niyaménEbbbTsMrab;Gnuvtþskmμ (Standard Operating ... for STI clinic KH.pdf · RKb;KøInikTaMgGs; Kb,IFanamin»ydac;sþúknUv»sfcaM)ac;nana EdltMrUv»ymansMrab;kar ... B’N Methylene

1- esckþIepþIm

CMgWkameraK manTMnak;TMngy:agCitsñiTCamYynwgkarrIkraldalénemeraKeGds_¼CMgWeGds_ . karqøgCMgWkameraKnaMeGayGñkEdlmanpÞúkemeraKeGds_gaynwgqøgCMgWepSg²eTot ehIyGñkEdlBMuman pÞúkemeraKeGds_k¾gaynwgqøgemeraKeGds_Edr. kñúgry³eBlCag 15qñaMknøgeTAenH karBinitürkeraK vinicä½y nig RbsiT§iPaBénkarBüa)alCMgWkameraK )anedIrtYnaTIy:agsMxan;kñúgkarbgáar nig Tb;sáat;kar qøgraldalénemeraKeGds_¼CmW¶eGds_ . elIsBIenHeTAeTot plb:HBal;énkarmin)anBüa)alCMgW kameraK GacbgáeGayeRKaHfñak;y:agF¶n;F¶r CaBiesscMeBaHRsþI. Ep¥kelIehtuplTaMgenH karRKb;RKg EfTaMBüa)alCMgWkameraK)anqab;rh½sTan;eBlevla nig manRbsiT§iPaB KW mansar³ sMxan;Nas; .

enAqñaM 1999 eKalkarN_neya)ayCatisþIBIkarRKb;RKgBüa)alEfTaMCm¶WkameraKrbs;RksYg suxaPi)al )ankMNt;nUveKalkarN_ “viFIBIry:agrYmKñasMrab;karRKb;RKgEfTaMCm¶WkameraK” (Dual

complementary approach for STI management) kñúgenaHman KøInikkameraKpþl;esvaEfTaM Büa)alCMgWkameraKedaykareFVIeraKvinicäy½Ep¥kelIlT§plénmnÞIrBiesaFn_ sMrab;RkumRbCaCnEdlRbQm muxx<s; CaBiessRsþIbMerIesvapøÚvePT nig esvaBinitü nig Büa)alCMgWkameraKEp¥kelIcegáameraKsBaØa sMrab;RbCaCn TUeTAEdlbB©ÚalkñúgsMNMuskm μPaBGb,brima (MPA) enAmNÐlsuxPaB .

niyaménEbbbTsMrab;GnuvtþskmμPaB (Standard Operating Procedures) rbs;KøInikEfTaM nig Büa)alCMgWkameraK

niyaménEbbbTsMrab;GnuvtþskmμPaB (SOPs) rbs;KøInikEfTaMnigBüa)alCMgWkameraK

- 2 -

2- niyaménEbbbTsMrab;RKb;RKgBüa)alCm¶WkameraK 2>1> karRKb;RKgBüa)alCm¶WkameraKenAKøInikkameraK 2>1>1> tYnaTIsMxan;²rbs;KøInikkameraKKW ³

1> pþl;nUvesvaEdlmanRbsiT§iPaB rYmman karBüa)alTan;eBlevladl;GñkCm¶WEdlmaneraK sBaØaCMgWkameraK .

2> BinitüRsavRCav nig Büa)alRbsinebIcaM)ac; nUvRKb;krNICMgWkameraKEdlBMumanelcecjCa eraKsBaØa CaBiess cMeBaHRkumRbCaCnEdlRbQmmuxx<s;nwgeRKaHfñak;énkarqøgCm¶WenH .

3> pþl;esvaBüa)alCMgWkameraKdl;édKUrbs;GñkCMgW . 4> rYmcMENkkñúgkarbgáarTb;sáat;karcMlgemeraKeGds_¼kameraK edayelIkkMBs;karrYmePT

EdlmansuvtßiPaB nigkareRbIR)as;eRsamGnam½y»y)anCab;CaRbcaM . 5> rYmcMENkkñúgRbB½n§RtYtBinitü nigGegáttamdanCMgWkameraKRbkbedayRbsiT§iPaB .

2>1>2> karRKb;RKgKøInikkameraK

edIm,ITak;TajeGayGtifiCnmkBinitüCMgWkameraK KøInikenHRtUvsVaKmn_GtifiCnedayPaBkk;ekþA nigmanpþl;esvananaEdlGtifiCnGacEsVgrk)an .

2>1>2>1> ehdæarcnasm<½n§rbs;KøInikkameraK

ehdæarcnasm<½n§EdltMrUv»ymansMrab;dMeNIrkaresva y:agehacNas;k¾RtUvman ³

o kEnøgTTYlePJóv¼rg;caM ³ Kb,ImankEnøgFMTUlayRKb;RKan;edIm,Ipþl;kEnøgGgÁúydl;GñkCMgW EdlmkBinitü nigrg;caMTTYllT§plBinitüRKb;eBl .

o bnÞb;BieRKaHCMgW ³ RtUvpþl;karrkSakarsMgat;dl;GñkCMgW nigminB¤sMelgsnÞnamkxageRkA. o bnÞb;BinitüCMgW ³ RtUvpþl;PaBs¶at;kM)aMgdl;GñkCMgW edIm,I»yKat;edaHsMelokbMBak;ecj kñúg

karBinitüCm¶WnigsMrab;Rsg;ykvtßúviPaK (specimen). o bnÞb;pþl;RbwkSa ³ Kb,ImanTMhMFMsmlμmsMrab;Gñkpþl;RbwkSaeFVIkarsMPasn_GtifiCnmñak; nig

eBlxøHeRcInnak;kñúgeBlEtmYy . bnÞb;Kb,IFananUvPaBs¶at;kM)aMg nigrkSakarsMgat; rbs;GtifiCn .

o mnÞIrBiesaFn_ ³ Kb,ImanlkçN³smrmüRtwmRtUvsMrab;kareFVIBiesaFn_RsavRCavnana Ca Biess Kb,Idak;bBa©ÚlCaEpñkmYyénmnÞIrBiesaFn_rbs;mnÞIreBTübEg¥kEdlKøInikenaHsßitenA.


- 3 -

2>1>2>2> smasPaBbuKÁlikenAKøInikkameraK

KøIniknImYy²Kb,ImanbuKÁlikRKb;RKan;edIm,IGnuvtþkargardUcxageRkam ³

o kargarcuHeQ μaHGñkCMgW/ rkSakMNt;ehtu nigeFVIr)aykarN_ o kt;RtaRbvtþisuxPaBbnþBUC nigpøÚvePT/ karBinitü nigBüa)al o kareFVIeraKvinicä½yEp¥kelImnÞIrBiesaFn_ o karpþl;RbwkSa o karlagsMGat nigEfTaMsMPar³KøInik

enAKøIniknImYy² manbuKÁlik 4-5 nak; ³

o RKUeBTüBinitüCMgWburs 1 nak; TTYlbnÞúkBinitüGñkCMgWburs/ kt;RtaRbvtþiCMgW/ pþl;RbwkSa o RKUeBTüBinitüCMgWRsIþ 1 nak; TTYlbnÞúkBinitüGñkCMgWRsIþ o Kilanub,dæakyika 1 nak; TTYlbnÞúkkt;RtaRbvtþiCMgW/ pþl;RbwkSa o Gñkbec©keTsmnÞIrBiesaFn_ 1 nak; TTYlbnÞúkeFVIetsþCm¶WkameraK EdlCabuKÁlikmnÞIr

BiesaFn_énmnÞIreBTübEg¥k .

2>1>2>3> Parkic©lMGitrbs;KøInikkameraK

1> pþl;esvaEfTaMBüa)alCMgWkameraKEdlmanKuNPaBx<s; edayeyagtameKalkarN_ENnaM Cati nig niyamEbbbTkñúgkarGnuvtþn_ Edl)anTTYlkarÉkPaBrYcehIy .

