Interventions for Chlamydia

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Age Cohort: Pregnancy and newborn
Health Promotion Disease Prevention Diagnostic Curative Rehabilitative Palliative
Community Level
  • Education for high risk reproductive age women on regular condom use with non-regular partners
  • Education at ANC and CWC on symptoms of chlamydia eye infection in neonates and what to do if such symptoms occur
  • Community health workers sensitization on chlamydia including prevention measures
  • Education for high risk reproductive age women on regular condom use with non-regular partners
  • Education at ANC and CWC on symptoms of chlamydia eye infection in neonates and what to do if such symptoms occur
  • Referral of pregnant women with offensive vaginal discharge to next level of care for investigation and treatment
  • Home based supervision of women with confirmed chlamydia infection to comply with treatment
  • Referral of newborns with purulent conjunctivitis to hospital for investigation and treatment
  • Home based supervision of treatment of newborns with chlamydia conjunctivitis
Primary Care
  • Education for high risk reproductive age women on regular condom use with non-regular partners
  • Education at ANC and CWC on symptoms of chlamydia eye infection in neonates and what to do if such symptoms occur
  • Health care workers training on chlamydia including prevention measures and management
  • Physical and clinical examination
  • Diagnostics tests
    - swab test for culturing or antigen testing for chlamydia
  • Treatment of confirmed Chlamydia infection antibiotics
  • Guidance on avoidance of sex until completion of treatment course
  • Referral of mother to hospital as may be indicated
  • Referral of newborns with purulent conjunctivitis to hospital for treatment
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 chlamydia eye infection in neonates and what to do if such symptoms occur
  • Training health workers on chlamydia including transmission, preventon measures and management
  • Screening of high risk women for sexually transmitted infections
  • Examination and investigation of pregnant women with offensive vaginal discharge for sexually transmitted infections
  • Physical and clinical examination
  • Diagnostics tests
    - Swab test for culturing or antigen testing for chlamydia especially in pregnant women
  • Treatment of confirmed Chlamydia infection antibiotics
  • Treatment of Chlamydia conjunctivitis in newborns with antibiotics (topical or systemic as indicated)
  • Guidance on avoidance of sex until completion of treatment course
  • Referral
Referral Facility: Specialist
  • Education for high risk reproductive age women on regular condom use with non-regular partners
  • Education at ANC and CWC on symptoms of chlamydia eye infection in neonates and what to do if such symptoms occur
  • Training health workers on chlamydia including transmission, preventon measures and management
  • Screening of high risk women for sexually transmitted infections
  • Examination and investigation of pregnant women with offensive vaginal discharge for sexually transmitted infections
  • Physical and clinical examination
  • Diagnostics tests
    - Swab test for culturing or antigen testing for chlamydia especially in pregnant women
  • Treatment of confirmed Chlamydia infection antibiotics
  • Treatment of Chlamydia conjunctivitis in newborns with antibiotics (topical or systemic as indicated)
  • Guidance on avoidance of sex until completion of treatment course
  • Referral
 
Age Cohort: < 5 years
Health Promotion Disease Prevention Diagnostic Curative Rehabilitative Palliative
Community Level
  • Referral of infants with purulent conjunctivitis to hospital for investigation and treatment
Primary Care
  • Physical and clinical examination
  • Referral of infants with purulent conjunctivitis to hospital for treatment
Referral Facility: General
  • Physical and clinical examination
  • Treatment of Chlamydia conjunctivitis in infants with antibiotics
  • Referral as may be indicated
Referral Facility: Specialist
  • Physical and clinical examination
  • Treatment of Chlamydia conjunctivitis in infants with antibiotics
  • Referral as may be indicated
 
