Media development action with informed and engaged societies
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STI Counseling and Treatment Programme

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Offered by the Women's Health and Action Research Centre (WHARC), the STI Counseling and Treatment Programme uses school-based health clubs and peer education in an effort to decrease Nigerian adolescents' use of "informal" sector providers who lack training in sexually transmitted infection (STI) treatment and to increase their use of trained doctors in private practice. The programme is designed to reach out to sexually experienced youth in senior high classes aged from 14 to 18, increasing their knowledge of STI symptoms, use of condoms, treatment-seeking behaviour, and notification of partners regarding STI infection.
Communication Strategies

This programme draws centrally on face-to-face communication to provide information about abstinence and condoms, as well as to promote STI prevention and treatment among sexually experienced youth. Specifically, school-based reproductive health clubs serve as venues to encourage adolescents to discuss reproductive health matters. The clubs offer health awareness campaigns at which health care professionals provide students with information on STI prevention and treatment. Other activities of the reproductive health clubs include distributing educational materials on STIs, organising debates and symposia, sponsoring dramas and essay contests, and showing films on STI prevention and treatment.

Peer education is another core strategy. Members of the reproductive health clubs are chosen by their peers to be trained as peer educators. Training lasts 4 weeks and covers aspects of STI prevention and treatment, symptom recognition, the benefits of early treatment, the need for professional treatment, sources of professional treatment, prevention methods, the importance of partner notification, and the need to abstain from sex during treatment for STIs. Trained peer educators provide counseling to other students, either one-on-one or in groups at breaks and after school. They also distribute educational materials on STIs and refer youth with symptoms of STIs to trained health care providers.

Development Issues

Youth, HIV/AIDS, Sexual and Reproductive Health.

Key Points

WHARC created this programme in response to studies indicating that Nigerian adolescents are often reluctant to seek medical treatment for STI symptoms or, if they do seek help, rely on informal sector providers (patent medicine practitioners, traditional healers, pharmacists, and laboratory technicians). Assessment has also showed that neither these personnel nor medically trained health care professionals tend to use standard protocols for diagnosing and treating STIs in adolescents.