Module X
STI Program management
Module objectives
To discuss STI program implementation in
the country
To describe the essential components of
STI program
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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
Clinical care
How is STI clinical service provided in our
country ?
Is modality of care different according to
level of facility?
What are the challenges?
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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.
Clinical care continued
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 service
integration
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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
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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 HDA, CSOs and FBOs
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
Leadership and 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
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
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 medicines
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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.
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STI Drugs continued
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
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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 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 ?
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Thanks!
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