2> pþl;karGb;rMsuxPaB nigpþl;RbwkSasmRsbdl;GñkCMgWEdlmkBinitüenAKøInik/ rkSanUvkar sMgat;EdlTak;TgnwgGñkCMgW

3> eFVIeraKvinicä½y nigBüa)alGñkCMgWedayeRbIR)as;BiFIsarCati (National protocols)/ etsþ mnÞIrBiesaFn_ /»sf /]bkrN_ nigsMPar³eRbIR)as;Edlpþl;edaymCÄmNÐlCati nigeRbIR)as; nitiviFIsþg;darEdlgayRsYldl;GñkCMgW nig karbgáarCaskl .

4> Fanafa lT§plEdlTTYlBImnÞIrBiesaFn_ manPaBCak;lak; nigeCOTukcitþ)an .


- 4 -

5> FanafasßanPaBenA KøInik nig mnÞIrBiesaFn_ ¬GKÁIsnI/ m:asuInRtCak;/ ]bkrN_epSg²¦ RtUv)anRtYtBinitüsmRsb edIm,ICYydl;kargar nigFana)annUvkareRbIR)as;sMPar³smRsb nig mansuvtßiPaB .

6> kMNt;)an nigrkSa)annUvkargarRbcaMéf¶rbs;buKÁlikenAKøInik .

7> RbmUlpþMúTinñn½y nigeFVIr)aykarN_skm μPaBRbcaMExmk ¬RsukRbtibtþi¼kariyal½yRbyuT§nwg CMgWeGds_¼mnÞIrsuxaPi)alextþ¦ nig mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nig kameraK .

8> RKb;RKgsþúk/ karesñIsMu»sf nigsMPar³brikçaeRbIR)as;sMrab;KøInik .

9> raykarN_BI]bkrN_EdlmindMeNIrkar b¤ xUcminGaceRbI)anmk mCÄmNÐlCatiRbyuT§nwg CMgWeGds_ esIEs,k nig kameraK .

10> shkarCitsñiTCamYyRkumkargareRbIR)as;eRsamGnam½y nigkmμviFIGb;rMpÞal;Edlsßitkñúg kargareRbIR)as;eRsamGnam½y 100° .

11> pþÜcepþImKMnitR)ab;GñkCMgWkameraK»yeTAmNÐlpþl;RbwkSa nigeFVIetsþQamrkemeraKeGds_ nigrkSakarsMgat;EdlsmRsb/ karEfTaMBüa)al/ nig esvaEfTaMsuxPaB nig esvaKaMRTepSg² eTot .

2>1>2>4> karbgáarCaskl

edIm,IeCosvagkarqøgeraKBIGñkCMgWeTAGñkCMgW b¤ BIGñkCMgWeTAGñkpþl;esvaEfTaMsuxPaB buKÁlikKøInikTaMgGs; Kb,IeKarBtamcMNucsMxan;²dUcxageRkam ³

• lagéd • eRbIeRsaméd • kan;m¢úl b¤ ]bkrN_mutRsYcedayRbugRby½tñ • eRbIR)as;]bkrN_epSg²edaysuvtßiPaB • e)aHecalkaksMNl;edaysuvtßiPaB

¬Bt’manlMGitGacrk)anenAkñúgeKalkarN_ENnaMsþIBIkarbgáarCaskl¦


- 5 -

2>1>2>5> kareRbIR)as;»sf nigsMPar³eRbIR)as;epSg²

RKb;KøInikTaMgGs; Kb,IFanamin»ydac;sþúknUv»sfcaM)ac;nana EdltMrUv»ymansMrab;kar Büa)alCMgWkameraK ¬dUcmanenAkñúgKMrUsþg;daénkarBüa)al¦ b¤ GacmanlT§PaBrk»sfTaMgGs; enaH)antamry³»sfsßanenAnwgmUldæan b¤ KøInik. karsþúkTuk»sfenAKøInik KW rkSaeGay)annUv nirnþPaBénkarbnþBüa)al nig karpÁt;pÁg;»sfRKb;RKan; . ral;kareRbIR)as;»sf nigsMPar³KøInik Kb,ITukeGay)ansmrmü nig minhYskalbriecäTeRbIR)as; . bBa¢IsareBIP½NÐén»sfsarvnþ½sMxan;² manraykñúg]bsm<½n§TI 4 .

2>1>2>6> ]bkrN_BinitüCMgW

KøIniknImYy²Kb,IEfrkSaeGayRtwmRtUv ]bkrN_sMxan;²sMrab;BinitüCm¶WkameraK Edlmanray enAkñúg]bsm<½n§TI 5 .

2>1>2>7> ]bkrN_mnÞIrBiesaFn_

KøIniknImYy²Kb,IEfrkSaeGayRtwmRtUvnUv]bkrN_eRbIR)as;sMxan;² sMrab;mnÞIrBiesaFn_ Edl manrayenAkñúg]bsm<½n§TI 6 .

2>1>3> karRsg;RbvtþiCMgW

edIm,IRKb;RKgGñkCMgWEdlmkBinitüBüa)alCm¶WenAKøInikkameraKeGaymanRbsiT§iPaB caM)ac;RtUv eFVIkarBinitünigtamdanGñkCm¶W cab;BIedImdMbUgrhUtdl;TIbBa©b;; . kargarenH tMrUveGayRKUeBTükt;Rta RbvtþiCm¶W/ karBinitüCm¶W/ karBüa)al nigkarpþl;RbwkSaGb;rMGñkCm¶W.

bBa¢IRsg;RbvtþiCMgW )anbegáIteLIgedayRkumkargarbec©keTsénkargarEfTaMBüa)alCMgWkameraK edIm,ICYydl;RKUeBTübMeBjnUvBt’mansþIBIRbvtþiCMgW edayrYmTaMgsMnYrEdlTak;TgnwgkarRbRBwtþpøÚvePTEdl Gacecosvag)anBIkaryl;sμanxusGMBICMgW. eBlRsg;RbvtþiCMgW vaCakarsMxan;Nas;EdlRKUeBTüRtUv ³

• Fana»y)annUvkarrkSakarsMgat;rbs;GñkCMgWkñúgeBlpþl;RbwkSaedayRtUverobcM kEnøgEdl KμankarrMxanBIGñkdéTsMrab;eFVIkarsMPasn_. RbsinebIminGacsMPasn_GñkCMgWenAkñúgkEnøg BinitüCm¶W)an RtUveRbIR)as;rnaMg)aMgEdlman tMélefak dUcCa vaMgnn b¤ r)aMgLb;EL ehIyKb,IBüayamniyaytic²kñúgeBlsMPasn_.

• eRbIBaküsamBaØ²gayyl; CaCageRbIBakübec©keTs


- 6 -

• sYrsMnYrebIk (Open-ended questions) edayminbgá»yGñkCm¶WmankarRBYy)armÖ edIm,ITTYl)annUvcMelIyc,as;las; .

