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FHI - Family Health International
Sexually Transmitted Infections: A Strategic Framework
FHI, Arlington, VA, 2001, 21 pp

This work was supported by USAID. Reproduced with kind permission of Family Health International.


"Effective STI control can help prevent HIV epidemics in low-prevalence countries, and can help reduce the extent and impact of epidemics where HIV infection is already widespread. Providing effective curative services has been shown to enhance people’s receptiveness to prevention messages (the care-prevention synergy), while effective prevention ultimately reduces the demand for care. As clinical services are expanded to provide needed care and support for people living with HIV/AIDS, it is critically important to maintain vigorous HIV prevention efforts, including effective treatment of curable STIs. As potent cofactors, STIs continue to facilitate HIV transmission in as many as 80 percent of new infections by some estimates. Investing resources to eliminate or reduce such cofactors becomes highly cost-effective when measured against the cost of providing care and support in affected communities.This document will review strategies that have been shown to be effective in limiting the transmission and reducing the burden of sexually transmitted diseases and their sequelae. It will emphasize the major curable infections: gonorrhea, syphilis, chancroid, chlamydial infection and trichomoniasis. STI control is defined here as sustainable reduction in the prevalence of infection."

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