CSwMR

3.9 HIV/AIDS and STI
STI
Table 3.20 shows the availability of guidelines and protocols, trained staff, and items
for STI services.
The results of the SCSPA 2012–2013 show that while almost all health facilities offer
treatment services for STIs (98 percent), guidelines and protocols are available in only 60
percent of facilities offering STI services.
There is widespread availability of the commodities and medicines essential for the
prevention and management of STIs, except for injectable ceftriaxone which is only available
in 21 percent of facilities offering STI services. In addition, only 35 percent of the staff is
trained in the treatment of STIs; this lack of training is most prevalent in Fatick (16 percent),
Kolda (17 percent), and Sédhiou (20 percent).
Rapid diagnostic tests for syphilis are only available in 1 percent of facilities offering
STI services.
Table 3.20 Guidelines, trained staff, and items for sexually transmitted infection services
Among all facilities, the percentages offering services for sexually transmitted infections (STIs) and, among facilities offering STI services, the
percentages with indicated items to support the provision of quality STI services by background characteristics, Senegal SCSPA 2012–2013
Background
characteristics
Percentage
of facilities
offering STI
services 1
Number of
facilities
Percentage of facilities offering STI
services that have the indicated
features
STI
guidelines
Trained
staff 2
Syphilis
rapid
diagnostic
test
capacity 3
Percentage of facilities offering the following STI
medicines and commodities
Male
condoms
Metronidazole
Ciprofloxacin
capsules or
tablets
Injectable
ceftriaxone
Number of
facilities
offering STI
services
Facility type
Hospital 90 17 48 51 4 47 70 56 55 15
Health center 99 30 55 65 3 88 85 86 43 30
Health post 98 317 61 31 1 80 85 80 17 310
Managing
authority
Public 99 302 63 36 1 89 88 85 20 300
Private 89 62 46 30 3 26 64 53 26 55
Region
Dakar 91 71 38 43 1 65 72 61 11 65
Diourbel 100 25 36 30 0 82 70 77 2 25
Fatick 100 22 57 16 0 88 86 74 22 22
Kaffrine 100 14 91 24 0 91 100 86 62 14
Kaolack 100 23 79 24 0 73 79 67 17 23
Kédougou 96 9 72 67 0 94 89 78 35 8
Kolda 95 17 54 17 0 69 86 91 29 16
Louga 100 23 92 37 0 76 86 92 33 23
Matam 100 17 62 24 1 77 83 94 25 17
Saint Louis 100 29 91 44 0 86 91 100 12 29
Sédhiou 100 12 71 20 0 97 91 100 34 12
Tambacounda 100 24 52 39 0 83 83 89 39 24
Thiès 97 48 55 38 5 74 92 69 27 47
Ziguinchor 100 29 57 45 0 94 95 95 5 29
Total 98 364 60 35 1 79 84 80 21 355
Health hut NA 74 NA NA NA NA NA NA NA NA
NA = Not applicable
Note: The indicators presented in this table comprise the staff and training, diagnostics, and medicines and commodities domains for assessing
readiness to provide STI services within the health facility assessment methodology proposed by WHO and USAID (2012).
1
Providers in the facility diagnose STIs or prescribe treatment for STIs or both.
2
At least one interviewed provider of STI services reported receiving in-service training on STI diagnosis and treatment during the 24 months
preceding the survey. The training must have involved structured sessions; it does not include individual instruction that a provider might have
received during routine supervision.
3
Unexpired syphilis rapid test kit available in the facility
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