2>1>4> karBinitürkeraKsBaØaKøInik 2>1>4>1> karBinitüragkay nig EpñkxageRkaméneBaH

eKalbMNgkñúgkarBinitüenH KWedIm,IbBa¢ak;BIeraKsBaØaénCMgWkameraKepSg² EdlGñkCMgW)an erobrab;R)ab; . EpñkenH Bnül;GMBIGVIEdlRtUveFVIenAeBlBinitüCMgWburs nig RsIþ .

k> GñkCMgWburs

bnÞab;BIBak;eRsamédrYc ³

o Binitük,al¼k rkemIlsk;EdlRCuH ¬CMgWsVaykMritTIBIr ³ secondary syphilis¦ / kareLIgkUnkNþúr (adenopathy)

o Binitükñúgmat; rkemIl pSit (thrush), duHsac;sirman; (wart) o BinitüEs,kBIp©itdl;CgÁg;rkemIlknÞÜlrmas; (rash) epSg o BinitüEs,ktambeNþayligÁBIKl;dl;cug . kt;sMKal;BIsñamknÞÜl (rash) b¤ dMe)A (ulcer)

epSg². karbgðaj eraKsBaØaCMgWsVaykMritTIBIr (secondary syphilis) KW CaTUeTA elc eLIgenAelIEs,k . eraKsBaØaEdlecjenAelIEs,k KW CaTUeTAminrmas;eT (nonpruritic) ,

manelcecjCaknÞÜlenAelIEs,k (maculopapular) . ry³eBlBI 1 eTA 6 s)þah_ bnÞab;BIdMe)A)anCasHes,Iy CaTUeTAGñkCMgWmanelcecjcMNucknÞÜlRkhmRsalenAelI RbGb;éd nig RbGb;eCIg b:uEnþCYnkalGacecjBaseBjxøÜnTaMgGs; . eraKsBaøaepSgeTot man RKunekþA/ QWbMBg;k/ QWk,al/ karQWcab;enAtamsnøak;édeCIg/ RskTMgn;/ RCuHsk; nigknÞÜlrmas;pgEdr .

o BinitüemIlenAeramelIf¶asRbdab;ePT edIm,IrkemIlsBaØaénkarqøg):ar:asuItEdlrs;enAelI Rbdab;bnþBUC (ecto-parasite infestation)

o sÞabrkemIlkUnkNþúrenARkelonEdlGacrIkFMehIyQWcab; (inguinal lymph node enlargement and tenderness).

o BinitüemIlsñamknÞÜlrmas;enAmþMúRkelon (inguinal folds)

o sÞabemIlBgsVas nigkarQWcab;enABgsVas . édmçagcab;BgsVasRTfñm² mþgmçag ehIy sÞabrkbMBg;eGBIDIDIm (epididymis) edayRmamédEdlkMBugRTBgsVasenaH .

o TajEs,kEdlRKbk,alligÁmkeRkay edIm,IBinitürkemIldMe)A nigkarhUrxÞúH .


- 7 -

o BinitürkemIlenArn§bgðÜrenam edayTajEjkcugsgxag . cUrrkemIlkarhUrxÞúH bJu dMe)A . o c,ÚtelIbgðÜrenam BIKl;ligÁdl;cugligÁ edIm,IBinitüemIl»yc,as;famanhUrxÞúHbJueT .

o BinitürkemIleraKsBaØa hUrxÞúH/ hUrQam/ duHsac; bJu dMe)AepSg² enAmþúMTVarlamk ¬elIPñasesIménfg;lamk nigrn§lamk¦ .

x> GñkCMgWRsþI

bnÞab;BIBak;eRsamédrYc ³

o eRbIBil edIm,IBinitüemIlmat; nigGNþatrkemIleraKsBaØaénkarbgáeraKenAmþúMbMBg; k (pharyngeal)

o saksYrGñkCMgW faetIKat;)aneRtomxøÜnsMrab;eFVIkarBinitüehIybJuenA . RbsinebIKat;)an erobcMxøÜnehIy cUrsMueGayKat;edkelIERKBinitü nigbiTvaMgnnCMuvijERK .

o sÞabEpñkxageRkaméneBaH ³ cUrBinitüemIl nigsÞabeBaHrkkEnøgEdlmankarQWcab;/ mandMu .

o enAmþMúf¶aselIRbdab;bnþBUC ³ BinitürkemIl éc/ duHsac;/ molluscum nig dMe)A .

o enAtMbn;cenøaHTVarmasnigrn§KUf/ tMbn;CMuvijrn§KUf nig rn§KUf ³ BinitürkemIleraKsBaØaepSg² dUcCa sirman;/ dMe)A TVarlamk .

o bbUr (Labia) nigmat;rn§TVarmas (introitus) ³ Ejk nig BinitüemIlelIbbUrFM (labia

majora) / bbUrtUc nigmat;rn§TVarmas rkemIlsirman;/ dMe)ABgEbk (herpes lesions) / Føak; s bJuhUrxÞúHtamTVarmas/ nigkarrlakenARkeBj Bartholin.

o karBinitües<KULÚm edaymindak;eRbgrMGil/ BinitüemIlBN’rbs; s EdlecjBITVarmas/ brimaN/ køin/ PaBkkdMu² nig kMhab; . cUrBinitüenAelICBa¢aMgTVarmas nigmat;s,Ún edIm,IrkemIlsirman; bJu dMe)A nigBinitümat;s,ÚnrkemIlkarFøak; s bJu hUrxÞúH .

2>1>4>2> karRbmUlvtßuúviPaK (Specimen)

• enATVarmas ³ Rsg;ykvtßúrav (vaginal fluid) enAkñúgTVarmasEpñkxageRkayénmat; s,Ún (posterior fornix) edayeRbIR)as;sMLIt,ar (swabs) BIr nigeCosvag karRsg; ykedayvtßúravecjBImat;s,Ún (cervical secretions). sMLIt,arTImYy RtUvykmk remolenAelIkBa©k;Lam (microscope slide) Tuk»ys¶Üt edIm,IbMBak;B’NRkam (Gram stain) sMrabeFVI;viPaKedaymIRkUTsSn_ . kBa©k;LamTIBIr sMrab;karviPaKRss;² Pøam² (wet preparation).


- 8 -

• enAmat;s,Ún ³ cMeBaHsMLIEdlt,arenAkñúgmat;s,Ún RtUvrujremolenAkñúgrn§mat;s,Ún ry³eBl 10 vinaTI eRkayBIsMGatelImat;s,ÚnehIy. bnÞab;mkRtUvrujremol enAelI kBa©k;LamsMrab;viPaK rYcTuk»ys¶Üt edIm,IbMBak;B’N methylene blue sMrab;eFVI;viPaK rkcMnYneKalika s edaymIRkUTsSn_ .

• karbUmQam ³ bUmQamcMnYn 5cc dak;kñúgbMBg;TIbs¶ÜtEdl)ansMlab;emeraKrYc ehIy manqñúkbiTCit KWCaviFIEdleFVICaRbcaMsMrab;GñkEdlmkBinitüelIkTI 1 .

2>1>5> kareFVIetsþenAmnÞIrBiesaFn_

kareFVIetsþrkemeraKbgáCm¶WkameraK RtUv)andak;bBa©ÚlCaEpñkmYyrbs;mnÞIrBiesaFn_énmnÞIreBTü bEg¥kEdl KøInikkameraKenaHsßitenA .

2>1>5>1> kareFVIetsþrkemeraKbgáCm¶WkameraKenAmnÞIrBiesaFn_

• enAkñúgbnÞb;BiesaFn_/ QamEdlbUmykBIGñkCm¶W RtUvRsg;ykEtesr:Um edaykarbMEbkeKalika QamRkhmecj tamry³karbgVilnwgm:asuInsg;RTIhVúy (centrifugation). esr:UmenH nwgRtUv eRbIsMrab;eFVIetsþ RPR tamEbbKuNPaB (qualitative) nigtamEbbbrimaN (quantitative)

edaykarBinitükMritviC¢manénetsþ (titre) Ep¥ktameKalkarN_ENnaMsþIBIkareFVIetsþnana enAmnÞIr BiesaFn_sMrab;kareFVIeraKvinicäy½Cm¶WkameraK .

• Gñkbec©keTsmnÞIrBiesaFn_RtUveFVIetsþPøam² (wet preparation) nUvvtßúravRss;² Edl)anRsg; ykenAkñúgTVarmas (vaginal fluid) EpñkxageRkayénmat;s,Ún (posterior fornix) edIm,I BinitüedIm,IrkemIlemeraKRTIkUm:UNas; (Trichomonas vaginalis) EdlkMBugeFVIclnarvic² (motile flagellates) nigrkemIlBBYkpSitEdlman ragCaExñg b¤ EmkeQI (yeast) (hyphae

and budding yeasts) . • s bJu vtßúravEdlRsg;ykecjBITVarmasRtUveFVI»ys¥itCab; (staining) CamYykBa©k;Lam bnÞab;

mkRtUvbMBak;B’NRkam Gram stain edIm,IrkemIl pSit (yeast) b¤ BBYk bacterial vaginosis

(BV) tamviFI Nugent scores . • s bJu vtßúravEdlRsg;ykecjBImat;s,ÚnRtUveFVI»ys¥itCab; (staining) CamYykBa©k;Lam bnÞab;

mkRtUvbMBak;B’N Methylene blue edIm,IBRgIkemIledaymIRkUTsSn_rab;cMnYn eKalikaQam s . RtUvBinitü»y)any:agehacNas; 10 rgVg;emIlkñúgmIRkUTsSn_ (10 adjacent fields) munnwg KNnarkcMnYnmFüméneKalikaQam s enH.


