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close this bookSexually Transmitted Diseases (STD) Syndromic Management (AIDSCAP/FHI, 1997, 54 p.)
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View the documentHOLOGRAPHIC OVERVIEW
close this folderINTRODUCTION
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View the documentHIV and STD Global Burden
View the documentRole of STD on HIV Transmission
close this folderSTD SYNDROMIC MANAGEMENT
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View the documentDefinition
View the documentTheoretical Foundation
View the documentAdvantages and Disadvantages
View the documentCost-Effectiveness
close this folderDESIGN OF STD FLOWCHARTS
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close this folderCommon Flowcharts
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View the documentUrethral Discharge Syndrome in Men
View the documentVaginal Discharge Syndrome in Women
View the documentPelvic Inflammatory Disease: The Management of Lower Abdominal Pain
View the documentGenital Ulcer Disease
View the documentValidity Testing of a Flowchart: Sensitivity and Specificity
close this folderOTHER COMPONENTS OF COMPREHENSIVE STD CASE MANAGEMENT
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View the documentPartner Treatment
View the documentHealth Education
View the documentCondom Distribution
View the documentAdding Strategies
View the documentSyphilis Screening and Treatment
View the documentTraining
close this folderINTRODUCTION OF STD SYNDROMIC MANAGEMENT IN LAC
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View the documentHaiti
View the documentJamaica
View the documentBrazil
View the documentHonduras
View the documentDominican Republic
close this folderLESSONS LEARNED
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View the documentBuilding Consensus and Communication
View the documentDevelopment and Implementation of STD Flowcharts
View the documentImproving Access to STD Care
View the documentDetecting Asymptomatic STDs
View the documentRECOMMENDATIONS
View the documentREFERENCES

(introduction...)

Encouraging the adoption of syndromic management required considerable effort at the policy level as well as research to validate and adapt WHO algorithms in different settings. AIDSCAP worked with local officials and providers to build consensus on the need for a standardized approach to STD management and to develop national guidelines for syndromic management of STDs. The success of this collaborative process laid the foundation for subsequent efforts to strengthen STD services.

AIDSCAP worked to improve STD care at points of first encounter through technical assistance and training in syndromic management, communication, and STD program management for providers, managers and pharmacists. Despite initial resistance to the syndromic approach, follow-up assessments of the STD care provided by trainees in different countries found marked increases in the percentages of clients receiving effective treatment.

The following case studies give good examples of the process several different Latin American and Caribbean countries experienced with the introduction of STD syndromic management into their countries.