The mission of the Sexually Transmitted Diseases (STD) Control Program is to reduce the occurrence of STDs through disease surveillance, case and outbreak investigation, screening, preventive therapy, outreach, diagnosis, case management, and education.

1. UNIT-II
CHN M.SC IIYEAR
NATIONAL STD CONTROL
PROGRAM
DR.ANJALATCHI MUTHUKUMARAN
VICE PRINCIPAL
ERA COLLEGE OF NURSING
SARFRAZGANJ LUCKNOW

2. LIST OF CONTENT
• INTRODUCTION
• DEFINITION
• GOAL AND AIM
• OBJECTIVES
• STRAGIES
• ORGANIZATION
• ACTIONTO BETAKEN
• COLOR OF RIBBEN
• ACHIEVEMENT
• SUMMARY
• CONCLUSION
• REFERENCES

3. National STD control programme
Introduction:-
• Sexually transmitted disease are major health problem all over the
world including India.
• The annual incidence of STD in India as reported to the Central bureau
of health intelligence during 1989 was approximately 14 million.
• A national STD control programme has been in operation since the
mid 1950 century.

4. Cont .
• National STD control programme in India was started
in 1946 be at arrival spread of HIV infection in the
country it was brought under the pre review of
national AIDS organisation in the year 1992.
Objective of STD control:-
• To reduce STD cases and thereby control HIV
transmission by minimizing the risk factor.
• To prevent the short term as well as long term
morbidity and mortality due to STD.

5. Strategy
In order to accomplish these objectives, following strategy has
been incorporated in the strategy plan for the prevention and
control of STD as outlined in the strategic plan for the
prevention and control of AIDS in India are following;-
• Adequate and effective program management.
• Prevention of the transmission of STD/HIV infection through
IEC and promotion of safer sexual behavior by the use of
condoms.
• Adequate and comprehensive case management includes
diagnosis and treatment of individual counselling, partner
notification and screening for other diseases.

6. Cont..
• Increasing access to healthcare for STD by
strengthening the existing facilities and
structure and creating new facilities where ever
necessary.
• Early diagnosis and treatment of mostly
asymptomatic infection through case finding
and screening.

7. Actions
The following major action have been taken along the lines
suggested in the strategies:-
• Training of health care worker in both public and private
sectors in comprehensive STD case management.
• Development of appropriate laboratory services for the
diagnosis of STD.
• Conduct microbiological, socio behavioral and operation
research,
• Surveillance to assess the epidemiological situation and
monitor and evaluate ongoing STD control programme.

8. NACO(national aids control
organizatiion)
• NACO has branded the STD/RTI service
as"Suraksha clinic“ has developed a communication
strategy for generating demand for these services.
• Pre packed STD/RTI colour coded kits:-pre-packed
color coded as STD/ RTI kits have been provided for
free supply to services designated STD/RTI clinics.
These kits are being procured centrally and supplied
to all state AIDS control societies.

9. Dark colour code is as follows
The color code is as follows:-
• Kit 1-grey, for urethral discharge, ano- rectal discharge and
cervicitis
• Kit 2- green, for vaginitis
• Kit 3- white ,for genital ulcers
• Kit 4- blue,for genital ulcers
• Kit 5- red, for genital ulcers
• Kit 6-yellow ,for lower abdomen pain
• Kit 7- black , for scrotal swelling.

10. National strategic plan for HIV
/AIDS and STI 2017 to 2024
• The national strategic plan for HIV and AIDS and STI
2017 to 2014 is developed with a vision of an HIV AIDS
free India. The mission is to attain universal coverage of
HIV prevention, testing, treatment to care Continuum
that is effective and inclusive and equitable and
adopted to population and local needs.
• Goal:-the goal is to achieve zero new infection zero AIDS-
related death and zero AIDS-related stigma and
discrimination.

