reproductive health services for adolescents - Pathfinder International

Module 16/Unit 8
CONTENT
Knowledge/Attitudes/Skills
Training/Learning Methods
(Time Required)
what signs and symptoms make up
each syndrome, and the ability and
private space to do a physical
examination.
STI MANAGEMENT
A 20-year-old male comes to the clinic
for treatment.
Using Etiologic Management
The provider takes a history, does a
physical exam, and notes a thick
discharge from the penis. With a drop of
the discharge, s/he makes a slide so a
gram stain can be conducted
immediately. The provider takes another
sample of discharge to be tested later for
chlamydia, the results of which will be
ready in one week. The patient waits for
two hours for the results of the gram
stain, which is positive for gonorrhea.
The provider gives treatment for
gonorrhea and asks the patient to return
in one week for results of the chlamydia
test. The patient is asked to bring his
partner for treatment and is counseled
and given condoms.
Using Clinical Management
The provider takes a history and does a
physical exam. If s/he sees a urethral
discharge, s/he may diagnose gonorrhea
because the discharge is thick and
yellow in color. S/he treats the patient for
gonorrhea and asks the patient to bring
his partner(s) in for treatment. The
provider counsels the patient and gives
him condoms.
SMALL GROUP WORK/LARGE
GROUP DISCUSSION (50 MIN.)
The trainer should:
• Describe the following case to Px:
A 20 year-old single man complains
of burning on urination, discharge
from his penis, and says he had a
new sexual partner three days ago.
On examination of the urethra, a thick,
yellowish discharge can be seen.
• Divide Px into 3 groups and give
each group markers and a piece of
the flipchart.
• Ask each group to do the following:
−
−
−
Choose one person to write on a
piece of flipchart and another to
present to the large group.
Discuss and describe the
diagnosis and treatment of the
patient in the case study using
etiologic management (group 1),
clinical management (group 2),
and syndromic management
(group 3). Include time, resources,
and training needed. (5 min.)
Discuss and list separately the
advantages and disadvantages of
the STI management approach
assigned to the group. (25 min.)
• Reconvene the large group.
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Adolescent Curriculum