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
  • Community health workers sesnistization on chlamydia including prevention measures
  • Screening of children for sexual abuse during home visits by Community Health Workers
  • Referral of children suspected to be victims of sexual abuse to the next level for examination and needed treatment
  • Referral of suspected cases of sexual abuse to appropriate authorities
  • Referral of girls with offensive vaginal discharge to next level for examination and treatment
  • Home based supervision of girls with confirmed Chlamydia diagnosis for treatment compliance
Primary Care
  • Screening of girls for evidence of sexual abuse
  • Examination and investigation of girls with offensive vaginal discharge for sexually transmitted infections
  • Physical and clinical examination
  • Treatment of confirmed Chlamydia infection antibiotics
  • Referral
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
  • Screening of girls for evidence of sexual abuse
  • Examination and investigation of girls with offensive vaginal discharge for sexually transmitted infections
 
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
  • Community health wrkers sensitization on chlamydia including prevention measures
  • 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
  • Screening of female adolescents for sexual abuse during home visits by Community Health Workers
  • Referral of suspected cases of sexual abuse to appropriate authorities
  • 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
  • Home based supervision of adolescents with confirmed Chlamydia diagnosis for treatment compliance
  • Referral of women and men with infertility to hospitals for investigation and treatment (adolescent)
  • Referral of men with suspected urethral stricture to hospitals (adolescent)
  • 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
  • Physical and clinical examination
  • Diagnostics tests
    - Swab test for culturing or antigen testing for chlamydia especially in women (adolescent females in this case)
    - Urine culture-especially in men (adolescent male in this case)
  • Treatment of confirmed Chlamydia infection antibiotics
  • Guidance on avoidance of sex until completion of treatment course
  • Referral
  • Referral of women and men with infertility to hospitals for investigation and treatment (adolescent)
  • Referral of men with suspected urethral stricture to hospitals (adolescent)
  • Psychological support for people with infertility
Referral Facility: General
  • Physical and clinical examination
  • Diagnostics tests
    - Swab test for culturing or antigen testing for chlamydia especially in women (female adolescents in this case)
    - Urine culture-especially in men (male aldolescents in this case)
  • Treatment of confirmed Chlamydia infection antibiotics
  • Guidance on avoidance of sex until completion of treatment course
  • Referral
  • Investigation and treatment of men and women with infertility (adolescent)
  • Investigation and treatment of men with urethral stricture (adolescent)
  • Psychological support for people with infertility
Referral Facility: Specialist
  • Physical and clinical examination
  • Diagnostics tests
    - Swab test for culturing or antigen testing for chlamydia especially in women (female adolescents in this case)
    - Urine culture-especially in men (male aldolescents in this case)
  • Treatment of confirmed Chlamydia infection antibiotics
  • Guidance on avoidance of sex until completion of treatment course
  • Referral
  • Investigation and treatment of men and women with infertility (adolescent)
  • Investigation and treatment of men with urethral stricture (adolescent)
  • Psychological support for people with infertility
 
