Kenya Registered Community Health Nurse, Kenya
Title: Sexually Transmitted Diseases Prevention
Christine Wangombe is a 42 year old Registered community Health Nurse with working experience of more than 15 years. She has been working with STDs and HIV programs in the country for 7 years. In this field, she is a trainer, mentor and hands on. STDs being a major burden, many strategies are put in place but still infections are still there.
Statement of the Problem: STD has been stigmatized that clients feel shy to visit a health facility and express themselves to a clinician. This leads to HIV infection which becomes more toxic to unborn babies of pregnant women due to impaired immunity. Complications to unborn babies includes eye infection due to presence of gonorrhea, unborn babies of HIV infected mothers, without proper intervention of ARVs and adherence can cause intra-uterine defects. When these babies are born, they become exposed and without proper ARVs management and adherence, they poses risk of getting opportunistic infections, HIV infection and death. Interventions: In Kenya STDs has become a high burden disease which has impact on our economy. Involvement of Non-governmental organization has assisted in sorting this problem by availing drugs to curb the menace, training of Health care workers and other stake holders on how to deal with the situation and government involvement in the whole process. STD Prevention: This is preventable through early detection by visiting a health facility for general checkups, engaging community teams to use STD questionnaire and refer appropriately for early diagnosis and treatment. HIV Pregnant women are referred for PMTCT services as a strategy to prevent the unborn baby from the disease. Unmarried people e.g adolescent are encouraged to abstain from sex until they are married and faithfulness to follow. Use of proper and consistence use of condom is also encouraged. Presence of STD management algorithm at all health facilities. Training courses on management in cooperated in the health training curriculum at all levels.