Interventions for Trichomoniasis

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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 STIs and what to do if such symptoms occur	Education for high risk reproductive age women on regular condom use with non-regular partners Education at ANC and CWC on symptoms of STIs and what to do if such symptoms occur		Referral of pregnant women with persistent vaginal discharge to next level of care for investigation and treatment Home based supervision of women with confirmed Trichomoniasis infection to comply with treatment
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 STIs and what to do if such symptoms occur	Education for high risk reproductive age women on regular condom use with non-regular partners Education at ANC and CWC on symptoms of STIs and what to do if such symptoms occur		Treatment with oral metronidazole or tinidazole Treatment of sex partners
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 STIs and what to do if such symptoms occur	Education for high risk reproductive age women on regular condom use with non-regular partners Education at ANC and CWC on symptoms of STIs and what to do if such symptoms occur		Diagnostic tests - Swab test: Vaginal swab is cultured for identifying the causative of infection. - Antigen test: Rapid test in which antibody reacts with antigen forming a color on positive test. - DNA test: Nucleic acid from vaginal swab undergoes PCR to detect nucleic acid. - Wet prep: Fluid from vagina may be examined under microscope. Treatment with metronidazole or tindazole Treatmnet of sexual partners
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 STIs and what to do if such symptoms occur	Education for high risk reproductive age women on regular condom use with non-regular partners Education at ANC and CWC on symptoms of STIs and what to do if such symptoms occur		Diagnostic tests - Swab test: Vaginal swab is cultured for identifying the causative of infection. - Antigen test: Rapid test in which antibody reacts with antigen forming a color on positive test. - DNA test: Nucleic acid from vaginal swab undergoes PCR to detect nucleic acid. - Wet prep: Fluid from vagina may be examined under microscope. Treatment with metronidazole or tindazole Treatmnet of sexual partners

Age Cohort: 5 - 11 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	School age children 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 for management		Referral of female adolescents with persistent vaginal discharge to next level for examination and treatment Home based supervision of adolescents with confirmed Trichomoniasis diagnosis for treatment compliance
Primary Care
	Screening of girls for evidence of sexual abuse Investigation of victims of sexual abuse for Trichomoniasis Examination and investigation of girls with persistent vaginal discharge for sexually transmitted infections		Treatment with oral metronidazole or tinidazole Treatment of sex partners
Referral Facility: General
	Screening of girls for evidence of sexual abuse Investigation of victims of sexual abuse for Trichomoniasis Examination and investigation of girls with persistent vaginal discharge for sexually transmitted infections		Diagnostic tests - Swab test: Vaginal swab is cultured for identifying the causative of infection. - Antigen test: Rapid test in which antibody reacts with antigen forming a color on positive test. - DNA test: Nucleic acid from vaginal swab undergoes PCR to detect nucleic acid. - Wet prep: Fluid from vagina may be examined under microscope. Treatment with metronidazole or tindazole Treatmnet of sexual partners
Referral Facility: Specialist
	Screening of girls for evidence of sexual abuse Investigation of victims of sexual abuse for Trichomoniasis Examination and investigation of girls with persistent vaginal discharge for sexually transmitted infections		Diagnostic tests - Swab test: Vaginal swab is cultured for identifying the causative of infection. - Antigen test: Rapid test in which antibody reacts with antigen forming a color on positive test. - DNA test: Nucleic acid from vaginal swab undergoes PCR to detect nucleic acid. - Wet prep: Fluid from vagina may be examined under microscope. Treatment with metronidazole or tindazole Treatmnet of sexual partners

Age Cohort: 12 - 24 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	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 women with persistent vaginal discharge to next level for examination and treatment Home based supervision of women with confirmed Trichomoniasis diagnosis for treatment compliance<
Primary Care
	Screening of high risk women for sexually transmitted infections Examination and investigation of female adolescents with persistent vaginal discharge for sexually transmitted infections		Treatment with oral metronidazole or tinidazole Treatment of sex partners
Referral Facility: General
	Screening of high risk women for sexually transmitted infections Examination and investigation of female adolescents with persistent vaginal discharge for sexually transmitted infections		Diagnostic tests - Swab test: Vaginal swab is cultured for identifying the causative of infection. - Antigen test: Rapid test in which antibody reacts with antigen forming a color on positive test. - DNA test: Nucleic acid from vaginal swab undergoes PCR to detect nucleic acid. - Wet prep: Fluid from vagina may be examined under microscope. - Urine test: For men, urine sample is tested to detect the presence of the parasite. Treatment with metronidazole or tindazole Treatmnet of sexual partners
Referral Facility: Specialist
	Screening of high risk women for sexually transmitted infections Examination and investigation of female adolescents with persistent vaginal discharge for sexually transmitted infections		Diagnostic tests - Swab test: Vaginal swab is cultured for identifying the causative of infection. - Antigen test: Rapid test in which antibody reacts with antigen forming a color on positive test. - DNA test: Nucleic acid from vaginal swab undergoes PCR to detect nucleic acid. - Wet prep: Fluid from vagina may be examined under microscope. - Urine test: For men, urine sample is tested to detect the presence of the parasite. Treatment with metronidazole or tindazole Treatmnet of sexual partners

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	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 women with persistent vaginal discharge to next level for examination and treatment Home based supervision of women with confirmed Trichomoniasis diagnosis for treatment compliance
Primary Care
	Screening of high risk women for sexually transmitted infections Examination and investigation of women with persistent vaginal discharge for sexually transmitted infections		Treatment with oral metronidazole or tinidazole Treatment of sex partners
Referral Facility: General
	Screening of high risk women for sexually transmitted infections Examination and investigation of women with persistent vaginal discharge for sexually transmitted infections		Diagnostic tests - Swab test: Vaginal swab is cultured for identifying the causative of infection. - Antigen test: Rapid test in which antibody reacts with antigen forming a color on positive test. - DNA test: Nucleic acid from vaginal swab undergoes PCR to detect nucleic acid. - Wet prep: Fluid from vagina may be examined under microscope. - Urine test: For men, urine sample is tested to detect the presence of the parasite. Treatment with metronidazole or tindazole Treatmnet of sexual partners
Referral Facility: Specialist
	Screening of high risk women for sexually transmitted infections Examination and investigation of women with persistent vaginal discharge for sexually transmitted infections		Diagnostic tests - Swab test: Vaginal swab is cultured for identifying the causative of infection. - Antigen test: Rapid test in which antibody reacts with antigen forming a color on positive test. - DNA test: Nucleic acid from vaginal swab undergoes PCR to detect nucleic acid. - Wet prep: Fluid from vagina may be examined under microscope. - Urine test: For men, urine sample is tested to detect the presence of the parasite. Treatment with metronidazole or tindazole Treatmnet of sexual partners