TY - JOUR AU - Roongpisuthipong, Anuvat AU - Chalermchockcharoenkit, Amphan AU - Sirimai, Korakot AU - Thamkhantho, Manopchai AU - Prymanee, Jerawan AU - Tanyatul, Piangpen AU - Nooma, Pannarai AU - Laothong, Kwanjit AU - Pongprasobchai, Suchittra AU - Choknakavaro, Bubpha AU - Janyakorn, Sommai AU - Tangsriouya, Sakorn AU - Aiumvijarn, Waraporn AU - Sookrukkar, Chamanuch PY - 2009/01/01 Y2 - 2024/03/29 TI - Operational research for STD service: Improvement of treatment and care at Siriraj Hospital JF - Siriraj Medical Journal JA - Siriraj Med J VL - 61 IS - 1 SE - Original Article DO - UR - https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/246526 SP - 27-30 AB - <p>Objectives: Operational research for sexually transmitted disease (STD) service was conducted to: 1) create the potential for<br>systematic care: to assess and monitor for HIV and sexually transmitted infection (STI): 2) create the linkage among OBGYN,<br>Medicine and Pediatric Departments of Siriraj Hospital; 3) cervical cancer screening in HIV-infected females by Pap<br>smear once a year; 4) create a system file for collection of STI data of the unit; 5) promote HIV counseling, disclosure and<br>keep records; 6) promote condom usage and reduce risk behaviors of HIV-infected females continuously.<br>Methods: HIV positive females attending STD Clinic, Department of OB–GYN, Siriraj Hospital were enrolled into the<br>study during March 1, 2005 to September 1, 2006. The procedures include: 1) provide STI testing/treatment, risk-reduction<br>and HIV disclosure counseling, provision of free condoms, and cervical cancer screening at least once a year; 2) develop<br>standardized procedures and data collection tools and strengthen data management; 3) refer women from different<br>departments to the STI clinic for screening; 4) provide training in risk reduction counseling and HIV disclosure counseling.<br>Results: Most of the primary visits were check-up. Chlamydial infection was 2.1% (year 2005). GC infection was 0.5%<br>(year 2005). Abnormal Pap was significantly related to low CD4 count. L-SIL was 9.3% and H-SIL was 26.8%. Among the<br>participants, 10.4% had CD4 count &lt;200 cells/cu.mm.<br>Conclusion: Early detection and treatment of STI was 30%. Early detection of cervical cancer and treatment were<br>increased. Access to ARV for HIV-1 PMTCT was also increased. Cross sectional analysis will show more realistic data<br>since the follow up visit might be a group who came to receive condoms which could be missed as high condom use rate.<br>KPI of success in good clinical tracer included increased condom use and CD4 count, decreased STI, opportunistic<br>infection, and viral load.</p> ER -