Evaluating STI - Health Systems Trust
Evaluating STI - Health Systems Trust
Evaluating STI - Health Systems Trust
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– 9 –<br />
To what extent are speculum<br />
examinations done? Enter answer from 8 Most Most Most A few<br />
This answer is a subjective view obtained from clinicians at the clinic. However, it does give some insight into whether women with <strong>STI</strong>s are<br />
examined with a speculum. Clinics may record that most women are examined and yet they may not have any functioning lights. Are they<br />
recording what they think the answer should be?<br />
If most women are not examined, the reason for this needs to be investigated. Is it due to:<br />
◆<br />
◆<br />
◆<br />
◆<br />
◆<br />
◆<br />
Insufficient equipment (Even if there is insufficient equipment, it is not appropriate to assume that that is the only reason why more<br />
examinations are not done.)<br />
Lack of awareness that speculum examinations are part of comprehensive examination of women with <strong>STI</strong>s.<br />
Lack of confidence in carrying out speculum examinations.<br />
A perception that the clinic is too busy to have time to do speculum examinations.<br />
Lack of motivation about providing quality care.<br />
A combination of these factors?<br />
Current syndromic protocols<br />
in all consulting rooms? Enter answer from 9b Yes Yes Yes No<br />
Are individual client education<br />
materials available? Enter answer from 9c Yes Yes Yes Yes<br />
Are education materials in<br />
a local language? Enter answer from 9d Yes Yes No Yes<br />
If most of the clinics in an area have protocols in all consultation rooms and appropriate client education leaflets available, what is the reason why<br />
one or two clinics do not?<br />
It is important to recognise that availability of resources does not automatically mean effective use of these resources. Quality of care needs to be<br />
assessed on the actual management of clients and not just on the availability of all the necessary resources.