Age Cohort: 25 - 59 years
Health Promotion Disease Prevention Diagnostic Curative Rehabilitative Palliative
Community Level
  • 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
  • Community health workers sensitization on chlamydia including prevention measures
  • 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
  • Referral of adult women with offensive vaginal discharge to next level for examination and treatment
  • Referral of adult males with mucopurulent urethritis to next level for examination and treatment
  • Home based supervision of adult men and women with confirmed Chlamydia diagnosis for treatment compliance
  • Referral of women in reproductive age and men with infertility to hospitals for investigation and treatment (adult)
  • Referral of men with suspected urethral stricture to hospitals (adult)
  • Psychological support for people with infertility
Primary Care
  • Screening of high risk adult women for sexually transmitted infections
  • Examination and investigation of adult women with offensive vaginal discharge for sexually transmitted infections
  • Examination and investigation of adult men with mucopurulent urethritis for sexually transmitted infections
  • Physical and clinical examination
  • Diagnostics tests
    - Swab test for culturing or antigen testing for chlamydia especially in adult women
    - Urine culture-especially in adult men
  • Treatment of confirmed Chlamydia infection antibiotics
  • Guidance on avoidance of sex until completion of treatment course
  • Referral
  • Referral of women in reproductive age and men with infertility to hospitals for investigation and treatment (adult)
  • Referral of men with suspected urethral stricture to hospitals (adult)
  • Psychological support for people with infertility
Referral Facility: General
  • Screening of high risk adult women for sexually transmitted infections
  • Examination and investigation of adult women with offensive vaginal discharge for sexually transmitted infections
  • Examination and investigation of adult men with mucopurulent urethritis for sexually transmitted infections
  • Physical and clinical examination
  • Diagnostics tests
    - Swab test for culturing or antigen testing for chlamydia especially in women (adult women in this case)
    - Urine culture-especially in men (adult men in this case)
  • Treatment of confirmed Chlamydia infection antibiotics
  • Guidance on avoidance of sex until completion of treatment course
  • Referral
  • Investigation and treatment of men and women with infertility (adult)
  • Investigation and treatment of men with urethral stricture (adult)
  • Psychological support for people with infertility
Referral Facility: Specialist
  • Screening of high risk adult women for sexually transmitted infections
  • Examination and investigation of adult women with offensive vaginal discharge for sexually transmitted infections
  • Examination and investigation of adult men with mucopurulent urethritis for sexually transmitted infections
  • Physical and clinical examination
  • Diagnostics tests
    - Swab test for culturing or antigen testing for chlamydia especially in women (adult women in this case)
    - Urine culture-especially in men (adult men in this case)
  • Treatment of confirmed Chlamydia infection antibiotics
  • Guidance on avoidance of sex until completion of treatment course
  • Referral
  • Investigation and treatment of men and women with infertility (adult)
  • Investigation and treatment of men with urethral stricture (adult)
  • Psychological support for people with infertility
 
Age Cohort: 60+ years
Health Promotion Disease Prevention Diagnostic Curative Rehabilitative Palliative
Community Level
  • 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
  • Community health workers sensisitization on chlamydia including prevention measures
  • 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
  • Referral of elderly women with offensive vaginal discharge to next level for examination and treatment
  • Referral of elderly males with mucopurulent urethritis to next level for examination and treatment
  • Home based supervision of elderly men and women with confirmed Chlamydia diagnosis for treatment compliance
Primary Care
  • Examination and investigation of elderly women with offensive vaginal discharge for sexually transmitted infections
  • Examination and investigation of elderly men with mucopurulent urethritis for sexually transmitted infections
  • Physical and clinical examination
  • Diagnostics tests
    - Swab test for culturing or antigen testing for chlamydia especially in elderly women
    - Urine culture-especially in elderly men
  • Treatment of confirmed Chlamydia infection antibiotics
  • Guidance on avoidance of sex until completion of treatment course
  • Referral
Referral Facility: General
  • Examination and investigation of elderly women with offensive vaginal discharge for sexually transmitted infections
  • Examination and investigation of elderly men with mucopurulent urethritis for sexually transmitted infections
  • Physical and clinical examination
  • Diagnostics tests
    - Swab test for culturing or antigen testing for chlamydia especially in women (elderly women in this case)
    - Urine culture-especially in men (elderly men in this case)
  • Treatment of confirmed Chlamydia infection antibiotics
  • Guidance on avoidance of sex until completion of treatment course
  • Referral
Referral Facility: Specialist
  • Examination and investigation of elderly women with offensive vaginal discharge for sexually transmitted infections
  • Examination and investigation of elderly men with mucopurulent urethritis for sexually transmitted infections
  • Physical and clinical examination
  • Diagnostics tests
    - Swab test for culturing or antigen testing for chlamydia especially in women (elderly women in this case)
    - Urine culture-especially in men (elderly men in this case)
  • Treatment of confirmed Chlamydia infection antibiotics
  • Guidance on avoidance of sex until completion of treatment course
  • Referral