STI-RTI

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)

12

All District Hospital including Police Referral Hospital, Chumukidema
State Reference Center (SRC)

1

Naga Hospital Authority, Kohima
TI STI/RTI Clinic

45

NGO’s

 

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

  1. To ensure universal registration of pregnant women at first ANC visit in first trimester
  2. To ensure screening of pregnant women for syphilis & HIV through single prick test at ICTC
  3. All sero positive pregnant mother should be given prompt treatment
  4. To ensure treatment of all infant born to sero positive women
  5. 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

21%

21,248

Neonatal death

9%

9111

Prematurity or low birth weight

6%

6093

Clinical evidence of syphilis in newborn

16%

16,144

Any adverse outcome

52%

52,595

 

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.