Improving the management of STIs among MCH/FP clients at the Nakuru Municipal Council health clinics

In an effort to address the global crisis of HIV/AIDS and to reduce the spread of other sexually transmitted infections (STIs), maternal and child health/family planning (MCH/FP) programs have attempted to integrate the management of STIs into their services. This integration was endorsed at the 1994 International Conference on Population and Development in Cairo. However, as noted in this report, programs have encountered a number of difficulties as they try to effectively manage STIs in an MCH/FP setting. In particular, the effective detection and treatment of STIs has proven difficult among MCH/FP populations. This current study was developed to help improve integration efforts and to contribute to a reduction in the prevalence and spread of STIs among women receiving MCH/FP services from the Nakuru Municipal Council health clinics in Kenya. The project looked at the validity of the current syndromic management approach and explored various ways to improve its approach through the incorporation of risk assessment