11. Cont..
Strategic framework:-the NSP is designed around a
result based framework that reflect the fast-track target
and' ending of AIDS‘ commitment. The framework is
based on a casual relationship between the vision and
mission , goal and the outcomes.
Objective of NSP:- this NSP propose 6 objective towards
fulfilling its vision of an AIDS free India these are:-
• Objective 1- reduce 80% new infections by 2024.

12. • Objective 2-ensure 90% up estimated PL HIV know
their status by 2024.
• Objective 3- ensure 95% PL HIV have a Aarti
initiation and retention by 2024, for sustained viral
suppression.
• Objective 4-eliminate mother to child transmission of
HIV and syphilis by 2020.
• Objective 5-eliminate HIV and AIDS related stigma
and discrimination by 2020.
• Objective 6- facilitate sustainable NACP service
delivery by 2024.

13. Achievement of these objective by
2024 would result in the
following:-
• Estimated new infection will reduce from 102 226 (2010) to < 21, 000
per year.
• 2.14 million PL HIV of the total estimated PL HIV 2.25 million would
known their status.
• 2.03 million PLHIV would be put on ART
• 1.93 million PL HIV could be retained on treatment and have HIV VL
< 1000 copies /ml
• Attainment of< 50 cases new pediatric HIV infection per 100000 live
birth with a mother -to -child transmission rate <5% by 2020 and
maintenance of same therefore

14. Cont..
• Attainment of < 50 cases of congenital syphilis per
100000 live birth and maintenance of same thereof.
• HIV/AIDS will be received as chronic manageable
disease with no stigma and discrimination attached to
it.
• Key component of the NACP such as prevention
outreach and testing and treatment or prevention of
mother-to-child transmission, viral load separation
care and support as well as social protection scheme
will continue through 100% domestic funding.

15. Information education and
communication
Communication is the key to generating awareness
on prevention as well as motivating access to,
treatment care and support, with the launch of
NACP-IV the impacts is on standardized the
lesson learnt during the third pages
communication in an NACP-IV is directed at:-
• To increase knowledge among general population
especially youth and women on safe sexual
behaviour.
• To sustain behavior change in high-risk group and
bridge population.

16. Cont..
•To generate demand for care and support
and treatment services.
•To make appropriate change in source
strategic norms that reinforce positive
attitude and practice to reduce stigma and
discrimination.

17. Adolescence education
programme.
This program is run in secondary and senior secondary schools to
build up life skill of adolescence to cope with the physical and
psychological changes associated with growing up.
• Under the program 16 hours session during the academic terms of
class IX, XI .
• State AIDS control society have further adopted the module after
state level consultation with NGOs acadamics psychologist and
parent-teacher bodies.
• This program is being implemented in 23rd state and by March
2014, 49000 schools have been covered.

18. Red ribbon clubs
• The purpose of Red ribbon club formation in
college is to encourage peer to peer messaging on
HIV prevention and to provide a safe space for
young people to seek clarification of their doubts
and myths surrounding HIV/ AIDS.
• The RRCs also promote voluntary blood donation
among youth.

19. Summary
• Today we have discussed sexually transmitted
disease and their major problems in that we will
discussed the STD control program and their
objectives and strategies and their actions of STD
control programme and at last information
education and communication process.

20. Conclusion
• I hope you all understand the topic sexually transmitted
disease control programme. I just want to say that if you if
you get the chance to work with these programs then to
make appropriate change in societal norms that reinforce
positive attitude and belief and practice to reduce the
stigma and discrimination regarding HIV AIDS and other
sexually transmitted diseases.

21. Bibliography
• K.PARKs. parts textbook of preventive and social medicine.
23rd edition. Bhanot publishers. Delhi. 2015. Page number 437
to 438.
• RP textbook of community health nursing. second edition.
Jaypee brother publisher. 2018.page number 503-504.
• Veerabhadrappa. textbook of community health nursing. 3rd
Jaypee brother publisher. 2018. page number 295 to 296.
• www.wikipedia.std.com..