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Clinical posts from members and guests of the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) from various international medical and scientific conferences on HIV, AIDS, viral hepatitis, and sexual health.
STI / HIV and Pregnancy
STI AND HIV IN PREGNANCY
Yes well done Cuba.
Natholie Broutet from WHO guided us through that country's journey of strategies implemented to achieve this wonderful milestone.We were Iinvited to take away the published booklet from WHO , that sets out the criteria and process for validation.
The session reiterated previous evidence of the global scale of the prevalence and impact of STI's on people particularly vulnerable populations. Pregnant women are a significant population of vulnerable persons, this was highlighted by the next speaker .Dr John Kinuthia presented on current practices, limitations of resources for optimal screening tests, diagnostics and time to treat if positive. He discussed the current guidelines of syndromic treatment, whilst is effective in poorly resourced services it misses the asymptomatic clients and sexual partners. One discussion related to the acceptability of partner delivered treatment, which in one study in Kenya appeared to be well accepted by the women and their male partners.
POINT OF CARE testing and treatment has ben widely discussed during the World STI/HIV conference and continued today in relation to STI testing and treatment for women who are pregnant in rural and remote areas.Dr Andrew Vallely informed us about the research that has yet to commence recruitment in PNG, which they will attempt to provide the evidence that these new technologies will have a positive impact in reducing the burden of disease of STI's in pregnant women.