- 9 -

lT§plénetsþTaMgenaHRtUvsresrenAelIbNÑ½viPaK ehIybBa¢Únmk»yRKUeBTüvij edIm,IeFVIeraK vinicäy½nigpþl;nUvkarBüa)alNamYyEdlcaM)ac;dl;GñkCm¶W . Gñkbec©keTsmnÞIrBiesaFn_ Kb,Ipþl;nUv lT§plenaH kñúgkMlugeBlEdlGñkCm¶WkMBugrg;caMenAKøInik .

2>1>6> karRtYtBinitüKuNPaBmnÞIrBiesaFn_

niyaménEbbbTGnuvtþ (SOP) KWCaEpñkmYysMxan;énRbB½n§RKb;RKgKuNPaBnana . karRtYt BinitüKuNPaBenAkEnøgepSg (Quality Control : QC) Tak;TgnwgKøInikkameraKextþ-Rkug nwgRtUv eFVIeLIgedaymnÞIrBiesaFn_énKøInikCatiesIEs,knigkameraK .

eKalbMNgénkarRtYtBinitüKuNPaBenH KW edIm,IbBa¢ak;BIsuRkitPaBénlT§plEdl)anviPaK enAtammnÞIrBiesaFn_kameraKextþ-RkugnImYy² . dUecñHmnÞIrBiesaFn_Edl)aneFVIetsþ RPR, Methylene

blue nig Gram stains RtUvbBa¢ÚnKMrUvtßúEdlviPaKehIyenaH (Specimen) mkRtYtBinitüeLIgvijenA mnÞIrBiesaFn_énKøInikCatiesIEs,knigkameraK tameKalkarN_dUcxageRkam ³

k> etsþ RPR

1> RKb;esr:UmQam (serum specimen) TaMgGs;Edl RPR viC¢man RtUvbBa¢Únmk mnÞIrBiesaFn_énKøInikCatiesIEs,knigkameraK .

2> cMeBaHesr:UmQam (serum specimen) TaMgGs;Edl RPR GviC¢man ³

k> RbsinebIman specimen ticCag 10 kñúg 1 Ex RtUvbBa¢ÚnmkTaMgGs;

x> RbsinebIman specimen cenøaHBI 11 eTA 50 kñúg 1 Ex RtUvbBa¢Únmk 30°

K> RbsinebIman specimen elIsBI 50 kñúg 1 Ex RtUvbBa¢Únmk 20°

x> vtßúviPaKEdlRsg;ecjBIrn§mat;s,Ún nigTVarmas (Cervical and vaginal smear)

1> Smear viC¢man ³ RtUvbBa¢ÚnmkmnÞIrBiesaFn_TaMgGs;

2> Smear GviC¢man ³

k> RbsinebIman specimen ticCag 10 kñúg 1 Ex RtUvbBa¢ÚnmkTaMgGs;


- 10 -

x> RbsinebIman specimen cenøaHBI 11 eTA 50 kñúg 1 Ex RtUvbBa¢Únmk 30° K> RbsinebIman specimen elIsBI 50 kñúg 1 Ex RtUvbBa¢Únmk 20°

2>1>7> eKalkarN_ENnaMsMrab;karBüa)al

karBüa)alqab;rh½s nigmanRbsiT§iPaBGackat;pþac;dMeNIrkarénkarqøg nigbgáarnUvkarvivtþn_ én Cm¶WEdlQaneTArkplvi)akF¶n;F¶rnana nigplb:HBal;dl;ragkaykñúgry³eBlEvg .

2>1>7>1> karBüa)al

cMeBaHRKUeBTüBüa)alTaMgGs; Kb,IRKb;RKgCMgWkameraKedayeKarBtameKalkarN_ENnaM CatisþIGMBIkarRKb;RKgnigEfTaMCMgWkameraK .

2>1>7>2> kareRbIR)as;»sf nigRbtikm μ»sf

BinitürkemIlkareRbIR)as;»sf nigRbtikmμén»sfTaMgenaH . cUrsaksYrGMBIkareRbIR)as; »sfnaeBlfμ I²enH nigRbtikm μepSgEdlekItmaneBleRbIR)as;»sf .

2>1>8> Bt’man/ karGb;rM nigkarpþl;RbwkSa

bnÞab;BICYbCamYyevC¢bNÐit¼RKUeBTü ral;GtifiCnTaMgGs;RtUv)anTTYlnUvkarpþl;RbwwkSasþIBICMgW eGds_ nigkameraK/ eRsamGnam½y nigkarbgðajGMBIkareRbIR)as;eRsamGnam½y/ pþl;dMbUnμanGMBIkar RbRBwtþRbQmmuxnwgeRKaHfñak;EdlnaMeGayqøgCm¶W .

2>1>8>1> karpþl;RbwkSa

• EsVgrk nigedaHRsayral;bBaðaTaMgGs;EdlGacbNþaleGayGñkCMgWmankgVl; b¤ TukçRBYy ¬]> pþl;Bt’mandl;édKU¼bþIRbBn§GMBIkarqøg/ Gb;rMBICMgWkameeraKEdlGacnaMmknUv plvi)ak nana dUcCa GsmßPaBbnþBUC/ CMgWruaMér:¼CMgWEdlminGacBüa)alCasHes,Iy)andUcCa CMgWdMe)A BgEbk (herpes) bJu sirman;elIRbdab;bnþBUC (genital wart)/ edaHRsayGarmμN_Edl ecHEtKitfaxøÜnmanCm¶W .

• CYyGtifiCneGayTTYlsÁal;nUv]bs½KÁnanakñúgkarkat;bnßykarRbQmmuxnwgeRKaHfñak; • CYyGtifiCneGaykMNt;rknUvviFIeCosvagkarRbRBwtþEdlRbQmmuxnwgeRKaHfñak; • CYydl;GtifiCn»ycab;epþImpøas;bþÚrkarRbRBwtþ


- 11 -

2>1>8>2> karGb;rM

• BiBN’naBIviFIeCosvagkarqøgeraKCaf μ ImþgeTot • Bnül;BIviFIkt;sMKal;eraKsBaØanana nig sarsMxan;énkarEsVgrkkarBüa)alCMgWkameraKTan;

eBlevla • pþl;eyabl;dl;GtifiCnEdlRbQmmuxx<s;nwgeRKaHfñak; eGayEsVgrkmNÐlpþl;RbwkSaeFVI

etsþQamrkemeraKeGds_ edaysμRK½citþ nigrkSakarsMgat; • pþl;b½NÑBinitünigBüa)alEdlmanelxkUdsMKal;dl;RsþIrksuIpøÚvePT . b½NÑenHminman

eQμaHrbs;Gñkkan;b½NÑeT . b½NÑenH nwgRtUveRbIR)as;sMrab;karmkBinitüRbcaMExenAKøInik kameraK .

2>1>8>3> karRbtibtþitamevC¢bBa¢aRtwmRtUv-eTogTat; nigCab;lab;

• epþatkarykcitþTukdak;kñúgkarEfTaMBüa)al»y)ancb;sBVRKb; CaBiess krNICMgWrlak Eb:lvIs (PID)

• RtUvFanafa GtifiCn)andwgfa eBlNaRtUvRtLb;mkBinitütamdanCMgWmþgeTot . burs nigRsþIempÞH KYrKb,IRtLb;mkvijenAeBlEdlBYkeKenAmaneraKsBaØa . k¾b:uEnþcMeBaH RsþIrksuIpøÚvePT RtUvmkBinitüCMgWenAKøInikCaerogral;Ex ebIeTaHbICaBMumaneraKsBaØak¾eday.

