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  1. 1

    Planning and implementing an essential package of sexual and reproductive health services: Guidance for integrating family planning and STI / RTI with other reproductive health and primary health services.

    Williams K; Warren C; Askew I

    [New York, New York], Population Council, 2010 Oct. [56] p.

    The goal of this guidance document is to provide a framework for developing an essential sexual and reproductive health (SRH) package. It focuses on two priority areas: 1) integrating family planning into maternal and newborn care services, and 2) integrating services for preventing and managing sexually transmitted infections / reproductive tract infections into primary healthcare services. This guidance document comprises three sections. The Introduction explains and justifies why the development and implementation of an essential SRH package should be planned and framed within the World Health Organization's six Building Blocks of Health Systems. The second section presents the "How To" steps and checklist tools for planning, implementing and scaling up, including specific examples for the two priority areas indicated above. The third section provides the evidence-base supporting the recommendations and action-points proposed in each tool. This evidence-base includes key findings and summary recommendations from a literature review (in matrix format) and a bibliography of the references included in the literature review.
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  2. 2

    Laboratory tests for the detection of reproductive tract infections.

    Kuyper J

    Manila, Philippines, World Health Organization [WHO], Regional Office for the Western Pacific, STI, HIV and AIDS Focus, 1999. [40] p.

    This publication discusses state-of-the-art methods to detect eleven RTI. The types of assay presented fall into several categories and include detection of the organism by direct microscopy, detection of metabolic products, culture, and the detection of specific antibodies, antigens, DNA or RNA. Not all organisms can be detected using all types of assay, nor can all laboratories perform all types of assay. Thus, the methods that are most useful in detecting each organism are summarized, as well as their sampling procedures, sensitivity and specificity, the advantages and disadvantages of laboratory testing, the appropriate level of use, the training and equipment required, the ease of performance, and the indicative cost of reagents (at current rates in the United States of America). Detailed instructions for carrying out each test can be found in the manufacturer’s manual accompanying each test kit and should be strictly adhered to. The sensitivity and specificity of an assay will vary depending on the method used as the standard and the prevalence of the disease in the population tested. The assay sensitivity and specificity figures in this publication are based on a range of values taken from many different sources, including all types of patient population. (excerpt)
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  3. 3

    Sexually transmitted and other reproductive tract infections. A guide to essential practice.

    World Health Organization [WHO]. Department of Reproductive Health and Research; Family Health International [FHI]; Population Council. Frontiers in Reproductive Health

    Geneva, Switzerland, WHO, 2005. [192] p. (Integrating STI / RTI Care for Reproductive Health; USAID Development Experience Clearinghouse DocID / Order No: PN-ADC-591)

    This Guide is intended to be a reference manual, and a resource to educate and to remind health care workers of the need to consider STIs/RTIs when providing other reproductive health services. It recommends prevention and care practices for patients who have or may be at risk of acquiring a reproductive tract infection. As such, it could be used for preservice or in-service health provider education and training, as a source of up-to-date, evidence-based recommendations, and as a selfeducation tool for health care providers on the prevention, treatment, and diagnosis of RTIs. Programme managers can use it as a starting-point for improving policies, programmes and training on the prevention and management of STI/RTI, adapting the information and recommendations as needed to local conditions. The information is grouped according to “reasons for visit”. Providers are encouraged to consider the possibility of STI/RTI, educate and counsel clients about prevention, and offer necessary treatment. Providers can use the Guide as a whole, or focus on the sections that are relevant to their daily practice. (excerpt)
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