Evaluating STI - Health Systems Trust

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– 7 – Why does one clinic not have partner notification cards at all? Have they just failed to order them? Do they feel it is not necessary to provide STI clients with some sort of written communication for the partners? Availability of partner notification cards does not necessarily mean that there is effective communication with STI clients about the importance of partners being treated. Number of partner cards issued Answer from16c 26 87 No record No record Number of partners treated Answer from 16d 4 7 No record No record Partners treated as percentage Answer from 16d x 100 of STI clients Answer from 6e Partners treated as percentage Partners treated 16d x 100 of cards issued Partner cards issued 16c Partner cards issued as No of cards issued 16c x 100 percentage of STI clients No of STI clients 6e Although the partners of the index clients at a particular clinic may seek treatment from another service, the number of partners coming for treatment can give an indication of the awareness of the need for partner treatment within the local community. If the percentage of STI clients who come as partners is recorded over a period of time, this can give an indication of whether there is improved communication about partner management. How does the number of partner cards issued compare with the number of clients treated for STIs? The number should be at least the same, if not more. Every client treated for an STI should be informed of the importance of the treatment of the partner/s, so every client should be given one or more partner notification cards. If the number of cards issued is much less than the number of clients, is this because: ◆ ◆ ◆ There is a shortage of cards Clinicians don’t give cards to all clients They give them but forget to record it? Not all clinics record the information about partner management. As it is an aspect of STI management that remains a challenge, tracking the number of partners treated each month provides a useful guide as to whether there is improving communication about the importance of partner management.
– 8 – 2. SAFE EXAMINATION AND TREATMENT This section looks at resources. Are they sufficient for providing good quality of care? If speculum examinations are not done on most women, what is the reason for this? Is it due to inadequate resources, or is there a need to train in the skill of doing the examination or the understanding of the importance? Number of consultation rooms for STI clients Enter number from 3 or 4b 6 6 4 5 Number of couches Enter number from 7a 7 4 4 5 Number of examination lights working Enter number from 7b (ii) 7 4 3 1 Number of specula Enter number from 7c Not entered Yes Yes Yes (number not given) Is there enough equipment for proper examination? Enter yes or no and what is in short supply In order to answer this last question, look at the number of consultation rooms recorded and then the number of couches, lights and specula. Does it seem that an adequate genital examination could be conducted in all the consultation rooms? If not, which pieces of equipment are in short supply? In the example above none of the clinics has entered the number of specula available. It is usually not an efficient use of time to follow up each item that is not recorded as it should be. It is clear that in one of these clinics there are not enough functioning examination lights to do speculum examinations in all consulting rooms – and this clinic records that only a few women are examined. It is not always easy to know how many specula are enough. Some of the factors that influence this are: ◆ ◆ ◆ The method of sterilisation – do they have to be sent away for sterilisation? Do they have to be soaked in a biocide for 12 or more hours? Is there a policy about doing Pap smears? If so, about how many are done each day? Are clients who are starting a method of contraception for the first time examined with a speculum? If so, about how many of these clients are seen each day?
Page 2: Evaluating Quality of STI Managemen
Page 6 and 7: Purpose of this booklet This bookle
Page 8 and 9: DISCA analysis at a district level
Page 10 and 11: - 5 - SUMMARY OF DISCA RESULTS Clin
Page 14 and 15: - 9 - To what extent are speculum e
Page 16 and 17: - 11 - 3. STAFF WORKLOAD AND TRAINI
Page 18 and 19: - 13 - This page is taken from a co
Page 20 and 21: - 15 - 5. TREATMENT OF STI CLIENTS
Page 22 and 23: - 17 - Although most protocols do n
Page 24 and 25: - 19 - both these cases less cards
Page 26 and 27: - 21 - ◆ Three of the clinics wer
Page 28 and 29: - 23 - Key Step number 13 - Feedbac

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