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Importance of Client Counseling as Part of STI Treatment
Client counseling that includes risk reduction and education in the practice of safer sex behaviors are critical elements in stemming the tide of STI transmission around the world. In the case of incurable STIs, the practice of preventive behavior is the only hope of reducing the spread of infection. However, sexual behavior is not easy to change. Simply telling clients that certain behaviors put them at risk for STIs, including HIV infection, is generally insufficient. People must perceive themselves to be at risk, they must know what to do to protect themselves, they must feel that they have the ability to effect that change, and they must have the skills and resources to do so. Most importantly, people must have willing partners and a supportive environment. Because of the sensitive nature of STI infection in many cultures, the provider’s communication skills and attitude are particularly important during client counseling. A sensitive, nonjudgmental approach is essential. In syndromic management, there is additional difficulty in the case of vaginal discharge since it is often unclear whether or not the infection actually is an STI. In the case where the specific infection is unknown, the provider should exercise great sensitivity in informing the client of the possibility that the infection was sexually transmitted.
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In addition to partner notification
and client treatment, client counseling is also important to ensure adherence
with treatment, prevent the spread of the infection to others, prevent
reinfection, and ensure that partners are notified and treated.