Interventions for Other STDs

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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 partner Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms	Education for high risk reproductive age women on regular condom use with non-regular partners Education on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms		Home based supervision of women with confirmed sexually transmitted infections to comply with treatment and follow-up Referral of pregnant women with offensive vaginal discharge to next level of care for investigation and treatment
Primary Care
Education at ANC on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms Education for high risk reproductive age women on regular condom use with non-regular partners Sensitization of traditional healers and community leaders. promote substance use cessation Promote early health seeking behaviour distribute IEC materials, promote condoms use to prevent STIs Educate communities on sex and sexual education for guidance to prevent risk factors Promotion of stigma reduction Training of community Health Workers on STI	Screening of high risk women for sexually transmitted infections		Appropriate treatment for condition Concomitant treatment for Chlamydia and Gonorrhoea Treatment of sex partners
Referral Facility: General
Education at ANC on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms Education for high risk reproductive age women on regular condom use with non-regular partners Sensitization of traditional healers and community leaders. promote substance use cessation Promote early health seeking behaviour distribute IEC materials, promote condoms use to prevent STIs Educate communities on sex and sexual education for guidance to prevent risk factors Promotion of stigma reduction Training of community Health Workers on STI	Screening of high risk women for sexually transmitted infections Examination and investigation of pregnant women with STI symptoms		Appropriate treatment for condition Concomitant treatment for Chlamydia and Gonorrhea Treatment of sex partners of parents/guardians
Referral Facility: Specialist
Education at ANC on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms Education for high risk reproductive age women on regular condom use with non-regular partners Sensitization of traditional healers and community leaders. promote substance use cessation Promote early health seeking behaviour distribute IEC materials, promote condoms use to prevent STIs Educate communities on sex and sexual education for guidance to prevent risk factors Promotion of stigma reduction Training of community Health Workers on STI	Screening of high risk women for sexually transmitted infections Examination and investigation of pregnant women with STI symptoms		Appropriate treatment for condition Concomitant treatment for Chlamydia and Gonorrhea Treatment of sex partners

Age Cohort: < 5 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
	Education of parents on the risks and prevention of sexual abuse of children
Primary Care

Referral Facility: General

Referral Facility: Specialist

Age Cohort: 5 - 11 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
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 Promote early health seeking behaviour distribute IEC materials, Promote condoms use to prevent STIs Promotion of stigma reduction	Counselling on STI prevention, risk reduction, and safer sex Promote and provide female condoms Promote and provide male condoms post-exposure prophylaxis (PEP) for STIs Vaccination: human papillomavirus (HPV) Vaccination: hepatitis B Risk assessment with sexual history and risk factors		Early recognition of need for referra
Primary Care
	Counselling on STI prevention, risk reduction, and safer sex Promote and provide female condoms Promote and provide male condoms Vaccination: human papillomavirus (HPV) Vaccination: hepatitis B Risk assessment with sexual history and risk factors		History and physical examination for STI and reproductive tract infections Syndromic diagnosis and treatment of STIs Counselling on partner notification, diagnosis and treatment Information on treatment compliance and use of condom Referral for management of complications of STIs
Referral Facility: General
	Brief sexuality counselling Periodic presumptive oral treatment of STIs Counselling on sexuality Counselling on STI prevention, risk reduction, and safer sex Promote and provide female condoms Promote and provide male condoms Vaccination: human papillomavirus (HPV) Vaccination: hepatitis B Risk assessment with sexual history and risk factors		History and physical examination for STI and reproductive tract infections Basic laboratory tests for STI Etiologic diagnosis and treatment of STIs Counselling on partner notification, diagnosis and treatment Information on treatment compliance and use of condom Referral for management of complications of STIs
Referral Facility: Specialist
	Counselling on STI prevention, risk reduction, and safer sex Promote and provide female condoms Promote and provide male condoms Vaccination: human papillomavirus (HPV) Vaccination: hepatitis B		History and physical examination for STI and reproductive tract infections Point of care testing/GeneXpert Advanced laboratory tests for STI including culture and sensitivity tests Etiologic diagnosis and treatment of STIs Counselling on partner notification, diagnosis and treatment Information on treatment compliance and use of condom

