Outline what is known of the current situation in relation to the epidemiology of STIs

Outline what is known of the current situation in relation to the epidemiology of STIs and HIV and who carries the burden of STI and HIV disease in the country of choice.

? Introduction to identify the epidemic.
? Current situation in relation to epidemiology of STIs and HIV.
Who carry the burden of the disease? Concentrate on the following main at risk groups (Then you brooked down to the at risk population):
? Sex workers.
? Man who have sex with man (MSM).
? Drug user altitudes.

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? Stigma and discrimination.

Part 2: You have a generous budget for use in a non-government organisation in this country.
On the basis of your knowledge of the epidemiology of STIs and HIV, the relevant biomedical
features of infections and who carries the burden of disease, decide on priorities and
programmes for expenditure in the prevention of STIs and HIV in this country.
Note:
? The first Learning Activity in Module Two may be of some assistance in developing
this essay (page 2.10) (note: I will send them in separate file).
? Reading through modules 7 and 8 at this stage will give you an overview of many of
the current approaches to HIV/STI prevention and issues to be aware of in devising
interventions (note: I will send them in separate file).
Further tips for the assignment:
? What STI and HIV priorities would you target and why?
? Remember to outline programmes you would implement.
? What population groups would you target and why?
? Bear in mind cultural contexts in the country you have chosen.
Please use the following general comments that provide an overview of the assignment (they were given by the supervisor to one of the students last semester) so if you can follow these comments, it will be very helpful for you to give good essay), please use them:
Part 1
Epidemiology of STI/HIV
? It is important to identify the type of epidemic at the beginning so that the reader can then identify if the interventions are appropriate
? Is quantitative and qualitative data collected in the country?
? In addition to prevalence and incidence, are behavioural changes are underlying determinants monitored? How accurate is current reporting thought to be in the country under study?
? Risk behaviours amongst different sections of the population need to be discussed and underlying reasons for these behaviours ? which are often related to the broader socio-economic and political environment where people live.
? In considering the epidemiology of STI and HIV disease a brief discussion of routes and modes of transmission is needed ? how STI/HIV disease is being spread for example through CSWs? MSM? IDUs? Contaminated blood products? And then passed to women through normal heterosexual routes

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