Making It Work!

This section is designed to help you find ways to apply the content of the modules to your everyday work. The following links will take you to pages in the “Making It Work” sections within each module. To return to this page, use the “back” button on your browser. Use the navigation within the module’s “Making It Work” section to review that module’s content.

Please note: There are no Making It Work items for this module.

1. Glossary of Terms. Download or print out the following
   version of the glossary for this course for reference purposes or to share with your staff or colleagues.
• Online version
2. Educational Aids. The following materials, optimized for printing, can be shared with clients, staff, or colleagues:
   • Classifications of RTIs
   • Male Sexual and Reproductive Organs
   • Female Sexual and Reproductive Organs

1. Educational Aids. The following fact sheets, optimized for printing, can be used as reference sources or when conducting staff education:
   
• Bacterial vaginosis (BV)
• Chancroid
• Chlamydia
• Genital herpes
• Genital warts (HPV)
• Gonorrhea
• Hepatitis B
• Hepatitis C
• HIV infection
• Syphilis
• Trichomonas infection
• Vaginal yeast infection (candidiasis, moniliasis)
• Cervical cancer

1. Educational Activities: Hold a session with staff and colleagues to discuss the pros and cons of each of the three management approaches. This link contains information that can be used to address some common concerns of health care providers about using the syndromic approach:
   • Addressing Staff Concerns about Syndromic Management
2. Update on STI/RTI Diagnostics. This document gives a basic update on the types of diagnostic tests for STIs and RTIs with a brief description of each.
• Download PDF version: STI/RTI Diagnostics
3. Algorithms (flowcharts). The following set of algorithms can be supplemented with data on local prevalence and adapted for use in your facility.
   • Genital ulcers
   • Lower abdominal pain
   • Scrotal swelling
   • Urethral discharge
   • Vaginal discharge
   • Vaginal discharge (with speculum and bimanual examination)
   • Vaginal discharge (with speculum and microscope)

1. Reference. The following CDC guidelines for treatment of STIs contain information on laboratory tests, drugs used for treatment, and related information pertaining to the management of common STIs.
   • Centers for Disease Control and Prevention. 1998. Guidelines for treatment of sexually transmitted diseases. MMWR 47(No. RR-1). Download PDF version.
2. Sample Partner Notification/Referral Cards. Partner referral may be enhanced by the use of special cards given to the client to pass on to his or her other sex partners, which can also help clinicians provide prompt diagnosis and treatment when partners come to a facility for care. The following are three sample cards used for this purpose.
• Sample 1: Card Used in Cameroon in Pre-packaged Prevention and Therapy Kit for Urethritis
• Sample 2: Partner Referral Slip Used in Zambian Antenatal Clinics for Women with Reactive Syphilis Serology
• Sample 3: Contact Tracing Card Used in Zimbabwe
3. Educational/Counseling Aids. The following reference cards are designed to help enhance the effectiveness of your services by reminding you of important information to share with your clients. One set of cards is designed for use in sites in which syndromic management is used, the other set for sites in which etiologic management is used. See the introduction of each set for more information about using these cue cards.
• Download PDF version: Syndromic management cards
• Download PDF version: Etiologic management cards

1. Educational/Counseling Aids. The following reference cards are designed to help enhance the effectiveness of your services by reminding you of important information to share with your clients.
   • Download PDF version: What Every Client Should Know
2. Educational Materials. Use the following form during staff meetings or training activities to help providers gauge their comfort when talking with clients about STIs.
   • Self-comfort inventory for service providers
3. Condom Instructions. The following condom instructions, optimized for printing, can be shared with clients and used for staff training exercises.
• Instructions for the Male Condom
• Instructions for the Female Condom
• Helping Clients Negotiate Condom Use: Condom Excuses
4. Links for Additional Information on STIs/RTIs.

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