Sexually Transmitted Diseases (STD) Syndromic Management (AIDSCAP/FHI, 1997, 54 p.)

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HOLOGRAPHIC OVERVIEW

INTRODUCTION

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HIV and STD Global Burden

Role of STD on HIV Transmission

STD SYNDROMIC MANAGEMENT

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Definition

Theoretical Foundation

Advantages and Disadvantages

Cost-Effectiveness

DESIGN OF STD FLOWCHARTS

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Common Flowcharts

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Urethral Discharge Syndrome in Men

Vaginal Discharge Syndrome in Women

Pelvic Inflammatory Disease: The Management of Lower Abdominal Pain

Genital Ulcer Disease

Validity Testing of a Flowchart: Sensitivity and Specificity

OTHER COMPONENTS OF COMPREHENSIVE STD CASE MANAGEMENT

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Partner Treatment

Health Education

Condom Distribution

Adding Strategies

Syphilis Screening and Treatment

Training

INTRODUCTION OF STD SYNDROMIC MANAGEMENT IN LAC

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Haiti

Jamaica

Brazil

Honduras

Dominican Republic

LESSONS LEARNED

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Building Consensus and Communication

Development and Implementation of STD Flowcharts

Improving Access to STD Care

Detecting Asymptomatic STDs

RECOMMENDATIONS

REFERENCES