The document discusses the control of sexually transmitted diseases through various interventions and strategies. It outlines the initial planning process which involves problem definition, establishing priorities, and setting measurable objectives. It then describes the main intervention strategies of case detection through screening, contact tracing, case holding and treatment, and health education. Support components like STD clinics, laboratories, and an information system are also discussed. Finally, the importance of ongoing monitoring and evaluation of disease trends and program activities is highlighted.

1. Control of Sexually Transmitted
disease
BY –RAJ YADAV

2. • The aim of the control programme for STDs is the
prevention of ill-health resulting from the above conditions
through various interventions. These interventions may
have a primary prevention focus (the prevention of
infection), a secondary prevention focus (minimizing the
adverse health effects of infection), or usually a combination
of the two.

3. The control of STD may be considered under the
following heads -
1. Initial planning
2. Intervention strategies
3. Support components
4. Monitoring and evaluation

4. Initial planning
This requires initial planning which comprises the following steps
1) PROBLEM DEFINITION : The disease problem
must be defined in terms of prevalence, psychosocial consequences and other health effects.
2) ESTABLISHING PRIORITIES: Rational planning requires establishment of priorities. Thiswill depend upon health
problem considerations and feasibility of control
3) SETTING OBJECTIVES : Priorities must be converted into discrete, achievable and measurable
objectives. That is, to reduce the magnitude of the problems.
4) CONSIDERING STRATEGIES : A variety of intervention strategies are available. Planners must define
the mixture of strategies that appears to be most appropriate to the setting. urable objectives. That is, to reduce the
magnitude of the problem.

5. INTERVENTION STRATEGIES
Case detection
Screening is the testing of apparently healthy volunteers from the general population
for the early detection of disease.
Contact tracing
is the term used for the technique by which the sexual partners of diagnosed
patients are identified, located, investigated, and treated.

6. Case holding and treatment
Adequate treatmentof patients and their contacts is the mainstay of STD control.
There is a tendency on the part of patients suffering from STDs to disappear or drop
out before treatment is complete.
Health education is an integral part of STD control programmes. The principal aim of
educational intervention is to help individuals alter their behaviour in an effort to
avoid STDs

7. SUPPORT COMPONENTS
Laborator
1. STD clinic
2. Laboratory services
3. Primary health care
4. Information system
5. Legislation
6. Social welfare measures

8. MONITORING AND EVALUATION
A critical aspect of effective management is the monitoring of
disease trends and evaluating programme activities. Evaluation
will show if the activities have been performed in a satisfactory
way. Ongoing evaluation of disease trends provides a more
direct measure of programme effectiveness and may be used to
determine the appropriateness of the selected intervention
strategies for a particular setting.