Sexually Transmitted Disease
• Sexually Transmitted Infections and Reproductive tract infections(STI/RTI) are important public health problems in India. A countrywide Rapid Assessment Survey(RAS) indicates that 12% of female clients and 6% of male clients attend the PHC OPD for complaints related to STI/RTI. The 2002 ICMR multi-center community prevalence study of STI/RTI has shown that 5% to 6% of the sexually active adult population are suffering from STI/RTI
• Individuals with STI/RTI have a significantly higher chance of acquiring and transmitting HIV. Moreover/RTI is also known to cause infertility and reproductive morbidity.
• Services at the designated STI/RTI clinic are provided through the Out Patient Department of Skin & VD and Gynaecology & Obstetrics at Medical College Hospitals. At District and select sub-district hospitals, if the concerned departments/specialists are not available, services are delivered by general duty medical officers through general OPD.
• There are 44 Designated STI/RTI Clinics in all district hospitals and medical colleges.
Syndromic Case Management
All STI/RTI are treated with 7 colour coded Kits under National AIDS Control Program(NACP). These kits supplies by NACO New Delhi.
| Kit No |
Syndrome |
Colour |
| KIT-1 |
Urethral Discharge
Cervicitis (CD)
Ano-rectal discharge(ARD)
Painful scrotal Swelling(PSS)
Presumptive Treatment(PT)
|
Grey |
| KIT-2 |
Vaginitis (VD) |
Green |
| KIT-3 |
Genetal Ulcer Disease Non Herpetic (GUD-NH) |
White |
| KIT-4 |
Genetal Ulcer Disease Non Herpetic for patients allergic to penicillin |
Blue |
| KIT-5 |
Genetal Ulcer Disease Non Herpetic(GUD-H) |
Red |
| KIT-6 |
Lower Ulcer Pain(LAP/PID) |
Yellow |
| KIT-7 |
Inguinal Bubo(IB) |
Black |
State Reference Centre(SRC)
• There are two State Reference Centres working in Patna and Muzaffarpur. Laboratory confirmation of STI are done by a different microbiological test
• One Lab Technical is posted in each SRC centres under NACP