• pþl;eyabl;dl;GtifiCn GMBIsar³sMxan;kñúgkareRbIR)as;»sftamevC¢bBa¢aRtwmRtUv ehIykar eRbIR)as;»sfEdlBüa)aledayRKUbUraN b¤Gñklk;»sf minmanRbsiT§iPaBkñúgkarBüa)al CMgWkameraKeT .

• Kb,IsYrGtifiCnfa etIBYkeKGacdwgCamun)anbJueT BI]bsKÁ½epSg² kñúgkareRbIR)as;»sf Büa)al»y)ancb;sBVRKb;¼tamdankarbBa¢ÚnCMgW nigrkdMeNaHRsayepSg² .

2>1>8>4> eRsamGnam½y

• epþatkarykcitþTukdak; nig Bnül;GMBIsarsMxan;énkareRbIR)as;eRsamGnam½ysMrab;kar karBar ¬karBarkarqøgCMgWkameraK¼emeraKeGds_ nigkarmanKP’edaymin)aneRKagTuk¦

• Bnül; nigbgðajBIrebobeRbIR)as;eRsamGnam½y nigsMueGayGtifiCnbgðajBIkareRbIR)as; enHpgEdr .

• pþl;eRsamGnam½ymYycMnYndl;GtifiCn .


- 12 -

2>1>8>5> karBieRKaHtamdanCMgW

• RbsinebImankarBüa)al b¤ pþl;»sf»yeRbIR)as; sUmesñIGñkCMgWeGayRtLb;mkvijenA s)þah_eRkay edIm,IBieRKaHtamdansPaBCMgW .

• cMeBaHRsþIrksuIpøÚvePT RtUveGaymkBinitüCMgWCaeTogTat;erogral;Ex k¾b:uEnþeTaHCay:agNa k¾eday GñkCm¶WKYrRtLb;mkvijenARKb;eBl RbsinebImankar)armÖBIeraKsBaØaNamYy .

2>1>9> karRKb;RKgTinñn½y 2>1>9>1> karbMeBjsMNMuÉksarRbvtþiCMgW (Standard Medical History)

RKb;kMNt;ehtuTaMgGs; RtUvrkSaTukenAkEnøgdUcKña . vaGacFanamin»ymankar)at;bg; Bt’man ehIyral;Bt’manTaMgGs;GacnwggayRsYlrk .

sMNMuÉksarRbvtþiCMgW (SMH) sMrab;RsþIrksuIpøÚvePT nwgRtUvrkSaTuktameQμaHpÞHbMerIesvapøÚv ePT nimYy² .

2>1>9>2> RbBn§½Tinñn½yCMgWkameraKtamkMBüÚT½r (STI Database)

buKÁlikKøInikTaMgGs;Kb,IbBa©ÚlTinñn½yeTAkñúgkMBüÚT½reGayTal;eBlevlakñúgs)aþh_ bnÞab;BI karBieRKaHnigBinitüBüa)alCMgWrYcmk .

2>1>9>3> r)aykarN_

1> kareFVIr)aykarN_)anl¥RtwmRtUvGacCYy»ykm μviFICati BinitütamdanesvaénKøInikkameraK ehIyGnuBaØat»ykarvaytMélénkmμviFIenaHmann½yRKb;RKan; . ¬sUmemIlKMrUr)aykarN_ mYycMnYnenA]bsm<½n§TI 7¦ .

2> TMrg;r)aykarN_TaMgGs;RtUvbMeBjeGay)anRtwmRtUv ehIyepJImkkan;EpñkRKb;RKgTinñn½y én mCÄmNÐlCatieGay)aneTogTat;nigTan;eBlevla ¬r)aykarN_RbcaMEx/ RbcaMRtImas nig RbcaMqñaM¦ .


- 13 -

3- karelIkkMBs;smtßPaBmRnþIKøInikBüa)alCm¶WkameraK

karelIkkMBs;smtßPaBmRnþIEdlbMerIkarenAKøInikBüa)alCm¶WkameraK nig mnÞIrBiesaFn_ RtUv)an kMNt;CaGaTiPaBmYy edIm,IFananUvkareFVI»ykan;EtRbesIreLIgnUvkarpþl;esvaEfTaMBüa)alkarbgáeraK tamkarrYmePTnigRbdab;bnþBUC EdlRbkbedayKuNPaBnigRbsiTi§PaBx<s; CaBiesskareFVIeraKvinicäy½ nigBüa)alCm¶WedayBwgEp¥kelImnÞIrBiesaFn_ . EpñkRKb;RKgBüa)alkarbgáeraKtamkarrYmePT nigRbdab; bnþBUC RtUvshkarCamYyKøInikCatiesIEs,knigkameraK edIm,IbNþúHbNþalCMnajbec©keTs TaMgKøInik nig mnÞIrBiesaFn_ CUndl;mRnþIKøInikkameraKextþ-RkugTaMgGs;enaH .

3>1> karbNþúHbNþaldMbUg (Initial training) 3>1>1> karbNþúHbNþaldMbUgdl;Gñkpþl;esvaEfTaMBüa)al

Gñkpþl;esvaEfTaMBüa)alCm¶WkameraK RtUv)anbNþúHbNþalCMnajCaelIkdMbUgry³eBl 2s)þah_ ¬RTwsþI 1 s)þah_ nig km μsikSa 1 s)þah_¦ enAkñúgvKÁRKb;RKgEfTaMnigBüa)alCm¶WkameraK Edlman rYmbBa©Úl ³

• karRKb;RKgnigEfTaMBüa)alCm¶WkameraKedayBwgEp¥kelIcegáameraKsBaØa • karRKb;RKgnigEfTaMBüa)alCm¶WkameraKedayBwgEp¥kelImnÞIrBiesaFn_ • karRKb;RKgnigEfTaMBüa)alCm¶WkameraKenAelIRsþIrksIupøÚvePT

3>1>2> karbNþúHbNþaldMbUgdl;Gñkbec©keTsmnÞIrBiesaFn_

Gñkbec©keTsmnÞIrBiesaFn_sMrab;Cm¶WkameraK RtUv)anbNþúHbNþalCMnajCaelIkdMbUgry³eBl 2 s)þah_ ¬RTwsþI 1 s)þah_ nig kmμsikSa 1 s)þah_¦ enAkñúgvKÁbNþúHbNþalbec©keTs mnÞIrBiesaFn_ sMrab;RsavRCavCm¶WkameraK .

3>2> karbNþúHbNþalbMb:n (Refresher training) 3>2>1> karbNþúHbNþalbMb:nGñkpþl;esvaEfTaMBüa)al

Gñkpþl;esvaEfTaMBüa)alCm¶WkameraK Edl)anbNþúHbNþalCMnajCaelIkdMbUgrYcehIy RtUv)an eRCIserIs»ycUlrYmkñúgkarbNþúHbNþalbMb:nCMnajnigcMeNHdwgfμ I²sþIBI karRKb;RKgBüa)alkarbgáeraK tamkarrYmePTnigRbdab;bnþBUC EdlerobcMeLIgCaBIrvKÁ ry³eBl 3éf¶ Caerogral;qñaM .

