Learn about the STD control program, including essential strategies, services provided by Suraksha Clinics, and key management requirements. Discover how these initiatives help manage and prevent sexually transmitted diseases effectively.
Table of Contents
Sexually Transmitted Disease (STD) Control Program
Overview:
- Linked with AIDS control programs.
- WHO estimates 10% of adults contract curable STIs annually.
- Coordinated by NACO at all health care levels.
Suraksha Clinics:
- Free standardized STI/RTI services at government facilities.
- Provide sexual and reproductive health services.
- Located at district hospitals and higher levels.
Facilities in Suraksha Clinics:
- Training: Standardized for medical and paramedical personnel.
- Counseling: Provided by trained counselors.
- Supplies: Syndromic drug kits and RPR test kits centrally procured.
Syndromic Management Using Suraksha Kits:
- Kit Number 1: Grey – UD, ARD, Cervicitis
- Azithromycin (1g) + Cefexime (400 mg)
- Kit Number 2: Green – Vaginitis
- Secnidazole (2 g) + Fluconazole (150 mg)
- Kit Number 3: White – Genito Ulcerative Disease (non-herpetic)
- Benzathine Penicillin + Azithromycin
- Kit Number 4: Blue – GUD (penicillin allergy)
- Azithromycin + Doxycycline
- Kit Number 5: Red – Genito Ulcerative Disease
- Acyclovir + Cefexime
- Kit Number 6: Yellow – Lower Abdominal Pain
- Metronidazole + Doxycycline
- Kit Number 7: Black – Inguinal Bubo
- Benzathine Penicillin + Azithromycin
Requirements for Managing STIs:
- Accurate diagnosis.
- Immediate treatment.
- Rapid cure with effective drugs.
- Condom promotion.
- Partner notification.
- Education and counseling.
Essential Steps in STI Management:
- Contact tracing.
- Compliance.
- Confidentiality.
- Condom use.
- Counseling.
Information, Education, and Communication (IEC) Activities (NACP-IV):
- Awareness: Safe sexual behavior, support services, and stigma reduction.
- Behavioral Change: Enhance public awareness and behavioral change.
Adolescence Education Program:
- Objectives: Build life skills, cope with physical and psychological changes.
- Implementation: In secondary and senior secondary schools, 16-hour sessions for 9th and 11th-grade students.
- Coverage: 23 states in India.
Red Ribbon Club Activities:
- Peer Education: HIV prevention messages.
- Safe Space: For discussing HIV/AIDS.
- Blood Donation: Promotion and conduction among youth.