niyaménEbbbTsMrab;Gnuvtþskmμ (Standard Operating ......RPR viC¢man RtUvbBa¢Únmk mnÞIrBiesaFn_énKøInikCatiesIEs,knigkameraK . 2> cMeBaHesr:UmQam (serum specimen) TaMgGs;Edl

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

niyaménEbbbTsMrab;GnuvtþskmμPaB (SOPs) rbs;KøInikEfTaMnigBüa)alCMgWkameraK

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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 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


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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 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 .


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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¦


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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]bsm1>2>6> ]bkrN_BinitüCMgW

KøIniknImYy²Kb,IEfrkSaeGayRtwmRtUv ]bkrN_sMxan;²sMrab;BinitüCm¶WkameraK Edlmanray enAkñúg]bsm1>2>7> ]bkrN_mnÞIrBiesaFn_

KøIniknImYy²Kb,IEfrkSaeGayRtwmRtUvnUv]bkrN_eRbIR)as;sMxan;² sMrab;mnÞIrBiesaFn_ Edl manrayenAkñúg]bsm1>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


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• 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 .


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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 karBinitües1>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).


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• 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.


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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;


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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;GtifiCnEdlRbQmmuxx1>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 TMrg;r)aykarN_TaMgGs;RtUvbMeBjeGay)anRtwmRtUv ehIyepJImkkan;EpñkRKb;RKgTinñn½y én mCÄmNÐlCatieGay)aneTogTat;nigTan;eBlevla ¬r)aykarN_RbcaMEx/ RbcaMRtImas nig RbcaMqñaM¦ .


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3- karelIkkMBs;smtßPaBmRnþIKøInikBüa)alCm¶WkameraK

karelIkkMBs;smtßPaBmRnþIEdlbMerIkarenAKøInikBüa)alCm¶WkameraK nig mnÞIrBiesaFn_ RtUv)an kMNt;CaGaTiPaBmYy edIm,IFananUvkareFVI»ykan;EtRbesIreLIgnUvkarpþl;esvaEfTaMBüa)alkarbgáeraK tamkarrYmePTnigRbdab;bnþBUC EdlRbkbedayKuNPaBnigRbsiTi§PaBx1> 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

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- 15 -

]bsm


- 16 -

]bsm


- 17 -

]bsm


- 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


- 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>>>>>>>>>>>>>>>>>>>>>>>>>


- 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


- 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


- 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>>>

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


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

Documents

niyaménEbbbTsMrab;Gnuvtþskmμ (Standard Operating ......RPR viC¢man RtUvbBa¢Únmk mnÞIrBiesaFn_énKøInikCatiesIEs,knigkameraK . 2> cMeBaHesr:UmQam (serum specimen) TaMgGs;Edl