The prevention and care of sexually transmitted diseases is an intervention that improves the health status of the population and prevents transmission of HIV. UNAIDS and WHO therefore recommend that the highest priority be given to the development of programs conducted directly for this purpose.
The purpose is to indicate what the policies and principles are prevention and treatment of sexually transmitted diseases (MST), in order to help officials from the Ministries of Health who have develop and implement programs to combat MST. Although the purpose of the document is not to give a description detailed activities which can be used in the implementation of the programs, certain aspects have been developed in the appendix to serve as a model activities that can be adapted to local situations.
UNAIDS and WHO recommend that each country have a prevention program and STD treatment that is integrated with, or carried out in close cooperation with national AIDS programs. The services that make part of the program must always be provided in accordance with the rights of man and the dignity of people with STDs. STD programs should:
• launch primary prevention activities (promotion of sexual practices less risky, distribution of condoms), in concert with the Programs National AIDS Control Programs (PNLS);
• promote accessible, acceptable and effective care for people STDs through public health care systems and private, including first level care, using algorithms simple, based on syndromic diagnoses;
• include prevention and care services in maternal and child health, and in antenatal care and family planning services;
• target STD care services that are acceptable and effective for populations identified as being particularly vulnerable to infection by sexually transmitted agents, including the immunodeficiency virus human (HIV);
• encourage the adoption of positive behavior in the face of the need to consult early for an STD, and education about sexual behavior
There should be as many approaches to the prevention and management of STDs as determinants of the epidemiology of STDs. Interventions to prevent the spread of STDs and HIV should take into accountaccount for the role of human physiology, types of human behavior andsocio-cultural influences. STD and HIV prevention cannot be addressed only by acting on behavior and by methods contraceptives. There are always other factors to keep in mind, such as that family cells and values, the provision of accommodation, which contributes to preserving family life, employment, education, religion, culture, age, gender, etc. Although taking these determinants into account beyond the scope of this document, governments and administrators of programs should take these issues into account in planning and the establishment of STD prevention and care programs.
Primary prevention activities are almost the same for STDs conventional than for sexually transmitted HIV because the mode of transmission main for both is sex. Primary prevention activities and the audiences are the same. It makes sense that there is close coordination between those responsible for HIV / AIDS prevention and those responsible forprevention of STDs. It is even recommended that there be full integration.
The goal of primary prevention is to prevent infection and disease. We can get there by promoting:
• Less risky sexual practices;
• The use of condoms for sexual acts with penetration.
Only primary prevention activities can have an effect on Currently incurable STDs that are caused due to viral infections.
Primary prevention activities will be the responsibility of control programs against AIDS and STDs integrated or coordinated. Providing clinical care constitutes an important primary prevention opportunity by offering effective education, treatment and healing for people who are more likely, by definition, to contract and transmit an infection.
Treating and curing a person with an STD is a primary prevention in case of contact.
In most countries, the national AIDS program is developing prevention strategies and has already undertaken interventions. It is important that these interventions include education about STDs. It is likely to be mutually beneficial; for example, education on possible STD complications, such as infertility, could prompt limiting risky activity for STDs, including HIV infection. In environments with low HIV / AIDS rate, people will feel more affected by STDs than by HIV.