Table of Contents:
  • 1. Introduction
  • 2. A checklist for STD control activities
  • 3. Mapping the problem
  • 4. Requirements for STD control
  • 4.1. Adequate access to primary health care
  • 4.2. Population registers
  • 4.3. Standard treatment protocols and clinical care guidelines
  • 4.4. Clinic design, equipment and drug availability
  • 4.5. Clinic staff
  • 4.6. Regional forums
  • 4.7. Keeping up with the rest of the world (or how to avoid reinventing the wheel)
  • 5. Single issue strategies versus a comprehensive strategy
  • 6. Program planning, management and accountability
  • 7. Targeting resources for maximum effect: working with the high risk groups
  • 7.1. The May Anderson equation
  • 7.2. Core transmission theory
  • 8. Clinical services: improving the diagnosis and treatment of STDs
  • 8.1. Using the best tests available
  • 8.2. Informed consent and informed refusal
  • 8.3. Privacy and confidentiality
  • 8.4. Improving the quality of our STD control work: things to watch for
  • 8.5. Contact tracing
  • 8.6. Syphilis registers
  • 8.7. Screening for STDs
  • 8.8. Sticky labels and treatment protocols: practical aspects of running a community wide STD screen
  • 8.9. Reducing the risk of needle stick injury (NSI)
  • 8.10. Needlestick and blood accident protocol
  • 8.11. HIV testing
  • 9. Health hardware
  • 9.1. Making condoms an easy choice
  • 9.2. Clean needles
  • 9.3. Single use equipment for men's ceremonies
  • 10. Health promotion
  • 10.1. Primary prevention: activities which promote behaviour change
  • 10.2. Secondary prevention: activities which increase people's use of existing STD services for diagnosis and treatment
  • 10.3. Tertiary prevention: activities which focus on people with STDs
  • 11. Training
  • 12. Research
  • 13. Data collection (surveillance)
  • 14. Monitoring and evaluation.ealing
  • ch. 4.