Syndromic management training for non-formal care providers in Pakistan improves quality of care for sexually transmitted diseases STD care: A randomized clinical trial

Academic Article


  • We conducted a randomized, controlled, three-armed trial to assess whether training in syndromic management, with provision of packets, could improve the quality of STD services provided among non-formal care providers. The quality of STD case management service, observed by "incognito patients" in both intervention groups, improved substantially compared to the control group (p < 0.05). The training-and-packets group performed better in service delivery, HIV-testing referral, and condom provision when compared to the trainingonly group (all p < 0.05). The training-and-packets group also retained more knowledge and practiced more skillfully at six months post-intervention when compared to the training-only group (p < 0.05), Exit interviews of clients suggested that 81 % of providers in the intervention groups offered advice on condom use when compared to none of those in the control group (p < 0.001), Syndromic management training and free syndrome packets for non-formal providers had a positive impact on the quality of STD care among the trained providers.
  • Author List

  • Shah SA; Kristensen S; Memon MA; White HL; Vermund SH
  • Start Page

  • 737
  • End Page

  • 748
  • Volume

  • 38
  • Issue

  • 4