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Sexually Transmitted Infections Training Manual for Trainers

Sexually Transmitted Infections Training Manual for Trainers

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Published by woodstockwoody
Sexually transmitted infections constitute a major cause of morbidity and mortality
world wide, particularly in developing countries. Their public health importance
draws from their complications which disproportionately affect women and
newborns, their reproductive health consequences and the fact that they facilitate the
transmission of HIV. However, all STIs are preventable and most can be cured.
Sexually transmitted infections constitute a major cause of morbidity and mortality
world wide, particularly in developing countries. Their public health importance
draws from their complications which disproportionately affect women and
newborns, their reproductive health consequences and the fact that they facilitate the
transmission of HIV. However, all STIs are preventable and most can be cured.

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Published by: woodstockwoody on Sep 27, 2011
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01/18/2013

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THE REPUBLIC OF UGANDA
MINISTRY OF HEALTH
SEXUALLY TRANSMITTED INFECTIONSTRAINING MANUALFOR TRAINERS OF
OPERATIONAL LEVEL HEALTH WORKERS IN UGANDASeptember 2003
Prepared by: 
STD Control Unit AIM District ProgrammeSTD/AIDS Control Programme UgandaMinistry of Health:
 
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TABLE OF CONTENTS:
Acronyms …………………………………………………………………………... 2Acknowledgements ………………………………………………………………… 3Introduction ………………………………………………………………………… 4Special Note to Trainers …………………………………………………………... 6Unit 1: Basic Clinical Anatomy and Physiology of the Genital tract..……………... 8Unit 2: Basic facts about Sexually Transmitted Diseases…………………………... 14Unit 3: Public health importance and Epidemiology of STIs ……………………… 19Unit 4: Basic facts about HIV/AIDS and relationship with STIs ………………….. 24Unit 5: Introduction to syndromic approach to STI case management …………….. 32Unit 6: Components of the syndromic approach to STI case management andclinical assessment of STI patients …………………………………………………37Unit 7: Urethral discharge syndrome ………………………………………………. 42Unit 8: Genital Ulcer Disease ……………………………………………………… 46Unit 9: Abnormal Vaginal Discharge syndrome ………………………………50Unit 10: Lower Abdominal pain Syndrome ………………………………………... 54Unit 11: Other STI syndromes …………………………………………………… 58Unit 12: Congenital STI syndromes ………………………………………………... 65Unit 13: Primary prevention of STIs ……………………………………………… 70Unit 14: Counseling of STI patients ……………………………………………… 78Unit 15: Organisation of STD Prevention and care services ……………………… 84Unit 16: Community education about STIs ………………………………………... 89Unit 17: Role of laboratory in STD control ……………………………………95
 
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ACRONYMS
ACP AIDS Control ProgrammeAIM AIDS Integrated Model district programmeAIDS Acquired immuno-deficiency syndromeART Anti retroviral therapyARV Anti retroviralBV Bacterial vaginosisELISA Enzyme linked immuno-sorbent assayFP Family planningFTA Flourescent treponemal antibodyGUD Genital ulcer diseaseHBV Hepatitis B VirusHIV Human immuno-deficiency virusHSV Herpes simplex virusIU International unitsIUCD Intra uterine contraceptive deviceLCR Ligase chain reactionLGV Lymphogranuloma veneriumMCH Maternal Child HealthMU Mega unitsNGU Non gonoccocal urethritisPCR Polymerase chain reactionPHC Primary Health carePID Pelvic inflammatory diseaseRPR Rapid plasma regainSTD Sexually transmitted DiseaseSTI Sexually transmitted infectionTOM Tubo-ovarian massUDS Urethral discharge syndromeVCT Voluntary counseling and HIV testingVDRL Venereal Disease Research LaboratoriesHPV Human papilloma virus

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