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International Journal of Public Health and Clinical Sciences (IJPHCS)
Open Access e-journal ISSN : 2289-7577

ASSESSING THE CAPACITY OF PRIMARY HEALTH CARE CENTRES TO PROVIDE SEXUALLY TRANSMITTED INFECTIONS SERVICES IN KADUNA STATE, NORTH-WESTERN NIGERIA

Auwal S.G., Shehu S.U., Abdulhakim A.O., Zaharadeen S.B., Umar M.U.

Abstract


Background: Sexually Transmitted Infections (STIs) are frequently associated with significant morbidity, crippling sequelae and adverse maternal and child health conditions. Despite widespread availability of Primary Health Care (PHC) centres in Kaduna State, the capacity of those facilities to provide STIs services remains unknown. This study aims to assess the capacity of PHC centres to provide STIs services in Kaduna State, North-western Nigeria.

Materials and Methods: This cross-sectional study employed cluster sampling method to select 44 upgraded PHCs in four randomly selected Local Government Areas of Kaduna North senatorial district. In each facility, the STIs section of the WHO Service Availability and Readiness Assessment (SARA) tool was administered to the facility in-charges to assess the capacity of each PHC to provide STIs-related services. Data was analysed using SPSS version 23 and presented graphically using Microsoft Excel.

Result: Majority of the PHCs (95%) provide STIs services including diagnosis and treatment based on clinical assessment. Most of the facilities (70%) also had the national STIs treatment guidelines on the day of visit. Of the 44 PHCs visited, only 9 (20%) had a staff who received STIs training in the two years preceding the study.

Conclusion: STIs services were widely available in Kaduna State PHCs with most facilities able to provide diagnosis and treatment of common STIs based on clinical assessment. Lack of STIs treatment guidelines and poor staff training were also common and these two may greatly diminish the quality of STIs services rendered. More efforts are therefore needed to address these gaps and improve the quality of STIs services.

Keywords: Primary Health Care, Sexually Transmitted Infections, STIs, Kaduna, Nigeria


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