Evaluating STI - Health Systems Trust
Evaluating STI - Health Systems Trust
Evaluating STI - Health Systems Trust
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SUMMARY OF DISCA RESULTS<br />
Clinic name Clinic name Clinic name Clinic name Clinic name Clinic name<br />
1. DATA<br />
Clinic A Clinic B Clinic C Clinic D<br />
This section gives information on the proportion of clients that are treated for an <strong>STI</strong>. Many clinicians have the impression that 10% or more of their<br />
clients are treated for <strong>STI</strong>s. The records usually show a much lower figure.<br />
The number of ANC and FP clients is included so that they can be compared with the number of clients treated for an <strong>STI</strong>. Often ANC and FP clients<br />
are not asked whether they have any <strong>STI</strong> symptoms, nor are they made aware of their risk of <strong>STI</strong>s if they are not in a mutually monogamous<br />
relationship or not using condoms. Unless FP clients are using dual protection – a method or methods that protect against both pregnancy and<br />
<strong>STI</strong>s, they may well have <strong>STI</strong>s.<br />
If the clinic is open 6 or 7 days a week the average number of <strong>STI</strong> clients per day needs to be calculated using the number of days the clinic was<br />
open for the month in question.<br />
Total number of clients in the last month Enter number from 6a Not entered 4127 Not entered 2089<br />
Total number of adult clients Enter number from 6b 1330 3224 Not entered 1712<br />
(over 5) (over 5)<br />
Total family planning clients Enter number from 6c 433 426 Not entered 329<br />
Number of first visit ante-natal clients Enter number from 18b 30 55 Not entered 40<br />
Percentage antenatal clients with Answer from 18c x 100 30 x 100 55 x 100 40 x 100<br />
positive RPR Answer from 18b 1 3 3<br />
Percentages need to be calculated for the last row above using the figures given and multiplying by 100.<br />
Where the numbers of first visit antenatal clients are small, as those above, the percentage of those with positive RPRs is not a reliable indication<br />
of the level of syphilis in the community. However, if there were more than 100 first antenatal clients and 20% or more of them had positive RPR<br />
results, this would be a point to take note of. A more reliable figure for ANC syphilis prevalence would be the results over a whole year.
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