Module X
STI Program Mgt.
1
Module objectives
To discuss STI program
implementation in the
country
To describe the essential
components of STI program
2
Essential components of STI
program
Clinical care
Advocacy and social mobilization
Leadership and coordination
Supply chain management STI
drugs and commodities
STI surveillance
M&E
3
Clinical care
How is STI clinical provided
in Ethiopia?
What are the challenges?
Is modality of care different
according to level of
facility?
4
Clinical care
The Standard mode of STI clinical
care service in Ethiopia is
Syndromic management.
All health centers, hospitals,
private clinics are expected to
implement syndromic
management modality at all
levels.
5
Clinical care…cont.
STI service should be integrated with
the routine care.
All health facilities are expected to
offer STI services in their major OPDs
like adult OPD, Obstetrics and
Gynecology OPD, ART clinic, ANC, FP,
Neonatology/Immunization units.
All service delivery points should be
equipped with trained staff, job aids
and necessary equipments for effective
6
service integration
Clinical care cont’d…
Health facilities should deliver comprehensive
syndromic approach which include :
Diagnosis and treatment
Education of the patient on risk reduction,
Correct and consistent use of condom,
Partner notification and management and
HIV testing and counseling & (HTC)
Recording and reporting
The facilities should have a friendly
environment for those seeking STI services
7
Advocacy and social
mobilization
FMOH,HAPCOs , RHBs and Implementing
partners are responsible to coordinate
behavioral change for STI prevention and
treatment through the use various health
educations tools and medias .
Advocacy work is needed at all levels to
strengthen STI program implementation and
improve the quality of service
District health offices shall coordinate
community mobilization for the prevention
of STI through the HEW and HAD, CSOs and
FBOs
8
Leadership and coordination
Program coordination of STI is similar to
the program coordination in other
programs in the health system
The FMOH is responsible to lead the
national STI program and conduct
technical guideline revision
FMOH will also make an overall
assessment of training needs and
facilitate national TOTs to help regions to
have sufficient pool of trainers to cascade
meaningful capacity building activities
9
Leadership & coordination
cont’d…
RHBs are responsible to overlook the
overall program coordination, guideline
availability, quality of care and sustainability
of the program in all districts/facilities and
make corrective actions timely.
RHBs should assign focal person for STI
RHBs provide supportive supervision and
technical support to districts and public and
private health facilities
All facilities should work closely with
respective health offices
10
Supply chain management STI drugs and
commodities
Procurement and distribution of STI drugs/kits,
reagents (RPR) is primarily the responsibility of
PFSA
PFSA uses its hubs in the respective regions to
distribute STI drugs/kits and supplies.
FMOH uses the national facility level reports and
other studies to estimate disease burden and hence
support PFSA to make a realistic quantification and
forecasting of STI drug/kit demand.
Woreda health offices and RHBs can directly
communicate to PFSA Hub, related to STI
drugs/kits.
FMOH , RHB and Implementing partners should
work in harmony to avail STI commodities like
11
Speculum, bedside lamp, penile model
STI Drugs
STI drugs are available in two forms
Loose form
Pre Packed STI treatment kits (PPST)
Pre Packed STI treatment kits (PPST)
contains:
The recommended drugs for the specific syndrome
Condoms
Partner referral card
Information sheet on adherence and illustrative
pictures.
Kitting eases prescription, Dispensing,
storage, distribution and uses of STI
12
medicines
STI Drugs continued
Three types of Pre Packed STI treatment
kits (PPST) available currently in Ethiopia
AddisCure for urethral discharge
AddisCure Plus for vaginal discharge
Ulcure for genital ulcer syndromes
The remaining STI syndromes will be
addressed using loose form
N.B: If the PPST kit are unavailable
for any reason , patients should be
treated with the loose form drugs.
13
STI Drugs… cont.
A model of each PPST kit should be available
at the service delivery point to educate
patients about components of PPST kit( drugs,
condom and partner/s referral card)
Patients should be informed about the
condom and partner referral card included in
the kit.
Clinician should work in harmony with
dispensers to ensure
Regular request of the STI drugs from PFSA
Hubs
Proper utilization of STI kit components
14
5. STI Surveillance
EPHI in collaboration with FMOH and
supportive partners leads to conduct
regular drug sensitivity and etiologic
surveys to guide the syndromic
management modality .
Operational research on STI can be
conducted by EPHI in close
collaboration with FMOH and other
15 partners
Brainstorming session
What are the key challenges of
program coordination and
management of STI at all
levels of the health system.
What do you think your role
will be in addressing the
challenges ?
16
Thanks!
17