International Family Planning Perspectives | |
When Does It Make Sense t consider Integrating STI |
TABLE 1. Minimum requirements for delivery of family planning, STI and HIV prevention and STI diagnosis and treatment, by specific service, according to component | |||||||
Component | Family planning | STI/HIV prevention | STI diagnosis and treatment | ||||
Counseling and promotion | Supply methods | Clinical methods | Promotion | Voluntary counseling and testing | Syndromic management | Clinical | |
Target/priority client group(s) | General population; youth | Sexually active women and men; youth | Women in union; men in union | General population; youth; core transmitters | Self-assessed high-HIV-risk groups | Men and women with genital ulcers; men with urethral discharge | Sexually active women and men; self-assessed high-risk groups |
Minimum trainded staff | Community distributor | Community distributor; injectionist for injectables | Nurse practitioner; physician | Community worker | Trained counselor and laboratory technician | Pharmacist; nurse aucilliary | Laboratory technician; nurse practitioner |
Client records | Not always kept | Not always kept or common clinical history | Common clinical histroy | Not always kept | Confidential | Common clinical history | Common clinical history |
Client contact time | Short | Short | Varies | Short | Intensive | Short | Varies |
Supplies and equipment | Promotional materials | Promotional material; commodities; needles, syringes and alcohol swabs | Promotional material; commodities and supplies; clinical/surgical instruments | Promotional materials | Promotional materials | Promotional materials; medicines/antibiotics | Promotional materials; reagents, blood culture and other test; medicines/antibiotics |
Laboratory facilities | None | None; needle disposal | Usually none; instruent disinfection | None | HIV test kits; needle disposal | None | Microscope; needle disposal |
Client supervision/follow-up | None | Limited | Limited | None | Varies | Partner notification | Partner notification; return for test results |
Note: Supply methods include condoms, pills, microbicides and injectables; clinical methods include the IUD, the implant and sterilization. |
© copyright 2002, the Alan Guttmacher Institute. |