Major route of Transmission of HIV is unprotected sex and HIV is primarily considered to be a sexually transmitted infection. A person with STI/RTI is 2 to 9 times prone to get HIV. The HIV positive patients with STI are more likely to transmit and acquire HIV. Hence, control of STIs contributes significantly to the reduction in HIV transmission. Up to 40% of HIV transmission can be cut down by treating STI, hence most cost effective programme.
There are 178 STI reporting units in Karnataka. Of which 53 are DSRC and 125 STI reports are from Targeted Intervention NGOs. New STI clinic at General Hospital, Sindhanur, Raichur district has been approved by NACO for the FY:2014-15.
Each DSRC have one counsellor. The counsellor is provided with posters, flip book and standard format for recording services at DSRC. The counsellor provides counselling to STI/RTI patients, encourage patients to bring partner to the STI clinic for diagnosis and treatment, provides condom, refer cases for HIV and Syphilis testing
The DSRCs are located in all District Hospitals and some Taluka Hospital. They are branded as “Suraksha Clinic”. Colour coded STI/RTI drugs are provided free of cost at DSRC. Following is the logo of Suraksha clinic.
The color coded STI/RTI kits are provided by PPP to HRGs. The preferred providers are selected by TI, generally recommended by HRG community. The consultation and STI drugs are provided free of cost to HRGs.
As per NACO’s guidelines each core -HRG is suppose to undergo at least one STI check up once in a quarter. Even if, the HRG is asymptomatic for STI/RTI, they are referred to Preferred Provider. This is termed as Regular Medical Checkup (RMC) and the core group HRGs should also be encouraged for undergoing Syphilis and HIV test bi annually.