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 Sensitization of traditional healers and community leaders. promote substance use cessation Promote early health seeking behaviour distribute IEC materials, promote condoms use to prevent STIs Educate communities on sex and sexual education for guidance to prevent risk factors Promotion of stigma reduction Training of community Health Workers on STI	Screening of female adolescents for sexual abuse during home visits by Community Health Workers 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 Referral of suspected cases of sexual abuse to appropriate authorities		Home based supervision of adolescents with confirmed STI diagnosis for treatment compliance Referral of female adolescents with STI symptoms to next level for examination and treatment Referral of male adolescents with urethral discharge or other STI symptoms to next level for examination and treatment
Primary Care
	Conduct Clinical examination of reproductive system Examination and investigation of adolescents STI symptoms Conduct follow up to high-risk groups, such as youths and commercial sex workers and prisoners Awareness and sensitization about HTS Assess further complications and manage conditions Introduce mechanism on a regular check-up and follow up mechanism Training health workers on complex complications of STI		Appropriate treatment for condition Concomitant treatment for Chlamydia and Gonorrhea Treatment of sex partners
Referral Facility: General
	Screening of high risk women for sexually transmitted infections Examination and investigation of adolescents with STI symptoms		Appropriate treatment for condition Concomitant treatment for Chlamydia and Gonorrhea Treatment of sex partners Conduct investigative laboratory tests Such as chlamydia, RPR test for syphilis Syndromic management of STIs with microscope according to guidelines Develop National STI and mentoring program to support clinicians on-site with diagnosis, treatment, record keeping and greater integration of STI and HIV services Promote regular inquiries of STI symptoms at ANC and general outpatient visits, using the syndromic method of STI management.
Referral Facility: Specialist
	Screening of high risk women for sexually transmitted infections Examination and investigation of adolescents with STI symptoms		Appropriate treatment for condition Concomitant treatment for Chlamydia and Gonorrhea Treatment of sex partners Microscopy culture and sensitivity Radiotherapy and chemotherapy for STIs that have progressed into cancer Surgical procedures where necessary. Medical imaging such as CT scan, MRI, ultrasound Perform Excisional biopsy

Age Cohort: 25 - 59 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
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 Promote early health seeking behaviour distribute IEC materials, Promote condoms use to prevent STIs Promotion of stigma reduction	Counselling on STI prevention, risk reduction, and safer sex Promote and provide female condoms Promote and provide male condoms Vaccination: hepatitis B Risk assessment with sexual history and risk factors		Early recognition of need for referral
Primary Care
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 Promote early health seeking behaviour Promotion of stigma reduction	Counselling on STI prevention, risk reduction, and safer sex Promote correct and consistent use of condoms Vaccination: hepatitis B Risk assessment with sexual history and risk factors		History and physical examination for STI and reproductive tract infections Syndromic diagnosis and treatment of STIs Counselling on partner notification, diagnosis and treatment Information on treatment compliance and use of condom Referral for management of complications of STIs Information on STIs and treatment compliance Provision of condom Referral for management of complications of STIs
Referral Facility: General
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 Promote early health seeking behaviour Promotion of stigma reduction	Counselling on STI prevention, risk reduction, and safer sex Promote correct and consistent use of condoms Vaccination: hepatitis B Risk assessment with sexual history and risk factors		History and physical examination for STI and reproductive tract infections Basic laboratory tests for STI Etiologic diagnosis and treatment of STIs Counselling on partner notification, diagnosis and treatment Information on treatment compliance and use of condom Referral for management of complications of STIs
Referral Facility: Specialist
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 Promote early health seeking behaviour Promotion of stigma reduction	Counselling on STI prevention, risk reduction, and safer sex Promote correct and consistent use of condoms Vaccination: hepatitis B Risk assessment with sexual history and risk factors		History and physical examination for STI and reproductive tract infections Point of care testing/GeneXpert Advanced laboratory tests for STI including culture and sensitivity tests Etiologic diagnosis and treatment of STIs Counselling on partner notification, diagnosis and treatment Information on treatment compliance and use of condom

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 Sensitization of traditional healers and community leaders. promote substance use cessation Promote early health seeking behaviour distribute IEC materials, promote condoms use to prevent STIs Educate communities on sex and sexual education for guidance to prevent risk factors Promotion of stigma reduction Training of community Health Workers on STI	General public education on condom use and maintaining one sexual partner		Home based supervision of men and women with confirmed STI diagnosis for treatment compliance Referral of women with STI symptoms to next level for examination and treatment Referral of males with urethral discharge or other STI symptoms to next level for examination and treatment
Primary Care
	Examination and investigation of men and women for STI symptoms		Education at ANC on symptoms of sexually transmitted infections and what to do in the event of occurrence of symptoms
Referral Facility: General
	Examination and Investigation of men and women with STI symptoms		Appropriate treatment for condition Concomitant treatment for Chlamydia and Gonorrhoea Treatment of sex partners Conduct investigative laboratory tests Such as chlamydia, RPR test for syphilis Syndromic management of STIs with microscope according to guidelines Develop National STI and mentoring program to support clinicians on-site with diagnosis, treatment, record keeping and greater integration of STI and HIV services Promote regular inquiries of STI symptoms at ANC and general outpatient visits, using the syndromic method of STI management.
Referral Facility: Specialist
	Conduct Clinical examination of reproductive system Screening of high risk women for sexually transmitted infections Examination and investigation of men and women for STI symptoms Conduct follow up to high-risk groups, such as youths and commercial sex workers and prisoners Awareness and sensitization about HTS Assess further complications and manage conditions Introduce mechanism on a regular check-up and follow up mechanism Training health workers on complex complications of STI		Appropriate treatment for condition Concomitant treatment for Chlamydia and Gonorrhoea Treatment of sex partners Microscopy culture and sensitivity Radiotherapy and chemotherapy for STIs that have progressed into cancer Surgical procedures where necessary. Medical imaging such as CT scan, MRI, ultrasound Perform Excisional biopsy