DESIGNATED STI/RTI SERVICES (April 2017- March 2018)
Sexually Transmitted Infections and Reproductive Tract Infections (STI/RTI) present a high burden of disease and adversely impacts the reproductive health of people & studies have shown that about 6% of adult Indian population suffers from sexually transmitted and reproductive tract infections. Individuals with STI/RTI have a significant higher chance of acquiring and transmitting HIV, therefore prevention and control of STI/STI is an effective intervention to decrease the HIV epidemic progress.
Services available in the State:
|No. of Designated STI/RTI Clinic (DSRC)||
|All District Hospital including Police Referral Hospital, Chumukidema|
|State Reference Center (SRC)||
|Naga Hospital Authority, Kohima|
|TI STI/RTI Clinic||
Elimination of Parent–to–Child transmission of syphilis (e-PTCT)
Government of India is committed to Eliminating of Parent–to–Child Transmission of Syphilis & HIV among children by 2020. As per 2010-11, HIV sentinel surveillance Sero prevalence of Syphilis in India among ANC women was .38%. Considering the low prevalence of the infection, elimination of parent to child transmission of syphilis is a feasible strategy. Syphilis infection in pregnant women and unborn infants can be cured by early diagnosis and treatment given.
Goal of the Strategy:-
To eliminate Parent to Child Transmission of Syphilis by reducing the incidence of congenital syphilis to less than 0.3 cases / 1000 live births.
- ANC coverage of ≥ 95%
- Syphilis testing in ANC attendees ≥ 95%
- Treatment of Syphilis reactive in ANC attendees ≥ 95%
National implementation Strategy
- To ensure universal registration of pregnant women at first ANC visit in first trimester
- To ensure screening of pregnant women for syphilis & HIV through single prick test at ICTC
- All sero positive pregnant mother should be given prompt treatment
- To ensure treatment of all infant born to sero positive women
- Treatment of partners of all sero positive pregnant women, promoting of condom use, Education and Counselling on risk reduction and safer sex practices to prevent infection/reinfection
Adverse outcome in untreated pregnancies affected by syphilis, India 2010-11(based on WHO tool for estimation)
|Outcome||Estimated % of adverse outcomes in untreated pregnancies affected by syphilis||Estimated number of adverse outcomes in India for year 2010-11|
|Early foetal loss/still birth||
|Prematurity or low birth weight||
|Clinical evidence of syphilis in newborn||
|Any adverse outcome||
Training of Medical Officers
With the combined effort of NHM, NSACS & FHI 360, doctors of designated STI/RTI clinics (DSRC), PHC & CHC was conducted for implementation of Elimination of Parent to Child Transmission of Syphilis and HIV 2020 on 13th & 14th December 2017 with resourse person from NACO, NETSU and NHAK.