» About STI/RTI
Sexually transmitted infections and Reproductive tract infections (STI/RTI) are
an important public health problem 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 centre community prevalence
study of STI/RTI has shown that 5% to 6% of sexually active adult population are
suffering from STI/RTI. Individuals with STI/RTI have a significantly higher chance
of acquiring and transmitting HIV.
Moreover, STI/RTI are also known to cause infertility and reproductive morbidity.
Controlling STI/RTI helps decrease HIV infection rates and provides a window of
opportunity for counseling about HIV prevention and reproductive health. Provision
of STI/RTI care services is a very important strategy to prevent HIV transmission
and promote sexual and reproductive health under the National AIDS Control Programme
(NACP) and Reproductive and Child Health programme (RCH) of the National Rural Health
Syndromic case management (SCM)is a comprehensive approach for STI/RTI control endorsed
by the World Health Organization (WHO). This approach classifies STI/RTI into syndromes
(easily identifiable group of symptoms and signs) and provides treatment for the
most common organisms causing the syndrome.Other important components of STI/RTI
management include treatment compliance and followup, counseling, partner treatment
and condom promotion. Implementation of a standardized SCM simplifies training and
supervision, reporting and drug management.