HfmmmgWH21'titLUlwBwmhlHmmnei ttlruUl2mUlmllillruG21mthtrun~Ui1HmSim d; 1J. '-'" .., r: n -o v u

rnIUlEHlt1wi1w~m~ru~HrJi1rnmrrr!m[l-nlrulh1BG21Q] Bi1 ~HlmBi1Y9 ~~rnl1mei2121wmhg , ,

mei1Byill Bi1 njlUlrurnm~mmi1Hrnr~HU'i9Bi1lUtl1UU~~tl ttlruUju~mji1th~rI~ Hu:mru

mt~ thtrji1mli;fJ ~

aI.Qt. uRWBnmritims (Regional network)

t~Hj~mHrnui1rnnBiTIBnrnmneimsru~mtlfijnJltU'SflJU'iBi1ttinrtrunUg'titLUlwBrrnm

1Q]tmHri ~TIBn~mtmTIBn~mmjn 9li1rnr'tiBnjnj1Ulrutlg Bi1rnr1mei2121tBiH~I'titLUlWB

TIBnrnHmei9li1t21g rnIUlStU'U~~mmsthurrr!1Q]mfigi1rJltmmm'iUBB~m9 :

• ftUSg ID : NtltimH. Ntltiii. tttltIi1 Bi1 ~mUji1

• rmS9 m: Ulft~Ui1. u~mmstlriL Lryi1trrrus. a~rmstlill. tWjHnu Bi1 tmGLUlft

• ftUB9 G: mtriI. ~tln. Lryi1lm~Ul~ Bi1 trngryi1

• ftUB9 ef : lmm. ~i1tlni1. ms:m. HUQrum Bi1 lm1Ul11 '1

Ulli1:)CU9li1tsgBi1~U~rJl rli1 fijlJlLUlrulwmw~ruU[l~CU TIBnrnmnm2~ -Lryi1 ttlruTIJl[i~ I

tmmj:mru I£J t~ qi1~mif1~i1 tBimHUU!rt2~-Lryi1ttlruTIBn9li1t21g~mBi ttl1m~w¥nrB~

thtrji1mli;fJ '1

t~nleiUleii1tlJlUlrurnm~meimHrnl~ml'ig Bi1 lutl1uu~~tl rnItruninni1131rnlum;fJ

tmmWUlrnnU'u~fijlJlt'UlrultBgth~mTIBnth~htlitwjriBi1mHmei '1

- 0G


- 15 -

]bsm<n§½TI 1 ³ RbvtþinigmUlehtuénkarmkBieRKaHCMgW

RKUeBTüKb,Irk»yeXIjnUv eraKsBaØaEdl)anerobrab;R)ab;edayGñkCMgW EdlbBa¢ak;»yeXIj nUvvtþmanénCm¶WkameraK nigry³eBlEdlEsþgecjCaeraKsBaØarYmman ³

1- cMeBaHGñkCMgWRsþI

• Føak; s ¼ hUrxÞúHtamTVarmas (Vaginal discharge)

• QWcukcab;enAEpñkxageRkaméneBaH (Lower abdominal pain)

• QWcab;enAeBlrYmePT (Painful intercourse)

• rlak (Lesion)

• Bi)akenam (Dysuria)

• RKunekþA (Fever)

• rmas;TVamas (Itching vaginal)

• eraKsBaØaepSg²eTot (Others) edaybBa¢ak;»yc,as;BIeraKsBaØaenaH • KμaneraKsBaØa (No symptoms)

2- cMeBaHGñkCMgWburs

• hUrxÞúHtambgðÜrenam (Urethral discharge)

• dMe)AenAelIRbdab;bnþBUC (Genital ulcer)

• sirman; (Genital warts)

• ehImBgsVas nigmankarQWcab; (Scrotal pain/swelling)

• Bi)akenam (Dysuria)

• rmas;knÞÜlelIEs,k (Skin rash)

• ehImkUnkNþúr (Adenopathy)

• hUrxÞúHtamrn§KUf (Anal discharge)

• eraKsBaØaepSg²eTot (Others) edaybBa¢ak;»yc,as;BIeraKsBaØaenaH • KμaneraKsBaØa (No symptoms)


- 16 -

]bsm<n§½TI 2 ³ RbvtþiénkarBnüakMeNItsMrab;RsþI

karbgáar nig ral;karBak;B½n§eTAnwgkarbgáeraKtamkarrYmePTnigRbdab;bnþBUC (STI/RTI) Kb,I RtUv)anelIkykmkBiPakSaCamYyRKb;GtifiCnTaMgGs;rbs;esvaBnüakMeNIt enARKb;eBlEdlBYkKat; mkBinitüCm¶W ³

o eRbIR)as;esvaBnüakMeNIt dUcCa fñaMcak;/ fñaMRKab;/ eRsamGnam½y/ dak;kgeRkamEs,k (Implant), dak;kg (IUD)

o cMnYndgénkarmanépÞeBaH/ cMnYnkUnEdlkMBugrs;enA o cMnYndgénkarBnøÚtkUn bJurlUtkUnedayÉkÉg (Induced or spontaneous) o karmkrdUvcugeRkay


- 17 -

]bsm<n§½TI 3 ³ karRbRBwtþEdlRbQmmuxx<s;nwgeRKaHfñak;

Kb,IrkeXIjnUv karRbRBwtþEdlRbQmmuxx<s;nwgeRKaHfñak; EdlCH\T§iBldl;suxPaBpøÚvePT rbs;GtifiCn rYmman ³

1- sMrab;RsþI ³

o etIGñkCMgWyl;dwgGMBIviFIeRbIR)as;eRsamGnam½yEdrb¤eT ? o etImanGtifiCneTogTat;¼mitþRbusb:un μannak;kñúgkMLúg 3 Exknøgmk ? o etIRbRBwtþrYmePTtamviFIEbbNaCamYyGtifiCn¼mitþRbus ¬]> rYmePTtamTVarmas/

tammat;/ b¤tamrn§KUf¦ o etImaneRbIeRsamGnam½yenAeBlrYmePTcugeRkayCamYyGtifiCn¼mitþRbusbJueT? o sYrGMBIRbePTfñaMejónEdleRbIR)as;edayGñkCm¶W ¬RbsinebImaneRbIR)as;¦

2- sMrab;burs ³

o etImanédKUrYmePTb:un μannak;kalBIqñaMmunknøgmk? o etImaneRbIR)as;eRsamGnam½ybJueT enAeBlrYmePTelIkcugeRkay? o manédKUrYmePTécdnübJueT kñúgExknøgmk ? o etIFøab;manekItCMgWkameraKEdrb¤eT ? o etIGñkCm¶WmaneRbIR)as;fñaMejónEdrb¤ enAeBl\LÚvenH ?

3- sMnYrbEnßmeTotsMrab;bursrYmePTCamYyburs ³

o etIGñkmanrYmePTCamYyburs/ RsþI b¤ TaMgBIrePT ?

o etICaTUeTAGñkrYmePTtammat; b¤ tamrn§KUT?

o etIGñkcUlcitþ»yeKbBa©ÚlRbdab;ePTmkkñúgmat;¼rn§KUfrbs;xøÜn (Receptive sex) bJu cUlcitþbBa©ÚlRbdab;ePTxøÜneTAkñúgmat;¼rn§KUfrbs;eK (Insertive sex) ?

4- karvaytMélBIkarRbQmmuxnwgeRKaHfñak;

cMeBaHCMgWrlakmat;s,Ún (Cervicitis) karRbQmmuxnwgeRKaHfñak;KWmansarsMxan;Nas;kñúg karvaytMélelIRsþIEdlmanCm¶WFøak; s bJuhUrxÞúHtamTVarmas (Vaginal discharge) EdlGacmanCm¶W rlakmat;s,Ún nig rlakTVarmas (Vaginitis) dMNalKñakñúgeBlEtmYy EdlpÞúyeTAnwgGñkEdlman


- 18 -

Cm¶WrlakTVarmasEtmYymux . vak¾Ca]bkrN_mYysMxan;EdrkñúgkarBinitüRsavRCavRsþIEdlK μaneraKsBaØa CMgWkameraK kñúgkrNIEdlKøInikenaHBMumansmtßPaBeFVIeraKvinicä½yedayBwgEp¥kelImnÞIrBiesaFn_ .

