginal discharge for sexually transmitted infections Examination and investigation of males with mucopurulent urethritis for sexually transmitted infections		Treatment with single dose of Ceftriaxone or Cefixime Concomitant treatment for ChlamydiaTreatment of sex partners	Referral of women in reproductive age and men with infertility to hospitals for investigation and treatment Referral of men with suspected urethral stricture to hospitals	Psychological support for people with infertility
Referral Facility: General
	Screening of high risk women for sexually transmitted infections Examination and investigation of women with offensive vaginal discharge for sexually transmitted infections Examination and investigation of males with mucopurulent urethritis for sexually transmitted infections		Treatment with single dose of Ceftriaxone or CefiximeConcomitant treatment for Chlamydia Treatment of sex partners
Referral Facility: Specialist
	Examination and investigation of males with mucopurulent urethritis for sexually transmitted infections Screening of high risk women for sexually transmitted infectionsExamination and investigation of women with offensive vaginal discharge for sexually transmitted infections		Treatment with single dose of Ceftriaxone or Cefixime Concomitant treatment for ChlamydiaTreatment of sex partners

Age Cohort: 60+ years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms General public education on condom use and maintaining one sexual partner	General public education on condom use and maintaining one sexual partner Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms		Home based supervision of men and women with confirmed Gonococcal diagnosis for treatment compliance Referral of women with offensive vaginal discharge to next level for examination and treatmentReferral of males with mucopurulent urethritis to next level for examination and treatment
Primary Care
	Examination and investigation of males with mucopurulent urethritis for sexually transmitted infections Examination and investigation of women with offensive vaginal discharge for sexually transmitted infections		Referral of newborns with purulent conjunctivitis to hospital for treatment Treatment with single dose of Ceftriaxone or Cefixime Concomitant treatment for Chlamydia Treatment of sex partners
Referral Facility: General

Referral Facility: Specialist

Age Cohort: < 5 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level

Primary Care
			Referral of infants with purulent conjunctivitis to hospital for treatment
Referral Facility: General
			Treatment of Gonococcal conjunctivitis in newborns with Tetracycline and saline irrigation Systemic treatment of newborns with Gonococcal conjunctivitis with IM Ceftriaxone
Referral Facility: Specialist
			Systemic treatment of newborns with Gonococcal conjunctivitis with IM Ceftriaxone Treatment of Gonococcal conjunctivitis in newborns with Tetracycline and saline irrigation