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Service delivery through public health care system to control sexually transmitted infections in Himachal pradesh

INTRODUCTION: The National AIDS Control Organization has designed multiple synergistic interventions to identify and control curable sexually transmitted infections (STIs). OBJECTIVE: To assess the impact of services offered at designated STI clinics in the state of Himachal Pradesh, India and the p...

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Autores principales: Ganju, Sunite A, Kanga, Anil K, Bhagra, Suruchi, Guleria, Ramesh C, Singh, Dig Vijay, Agnihotri, Vinay, Verma, Santwana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4144210/
https://www.ncbi.nlm.nih.gov/pubmed/25165642
http://dx.doi.org/10.4103/2229-5178.137775
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author Ganju, Sunite A
Kanga, Anil K
Bhagra, Suruchi
Guleria, Ramesh C
Singh, Dig Vijay
Agnihotri, Vinay
Verma, Santwana
author_facet Ganju, Sunite A
Kanga, Anil K
Bhagra, Suruchi
Guleria, Ramesh C
Singh, Dig Vijay
Agnihotri, Vinay
Verma, Santwana
author_sort Ganju, Sunite A
collection PubMed
description INTRODUCTION: The National AIDS Control Organization has designed multiple synergistic interventions to identify and control curable sexually transmitted infections (STIs). OBJECTIVE: To assess the impact of services offered at designated STI clinics in the state of Himachal Pradesh, India and the profile of the attending clients. MATERIALS AND METHODS: This was a two-year prospective study, conducted from April 2011 to March 2013. Training on delivering STI/RTI services was imparted to the staff of 16 designated STI clinics including recording of data. The staff in each STI clinic comprises of one doctor, one counselor, one nurse, and one laboratory technician. The clients attending these designated clinics were offered counseling, syndromic case management (SCM), and diagnostic services wherever possible. Monthly data of STI clinic attendees was collected, compiled, and analyzed. RESULTS: A total of 65,760 clinic visits were reported, of which 32,385 (49%) visits were for index STI/RTI complaint(s). The ratio of male to female attendees was 1:2. The commonest age group accessing the STI clinics was 25-44 years (n = 38,966; 59.3%). According to SCM, 52.9% clients were managed. The commonest presenting syndrome was urethral discharge (n = 4,500; 41%) in males, and vaginal discharge (n = 13,305; 56%) in females. Genital ulcer disease was treated in 2099 cases. Laboratory tests were performed only in 6466 patients, and 39,597 antenatal mothers were screened for syphilis. Counseling services were provided to 51,298 (f = 34,804; 68%: m = 16,494; 32%) clients and of these, 48% (n = 25,056) of the clients were referred to integrated counseling and testing centers. Forty-three clients (m = 24: f = 19) were detected positive for HIV infection. CONCLUSION: Uniform and standardized services delivered to clients attending public health clinics can gather reliable data to monitor trends of STI infection.
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spelling pubmed-41442102014-08-27 Service delivery through public health care system to control sexually transmitted infections in Himachal pradesh Ganju, Sunite A Kanga, Anil K Bhagra, Suruchi Guleria, Ramesh C Singh, Dig Vijay Agnihotri, Vinay Verma, Santwana Indian Dermatol Online J Original Article INTRODUCTION: The National AIDS Control Organization has designed multiple synergistic interventions to identify and control curable sexually transmitted infections (STIs). OBJECTIVE: To assess the impact of services offered at designated STI clinics in the state of Himachal Pradesh, India and the profile of the attending clients. MATERIALS AND METHODS: This was a two-year prospective study, conducted from April 2011 to March 2013. Training on delivering STI/RTI services was imparted to the staff of 16 designated STI clinics including recording of data. The staff in each STI clinic comprises of one doctor, one counselor, one nurse, and one laboratory technician. The clients attending these designated clinics were offered counseling, syndromic case management (SCM), and diagnostic services wherever possible. Monthly data of STI clinic attendees was collected, compiled, and analyzed. RESULTS: A total of 65,760 clinic visits were reported, of which 32,385 (49%) visits were for index STI/RTI complaint(s). The ratio of male to female attendees was 1:2. The commonest age group accessing the STI clinics was 25-44 years (n = 38,966; 59.3%). According to SCM, 52.9% clients were managed. The commonest presenting syndrome was urethral discharge (n = 4,500; 41%) in males, and vaginal discharge (n = 13,305; 56%) in females. Genital ulcer disease was treated in 2099 cases. Laboratory tests were performed only in 6466 patients, and 39,597 antenatal mothers were screened for syphilis. Counseling services were provided to 51,298 (f = 34,804; 68%: m = 16,494; 32%) clients and of these, 48% (n = 25,056) of the clients were referred to integrated counseling and testing centers. Forty-three clients (m = 24: f = 19) were detected positive for HIV infection. CONCLUSION: Uniform and standardized services delivered to clients attending public health clinics can gather reliable data to monitor trends of STI infection. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC4144210/ /pubmed/25165642 http://dx.doi.org/10.4103/2229-5178.137775 Text en Copyright: © Indian Dermatology Online Journal http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Ganju, Sunite A
Kanga, Anil K
Bhagra, Suruchi
Guleria, Ramesh C
Singh, Dig Vijay
Agnihotri, Vinay
Verma, Santwana
Service delivery through public health care system to control sexually transmitted infections in Himachal pradesh
title Service delivery through public health care system to control sexually transmitted infections in Himachal pradesh
title_full Service delivery through public health care system to control sexually transmitted infections in Himachal pradesh
title_fullStr Service delivery through public health care system to control sexually transmitted infections in Himachal pradesh
title_full_unstemmed Service delivery through public health care system to control sexually transmitted infections in Himachal pradesh
title_short Service delivery through public health care system to control sexually transmitted infections in Himachal pradesh
title_sort service delivery through public health care system to control sexually transmitted infections in himachal pradesh
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4144210/
https://www.ncbi.nlm.nih.gov/pubmed/25165642
http://dx.doi.org/10.4103/2229-5178.137775
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