STD contol programme.pptx

STD control program ppt

1. SEXUALLY TRANSMITTED DISESE CONTROL PROGRAMME PRESENTED BY ARPAN HAJRA 4 th YEAR,B.SC NURSING SARVODAY COLLEGE OF NURSING

2. Sexually Transmitted Disease control programme activities as per WHO estimates around 10% of all adults are infected with curable STI (sexually transmitted infection) each year. Department of NACO coordinates RTI and STD at all levels of the health care free standardized STI/RTI services provided through 1160 clinics situated at government health care facilities, at district hospital level, and above. These clinics named as "Suraksha Clinics" provided sexual and reproductive health services. INTRODUCTION

3. The sexually transmitted disease (STD) are a group of communicable disease that are transmitted pre predominantly by sexual contact and caused by a wide range of bacterial, viral, protozoal and fungal agents. DEFINITION

4. The reliable on incidence and prevalence of sexually transmitted disease are limited. It is estimated by National AIDS control organization that the annual incidence rate of STI cases are occurring annually in the county. Approximately 5.6 million disability adjusted life years were lost due to STI in India. EPIDEMIOLOGY OF STD IN INFECTION

5. A National STD control program was started in 1946. Focus : on the health seeking behaviour of individuals with STDs and on conducting social stigma. The national STD control program was made on integral part of the national AIDS control program in 1992. NATIONAL STD CONTROL PROGRAMME

6. Explain the epidemiological impact of sexually transmitted disease. Discuss ways to reduce risk for STD. Examine how condoms can reduce risk for STD. Describe the clinical presentation of STD. Outline the management, complication and prevention of STD. OBJECTIVE OF STD CONTROL PROGRAMME

7. 1) CASE DETECTION Case Detection is on essential part of any control program. Screening High priority is given to screening of special groups, pregnant women, blood donors ,industrial workers, army ,police, refugees, convicts, restaurant and hotel staff etc. Cluster testing Here the patients are asked two name other persons of the sex who more in the same sociosexual environment. 2 ) case holding and treatment There is tendency on a part of patients suffering from STD to disappear or drop out before treatment is complete. STRATEGIES

8. It consist of the administration of full therapeutic dose of treatment to persons recently exposed to STD while a waiting the result of lab test. 4)personal prophylaxis Contraceptives - mechanical barriers can be recommended for personal prophylaxis against STD. Vaccines - the development of vaccine for hepatitis B has raised hope that the vaccine will be found for other STD. 5)HEALTH EDUCATION Health education is an integral part of STD control program.It is help the individual alter behaviour in an effort to avoid STD. 3)Epidemiological treatment

9. Syndromic management is recommended by National AIDS Control Organization (NACO) for case management at the primary health care level the effectiveness of syndromic management in Omen is currently under debate, but it is recognize that effectiveness of RTI (including STI) varies widely within the country. SYNDROMIC MANAGEMENT

10. QUALITY OF CARE There are a few studies, in which it has been found that the quality of STD case management especially, STD counselling for prevention, in STD clinics in inadequate and poor. PARTNER NOTIFICATION Partner notification is seen a cornerstone of the effective STI management but studies in India have shown that this procedure is rarely discussed or initiated by healthcare providers.

11. Aside straightening case management, the other pillars of public health intervention for STI control are implemented more particularly through out the country. There has been a public sector syphilis screening program for pregnant women since 1950s. Nationally on 57% of women received antenatal care in public sector an approximate 90000 women development cervical cancer in India. PUBLIC HEALTH MEASURE

12. Training of healthcare workers in both public and private sector in comprehensive STD case management. Development of appropriate laboratory services for the diagnosis of STD. One of the major action was Strengthening the existing facilities and structure of STD clinics. ACTION/ACTIVITIES

13. Initial planning Intervention strategies Support components Monitoring and valuation INITIAL PLANNING This requires initial planning which comprise the following steps - Problem definition Establishment priorities setting objectives THE CONTROL OF STD MAYBE CONSIDER UNDER THE FOLLOWING HEADS

14. INTERVENTION STRATEGIES Case detection Case holding and treatment epidemiological treatment Personal prophylaxis Health education

15. The aim of the STD control program is the prevention of ill health through various interventions . CONTROL OF STD

16. Standardized training to the medical and paramedical personal based on syndrome care management approach. Counselling services from trained counselor in Suraksha clinics. Colour coded syndromic drop kits are being Centrally processed and supplied to these clinics. FACILITIES IN SURAKSHA CLINIC

17. REQUIREMENTS TO MANAGE STI Accurate diagnosis Treatment and first encounter Rapid cure with effective drugs Condom promotion Partner notification Education/ counselling

18. As on July 1993, the regional STD centers have trained as many as 98 medical officers and 112 paramedical personnel . About 56 medical colleges, hospitals, laboratories, public health laboratories are participated. Regional STD five trained centers launch and under these 274 medical officers were trained. ACHIEVEMENTS

19. BIBLIOGRAPHY K. Park, essential of community health nursing 26 edition Bhamarajadias Bhasat publisher, India.page no 347 Neelam Kumari, A text book of community health nursing -2 .2011 edition pv publisher in India. www.slideshare.com//www.https.STD control programme .- 349