Sexually Transmitted InfectionsSkill Hierarchy of STIs training

Package for SQH providers

Training

Overall training methodology

Knowledge

Comprehension

Application

Analysis

Synthesis

EvaluationVisual display

Short introductory info package

Image rich comparison

Repetition

Memory aids

Getting participants to remember: meta-cognitive skills

PlanningRoad map of each session including what should be learned andwhat participants should do

SelectingReview key points with learnersCreate frequent exercises emphasizing key points

ConnectingHave learners recall prior knowledge and link new learning directly to it

Introductory session

Facilitator

• To assess baseline idea and attitude towards STIs

Among participants

• To reduce stigma and unlearn old belief on STIs through

understanding STIs as an important component of RTIs and

under RH umbrella

• To adopt STIs treatment through advocating role of STIs in HIV

prevention and reducing maternal morbidity

Use STD syndromic management for common STDs

Explore common STDs

Explore common symptoms presented from STD clients

Explore the best diagnostic approaches for STDs

Describe STD syndromes based on common symptoms

Know how to use management flowchart

Session I overview

Identify basic conceptsof using flowchart

Knowledge

Comprehension

Application

Main messages

• Some STDs present with same symptoms.

• Etiological and clinical diagnostic approaches are not feasible in current GP practice.

• Syndromic approach has some adventages and any GP can do it

Main messages

• There are six common STD syndromes

• Flow chart is crucial for standardized STD syndromic

management

Prescribe appropriate PPT for STD syndromes

Discuss up-to-date information of common STDs

Relate up-to-date informationto STD syndromic management

Find-out contents of Cure U kits

List contents of PPTfor each STD syndrome

Explore benefits of and indications for Cure U kit usage

Use Cure U kits appropriately

Session II overview

Comprehension

ComprehensionApplication

Application

Synthesis

Main messages

• Common STD syndromes are caused by different organisms

• Mixed infections are common

• Some drugs are same and some different for the syndromes

• Combination therapy is the best option

• Syndromic management has four main tasks

• Each STD syndrome has its owned flow chart

Main messages

• Cure U PPTs are the one-stop treatment package for

corresponding common syndromes

• Cure U PPTs are not indicated for some STD syndromes

Minimum clinical standards

Clinical standard for providers

• Standard 1: All the providers to use syndromic approach for STD diagnosis

• Standard 2: All the providers to use standard flowcharts for the management of common STD syndromes

• Standard 3: All the providers to use Cure U kits appropriately for STD syndromes

Clinical standard for providers

• Standard 4: All the providers to offer voluntary counseling and HIV testing to all STD clients

• Standard 5: All the providers to encourage correct and consistent condom use to all STD clients

• Standard 6: All the providers to inform STD clients for partner treatment