4>1 karvaytMélelIkarRbQmmuxnwgeRKaHfñak;cMeBaHRsIþrksuIpÚøv ¬edaypÞal; nigRbeyal¦

rkeGayeXIjnUvsBaØaeRKaHfñak;cMeBaHCMgW cervicitis sMrab;RsþIrksuIpøÚvePTeday Ep¥kelI ³

• manhUrxÞúHelOgxab;tamTVarmas (Thick yellow discharge) • mankarQWcab;EpñkxageRkaméneBaHkñúgeBlrYmePT ¬QWcab;xøaMgdUcCab:HTgÁic¦ • rYmePTCamYyePJóv CamFüm elIsBI 5nak; kñúg 1éf¶ • rYmePTedaymin)aneRbImeFüa)aykarBarCamYyePJóvfμ I²

RbsinebIcMelIy ca+ elIsBIrsMnYr b¤ eRcInCagenH/ cUrBüa)alCMgWrlakmat;s,Ún . m:üageTotRtUveFVIkarBinitüEpñkeRkaméneBaH (Pelvic) pgEdr . kareRbIR)as;karvaytMél elIkarRbQmmuxnwgeRKaHfñak;cMeBaHRsþIrksuIpøÚvePT ¬edaypÞal; nig Rbeyal¦ manBnül; enAkñúg eKalkarN_ENnaMsþIGMBIkarRKb;RKgCMgWkameraK sMrab;RsþIrksIupøÚvePT.

4>2 karvaytMélelIkarRbQmmuxnwgeRKaHfñak;cMeBaHRbCaCnTUeTA

RsþImYycMnYnEdlenAkñúgRkumminsUvRbQmmuxx<s;nwgeRKaHfñak; ¬dUcCa RsþIempÞH¦ Edl eK)anKitfanwgmkBinitüCMgWenAKøInikkameraKenaH cUlcitþeTABinitüCm¶WenAmNÐlsuxPaBCag. eTaHbICay:agNak¾eday/ Gñkpþl;esvaEfTaMsuxPaB Kb,IykcitþTukdak;cMeBaHRsþIkñúgRkum RbCaCnTUeTAenAeBlNaEdlBYkeKmkBinitüCm¶WenAKøInikkameraK . enAeBlCYbGtifiCnEdl mankart¥ÚjEt¥rGMBIkarFøak;stamTVarmas (Vaginal discharge) Gñkpþl;esvaEfTaMsuxPaB Kb,IeFVIkarvaytMélBIkarRbQmmuxnwgeRKaHfñak;dUcxageRkam ³

• GñkCMgWt¥ÚjEt¥BIkarQWcab;EpñkxageRkaméneBaH b¤ • édKUmaneraKsBaØaCMgWkameraK b¤ • GñkCMgWmankarRbQmmuxnwgeRKaHfñak; “ viC¢man ” ³

o GñkCMgWmanGayuticCag 25qñaM o GñkCMgWminTan;erobkar Etskm μPaBpøÚvePT


- 19 -

o GñkCMgWrYmePTCamYyédKUeRcInnak;kñúgry³eBl 3 Exknøgmk o GñkCMgWmanédKUfμ Imñak;kñúgry³eBl 3 Exknøgmk

kareRbIR)as;edayRtwmRtUvnUv karvaytMélénkarRbQmmuxnwgeRKaHfñak;sMrab;RsþIkñúgcMeNam RbCaCnTUeTA KWmanBnül;enAkñúgeKalkarN_ENnaMCati sþIGMBIkarRKb;RKgniEfTaMCMgWkameraK .


- 20 -

]bsm<n§½TI 4

KMrUbBa¢IsareBIP½NÐsMrab;karRtYtBinitü»sfsarvnþ½ nigbrikçaepSg² (INVENTORY FORMS FOR ESSENTIAL DRUGS AND OTHER CONSUMABLES)

sMPar³TaMgenHRtUvesñIsuM»y)aneTogTat;eBlevlaEdl)ankMNt; . tamkareRbIR)as;KMrUbBa¢I sareBIP½NÐenH bJuKMrURbhak;RbEhlnwgKMrUenH GñkGactamdanCab;lab;nUvsareBIPNÐ½nanaEdlman nig )a:n;RbmaNdwgBItMrUvkarCak;Esþg edIm,IesñIsMubEnßmeTAtamRbePT »sf bJu brikçarnana .

KMrUbBa¢IsareBIP½NÐsMrab;karRtYtBinitü»sf (INVENTORY FORM FOR DRUGS)

eQμaH»sf brimaNkñúgsþúk brimaNRtUvkar brimaNesñIsMu kalbriecäTesñIsMu kalbriecäTTTYl Azithromycin 500mg

Cefixime 200mg

Cetriaxone 1g IM

Spectinomycin 2g IM

Benzathine PN 2,4UI IM

Metronidazole 250mg

Clotrimazole 500mg

Nystatine 20000UI

Erythromycin 250mg

Doxycycline 100mg

Cotrimoxazole 960mg

Podophyllin 25% solution

Ciprofloxacine 500mg

Acyclovir 200mg

Gentian violet solution

»sfepSg²eTot

>>>>>>>>>>>>>>>>>>>>>>>>>>


- 21 -

KMrUbBa¢IsareBIP½NÐsMrab;karRtYtBinitübrikça (INVENTORY FORM FOR CLINICAL CONSUMABLES)

eQμaHbrikça brimaNkñúgsþúk brimaNRtUvkar brimaNesñIsMu kalbriecäTesñIsMu kalbriecäTTTYl Gloves surgical sterile disposable (size: 6.5 Pair)

Syringe disposable 10ml

Needle disposable, 21Gx1/2”

Cotton wool (roll of 500g)

Alcohol 70oc

Antiseptic

Sterile cotton swab

Disposable tongue depressor

Soap

Tissue box

Sharp safe bin

Standard medical history

Condoms

SHMs women (1st visitors)

SMHs women (follow-up)

Clinical card

Laboratory bulletin form

Clinical register

Laboratory register

Torch


- 22 -

]bsm<n§½TI 5

KMrUbBa¢IsareBIP½NÐsMrab;karRtYtBinitüsMPar³eRbIR)as; (INVENTORY FORMS FOR ESSENTIAL DRUGS AND OTHER CONSUMABLES)

bBa¢IsareBIP½NÐenHCYyGñk»ytamdanCab;lab;nUvsMPar³eRbIR)as;nanaEdlman enAnwgKøInik rbs;Gñk . sareBIPNÐ½TaMgenH KYrEtcaM)ac;esñIsMuEtmþgKt; enAeBlcab;epþImdMeNIrkaresva elIkElgEtkñúgkrNIEdlmankarEbk)ak; bJucas;eBkminGaceRbIkar)an eTIbGacesñIsMuCafμ ImþgeTot .

bBa¢IraysMPar³eRbIR)as;enAKøInik (LIST OF CLINICAL EQUIPMENT AND MATERIALS)

sMPar³eRbIR)as;enAKøInik brimaN

Gynecological examination table folding 2 sections with pad -1,8 long, 60 cm wide, 75 cm high, folding table with top in two sections, removable and adjustable, plastic covered and polyurethane field pad , pair chrome-plated large bierhoff knee crutches

01

Revolving stool adjustable high -Steel enameled finish, 36 cm diameter Seat adjustable from 48 to 66cm

01

Carriage dressing -Carriage, dressing, knock-down construction: with 2 shelves approx 90x 45cm), Stainless steel

01

Sterilize hot air - Internal size approx 70 cm long x50cm deep x 70cm high - Power: 220 volts-50Hz

01

Clinical thermometer oral dual CELS/FAHR scale - Prismatic type, lens front, cylindrical bulb

02

Stethoscope -Stethoscope binaural complete for adult

01

Sphygmomanometer - Sphygmomanometer aneroid 300mm with cuff & pouch

01

Tray instrument covered -Stainless SLEEL approx: 31x20x6cm

02

Drum sterilizing cylindrical -Stainless steel construction, diameter 24cmx16cm high -Stainless steel construction, diameter 12cmx9cm high

