Operational Guidelines from Naco

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Operational Guidelines
for Programme Managers and Service Providers

for Strengthening STI / RTI Services

National AIDS Control Organization
Ministry of Health and Family Welfare Government of India October 2007

NACO  Operational  Guidelines  for  Strengthening  STI/RTI  Services

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NACO  Operational  Guidelines  for  Strengthening  STI/RTI  Services

Contents
1. BACKGROUND 1.1. 1.2. 1.3. 1.4. Convergence of NACP III with RCH II of NRHM Introduction to operational guidelines Target audience Service delivery framework 1.4.1. Components of Quality STI/RTI Service Delivery 2. MINIMUM STANDARDS FOR STI/RTI SERVICES 2.1. 2.2. 2.3. Locations for STI/RTI Service Provision STI/RTI Service Package Minimum Infrastructure 2.3.1. Equipment and Supplies for STI/RTI Service Provision 2.3.2. General Items for STI/RTI Service Provision 2.3.3. Human Resources for STI/RTI Service Provision 2.3.4. Ethical Standards and Maintaining Confidentiality 3. DRUGS AND CONSUMABLES 3.1. 3.2. 3.3. Essential STI/RTI KITS/Drugs for Clinics Supply System for STI/RTI Kits Responsibilities of Different Organisations In the Drug Supply System 3.3.1. NACO 3.3.2. SACS and DAPCU 3.3.3. Drug and Logistics Management Agency 3.3.4. STI/RTI Service Facilities 3.4. 4. Other Essential Supplies for STI/RTI Service Provision 9-14 9 10 11 11 13 15-17 15 15 15 16 17 17 17 18-20 18 18 19 19 19 19 19 20 21-23 22 24-25 24 24 24 25

CLINICAL MANAGEMENT OF STIs/RTIs 4.1. Minimal Laboratory Tests at STI/RTI Clinics

5.

INFECTION CONTROL SYSTEM 5.1. 5.2. 5.3. 5.4. Universal Precautions Processing of Reusable Equipment Disposal of Hazardous Waste Post-exposure Prophylaxis

3

NACO  Operational  Guidelines  for  Strengthening  STI/RTI  Services

6. 7.

ANAPHYLAXIS MANAGEMENT LINKAGES AND REFERRALS 7.1. Linkage of STI/RTI Clinic with Outreach Services in TIs

25 26 26 27 28-39 28 29 29 31 32 33 33 34 35 35 36 36 37 37 38 38 40 41-44 42 42 42 43 45-94

8. 9.

RECORDING AND REPORTING PRIVATE SECTOR INVOLVEMENT IN STI/RTI CONTROL 9.1. 9.2. Rationale Process for Involving Private Practitioners 9.2.1. Identification of Agency at the District Level 9.2.2. Mapping of Private Practitioners 9.2.3. Criteria for Screening Identified Private Practitioners 9.2.4. Franchising Process for Private Practitioners 9.2.4.1 Initial Training 9.2.4.2. Memorandum of Understanding 9.2.5. Service Packages from Different Categories of Franchised Service Providers 9.2.6. Incentives for Private Practitioners 9.2.7. Making the Services Available for BPL families 9.2.8. Generating Demand for STI/RTI Treatment 9.3. Training and Support System 9.3.1. Basic Flow of Supportive Supervision 9.3.2. Component-wise Activities of the Hired Agency 9.3.3. Component-wise Activities of the Government Health System

10. MONITORING AND EVALUATION 11. FINANCIAL GUIDELINES 11.1. Strengthening the infrastructure of government-designated STI/RTI clinics 11.1.1. Strengthening of Infrastructure for Auditory and Visual Privacy and Provision of Computers 11.1.2. Kits/Drugs, Consumables (Laboratory Items, Gloves, etc.) 11.2. STI/RTI Care Through Franchised Private Providers in a District ANNEXURES



NACO  Operational  Guidelines  for  Strengthening  STI/RTI  Services

LIST OF ABBREVIATIONS
AIDS ANM ARD ASHA AYUSH BAMS BID BV Cap. CHC CME CMIS CPR DAPCU DLMA ELISA FTA-Abs FRU GUD HCP HIV HLD HRG HSV ICTC ID IEC IM IMA IPC IU KI KOH LAP Acquired Immune Deficiency Syndrome Auxiliary Nurse Midwife Ano-rectal Discharge Accredited Social Health Activist Ayurveda, Yoga and Naturopathy, Unani, Siddha, Homeopathy Bachelor of Ayurvedic Medicine and Surgery Twice Daily Bacterial Vaginosis Capsule Community Health Centre Continuing Medical Education Computerised Management Information System Cardiopulmonary Resuscitation District AIDS Prevention and Control Unit Drug and Logistic Management Agency Enzyme-Linked Immunosorbent Assay Fluorescent Treponemal Antibody Absorbed test...
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