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St is in sudan
St is in sudan
St is in sudan
St is in sudan
St is in sudan
St is in sudan
St is in sudan
St is in sudan
St is in sudan
St is in sudan
St is in sudan
St is in sudan
St is in sudan
St is in sudan
St is in sudan
St is in sudan
St is in sudan
St is in sudan
St is in sudan
St is in sudan
St is in sudan
St is in sudan
St is in sudan
St is in sudan
St is in sudan
St is in sudan
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St is in sudan

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  • 1. Sexually Transmitted Infections (STIs) in Sudan Geneva Foundation for Medical Education and Research GFMER Sudan 2012 Forum No: ( 2 )
  • 2. Name of presentersName Position InstitutionSawsan Mustafa Abdalla Associated professor National Ribat UniversityWaled Amen Mohammed Head, Community Health Nursing UMST Name of contributorsName Position InstitutionSawsan Mustafa Abdalla Associated professor National Ribat UniversityWaled Amen Mohammed Head, Community Health Nursing UMST
  • 3. Content of the presentation• Introduction• Causes of STIs• STIs in Sudan• Genital Ulcer• Vaginal discharge• HIV/AIDS• VCT centers outcome• Human papilloma virus• Determinants of STIs in Sudan• STIs Health Services-Sudan• Services provided at these centers include the followings• Management protocol in Sudan for STIs• Progress and Future• Recommendations• Conclusion
  • 4. IntroductionThe epidemiological data on STIs in Sudan are scattered and as expected it is difficult to find reliable and valid data. For practical reasons, the sentinel surveillance reports of SNAP and the Safe Motherhood Survey results 1999 seem to be the only currently available data that can be used to visualize the morbidity of the STIs.
  • 5. Causes of STIs
  • 6. STIs in Sudan 50 45.5 45 39.5 40 35 30 25.9 24.9 25 20 15 13.7 10 7.5 7 5.1 5 2.8 2.3 0 Urethral Vaginal Genital ulcers Pelvic Ophthalmia discharge discharge inflammatory neonatorum diseaseOn reviewing the STIs surveillance reports based on the 1999 2001syndromic approach from six states namely Khartoum, NahrEl Neel, Kassala, El Gadarif, Bahr El Jabal and Upper Nile
  • 7. Genital ulcer 70 60 50 40 15-19 years 30 33-49 years 20 10 0 15-19 years 33-49 yearsAwareness of people about Genital Ulcer in six states by agegroup---- increase awareness by age
  • 8. Genital Ulcer 90 80 70 60 50 Heard 40 Not 30 20 10 0 Rural UrbanAwareness of people about Genital Ulcer in six states byArea/ rural or urban
  • 9. Vaginal discharge: Chart Title Heard Not 60 57 43 40 15-19 years 33-49 yearsAwareness of people about vaginal discharge in six states byage group---- increase awareness by age
  • 10. HIV
  • 11. VCT centers outcome % 82.3 17.7 Positive Negative
  • 12. HIV/AIDs awareness Chart Title Heard Not 88.4 76.6 13.4 11.6Female- heard -15-49 years Male- heard -15-49 years
  • 13. Human papilloma virusAbout 86% of the cases occur in developing countries, representing 13% of female cancers. Worldwide, mortality rates are substantially lower than incidence.
  • 14. Determinants of STIs in Sudan Civil War. Natural disasters. Economic factors. Immigration for work Lack infrastructure in health facilities Female Genital Mutilation (FGM)
  • 15. STIs Health Services-Sudan Sexually Transmitted Infections (STIs)centers, distributed in the 15 northern States
  • 16. Services provided at these centers include the followings:• Medical care for STIs patients ,• History taking and clinical examination• Correct diagnosis of the case , using a simple syndromic approach method without need for laboratory testing• Prescription of the suitable antibiotic
  • 17. Services provided at these centers include the followings:• Education on STIs nature of the infection , mode of transmission and prevention & control methods• Counseling on behavior change , risk reduction and condom use• Partners management• Follow up of the patients
  • 18. Management protocol in Sudan for STIs The protocol followed in Sudan for STIs management is syndromic approach.
  • 19. The management includes History taking, Examination Correct diagnosis Early and effective treatment Advice on sexual behavior Promotion and/or provision of condoms, partner notification and treatment, Case reporting and clinical follow-up as appropriate.
  • 20. Thus, effective, STIs management consists not only of antimicrobial therapy to obtain cure and reduce infectivity, but also comprehensive care of the patients needs for reproductive health.
  • 21. ProgressThe protocol was endorsed in 2004 by International WHO consultant in collaboration with National – HIV/AIDS Control Programme (SNAP), Federal Ministry of Health.The syndromic approach was adopted all over the country.Further, the programme was implemented with partnership with Dermatologists and Obs/Gynae Consultants.
  • 22. Future• National STIs committee was formulated in 2011 in order to update the guidelines and protocols of management.
  • 23. Recommendations• Provision of raising awareness programs to community at different levels(Students ,high risk groups)• Policymakers sensitization• Training of health workers included in the management of STIs• Integration of STIs services through the primary health care• Make use of the media to deliver massage
  • 24. Conclusion• Sexually transmitted infections are still one of the leading causes of morbidity in Sudan• There are standard guidelines for prevention and treatment of STIs in Sudan and need to be updated• High risk groups need certain attention• Syndromic Approach is used in the management of patients.• Awareness is low about different types of STIs and there management and prevention
  • 25. RememberThere are more than 600,000 cases hidden need to be detected by us.
  • 26. References• Ali, E.B. MANAGEMENT GUIDELINE OF SEXUALLY TRANSMITTED INFECTIONS, FEDERAL MINISTRY OF HEALTH, 2003• NATIONAL POLICY ON HIV/AIDS, 2004• WHO, Human Papillomavirus and Related Cancers, Sudan, 2010

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