02

Speculum vaginal bivalves -Glaives small (Duckbill vaginal speculum): 75x25mm

20

Speculum vaginal bivalves -Glaives small (Duckbill vaginal speculum): 90x30mm

30


- 23 -

Forceps -Uterine dressing Bozeman 260mm

40

Forceps -Uterine holding, straight 200mm

10

Forceps jar -Jar forceps 180mm long polypropylene

02

Scissors -Curved dissection scissors “MAYO”145mm, stainless steel

05

Scissors -Scissors surgical straight 145mm stainless steel

05

Solution cup -180ml stainless steel: top diameter 83mm, bottom51mm high

05

Tray cafeteria -Type 350x450mm, polypropylene

03

Kidney basin -475ml stainless steel

05

Kidney basin -825ml stainless steel

05

Electro-cauterization “ELECTOTOM 505” -voltage: 110-120v 60Hz, Dimension: 86mm, 250mml,235mmP, weight: 3.8kg

01

Light operating stain mobile 220volt 02

Cryotherapy (liquid nitrogen) ** (alternative option of electro-cauterization)

01


- 24 -

]bsm<n§½TI 6

KMrUbBa¢IsareBIP½NÐsMrab;karRtYtBinitüsMPar³brikçaeRbIR)as;enAmnÞIrBiesaFn_ (INVENTORY FORM FOR LABORATORY EQUIPMENT AND CONSUMABLE)

bBa¢IraysMPar³eRbIR)as;enAmnÞIrBiesaFn_ (LIST OF LABORATORY EQUIPMENT AND MATERIALS)

sMPar³brikçaeRbIR)as;enAmnÞIrBiesaFn_ brimaN

Microscope binoculars 701 -Electric & solar light -Binocular head with 45o tilt and 360o rotation -Inter pupillary distance: 52-72mm -Dioptric adjustment of +/_ 5 dp in both eye pieces -Total magnification: 1600x -Condenser Abbe of 1.25 A.N -Power 200 volts-50Hz

01 set

Fridge -Capacity: 260 liters -Shelves: 4 -Height/width/depth (external): approx 130x60x60 cm -Power: 220 volts-50Hz

01

Bench centrifuge -Max, number of tube:10x10ml -Height/width/depth (external)cm: approx: 30x40x40

01

Vortex mixer for laboratory tubes -Diameter of tube: 7-30mm -Adjustable speed -Power: 220 volts-50Hz

01

RPR shaker -Macro-Vue card test with lid -Power: 220 volts-50Hz

01

Timer alarm “Relavis” -Time setting from 0 to 60 minutes in 01 minute interval

01

Slide forceps -Dissecting straight forceps round tips -Total length 180 mm

01

Scissor -Mini safety scissors -Total length 95 mm

01

Lamp Alcohol -Alcohol burner -Screw cap jar with wick

01


- 25 -

Rack for tube -Number of tube: 24 (8x3) -Tube diameter: 12mm

01

Wash bottle -Plastic bottle -Natural polyethylene -Curved tube -volume 250ml

01

Slide staining stand -Capacity 12-14 slides -stainless steel

01

Light bulb for microscope -Spare part for microscopic binocular 701 (3 light bulbs/microscope) -Halogen lamp 6V/20W

03


- 26 -

bBa¢IrayeQμaHbrikçaeRbIR)as;enAmnÞIrBiesaFn_ (LIST OF LABORATORY CONSUMABLE)

Pipette Pasteur disposable -Glass pipette Pasteur disposable -Volume 3ml, 150 mm length

100 (box)

RPR-nosticon -Macro-Vue RPR card test for detection of Syphillis -100 test/kits

01 kits

Immersion oil -Immersion oil microscopic 100ml

01 bottle

Potassium hydroxide (KOH) - Potassium hydroxide (250g)

01 bottle

Glass slides -Thin section slides of 26x76x1.5mm, Qty box of 100 slides

03 boxes

Cover slips -Cover slip of 18x18mm, Qty box of 100

02 boxes

Swab -Sterile cotton tipped applicators

200

Xylene -Cleaning solution

01 bottle

Methylene blue -Solution for staining of smears, volume: 100ml

03 bottles

Reagents for Gram Stain -Gram stains kit with reagents ready for use -Refill bottle for Gram stain (R1-R4) “Bio-Mérieux”

01 box

Vacutainer tube -Vacutainer tube 10ml (sterile) -Dry, for serum, qty box 0f 100

01 box

Vacutainer Needle -Vacutainer Needle: 21Gx1.5, 0.8x38mm (sterile) -Qty box 0f 100

01 box

- Vagina pH paper test 01 box


27

]bsm<n§½TI 7 KMrUr)aykarN_sMrab;eRbIR)as;enAKøInikkameraK

RbcaMEx ³ RtImasTI ³ qñaM 200>>>>

eQμaHKøInik ³ RsukRbtibtþi ³ extþ-Rkug³

ExTI 1 ExTI 2 ExTI 3cMnYnsrubénGñkCMgWbursEdl)anmkBinitü

cMnYnsrubénGñkCMgWRsIþEdlmankarRbQmmuxTab)anmkBinitü

cMnYnsrubénkarBinitüelIkdMbUgsMrab;RsIþrksIupøÚvePTedayRbeyal

cMnYnsrubénkarBinitütamdanbnþsMrab;RsIþrksIupøÚvePTedayRbeyal

cMnYnsrubénGñkCMgWRsIþrksIupøÚvePTedaypÞal;mkBinitüelIkdMbUg

cMnYnsrubénGñkCMgWRsIþrksIupøÚvePTedaypÞal;mkBinitütamdanbnþ

cMnYnsrubénWRsIþrksIupøÚvePTedaypÞal;EdlbBa¢ÚnmkedayRkumkargareRsamGnam½y100° cMnYnsrubénRsIþrksIupøÚvePTedayRbeyalEdlbBa¢ÚnmkedayRkumkargareRsamGnam½y100°

Gayu srub cegáameraKsBaØa <15 15-49 ≥ 50

burs ¬krNIfIμ¦ karhUrxÞúHtambgðÜrenam

dMe)AelIRbdab;bnþBUC

sirman;

epSg²

srubkrNIfI μénGñkCMgWburs

RsIþEdlmankarRbQmmuxTab ¬krNIfIμ¦ karFøak; s¼hUrxÞúHtamT§armas

rlakT§armas

rlakmat;s,Ún

rlakT§armas + rlakmat;s,Ún

rlakEb:lvIs (PID)


sirman;

epSg²

srub


28

éf¶>Ex>qñaM eFVIr)aykarN¾ >>>>>>>>>>>>>>>>>>¼>>>>>>>>>>>>>>>>>¼ 200>>>> eQμaH nightßelxaGñkeFVIr)aykaN¾ eQμaH nightßelxaRbFanKIønik

kMNt;sMKal; ³ DSW : Direct Sex Worker ¬RsþIrksuIpøÚvePTedaypÞal;¦ IDSW: Indirect Sex Worker ¬RsþIrksuIpøÚvePTedayRbeyal¦

PID: Pelvic Inflammatory Disease ¬rlakEb:lvIs¦

RsIþEdlRbQmmuxx<s; ¬krNIfIμ ¦<15 15-49 > 50 Total

DSW IDSW DSW IDSW DSW IDSW DSW IDSW

karFøak; s¼hUrxÞúHtamT§armas

rlakT§armas

rlakmat;s,Ún


rlakEb:lvIs (PID)


sirman;

RPR + etsþviC¢man

epSg²

mkBin

itüelIk

dMbUg

srubkrNIf μ I mkBinitüelIkdMbUg

karFøak; s¼hUrxÞúHtamT§armas

rlakT§armas

rlakmat;s,Ún


rlakEb:lvIs (PID)


sirman;

epSg²

mkBin

itütamd

anbnþ

srubkrNIf μ I mkBinitütamdanbnþ

Documents

niyaménEbbbTsMrab;Gnuvtþskmμ (Standard Operating ... for STI clinic KH.pdf · RKb;KøInikTaMgGs; Kb,IFanamin»ydac;sþúknUv»sfcaM)ac;nana EdltMrUv»ymansMrab;kar ... B’N Methylene