A/CONF.171/13
English
Page 50
C.
Sexually transmitted diseases and prevention
of human immunodeficiency virus (HIV)
Basis for action
7.27. The world-wide incidence of sexually transmitted diseases is high and
increasing. The situation has worsened considerably with the emergence of the
HIV epidemic. Although the incidence of some sexually transmitted diseases has
stabilized in parts of the world, there have been increasing cases in many
regions.
7.28. The social and economic disadvantages that women face make them
especially vulnerable to sexually transmitted infections, including HIV, as
illustrated, for example, by their exposure to the high-risk sexual behaviour of
their partners. For women, the symptoms of infections from sexually transmitted
diseases are often hidden, making them more difficult to diagnose than in men,
and the health consequences are often greater, including increased risk of
infertility and ectopic pregnancy. The risk of transmission from infected men
to women is also greater than from infected women to men, and many women are
powerless to take steps to protect themselves.
Objective
7.29. The objective is to prevent, reduce the incidence of, and provide
treatment for, sexually transmitted diseases, including HIV/AIDS, and the
complications of sexually transmitted diseases such as infertility, with special
attention to girls and women.
Actions
7.30. Reproductive health programmes should increase their efforts to prevent,
detect and treat sexually transmitted diseases and other reproductive tract
infections, especially at the primary health-care level. Special outreach
efforts should be made to those who do not have access to reproductive healthcare programmes.
7.31. All health-care providers, including all family-planning providers,
should be given specialized training in the prevention and detection of, and
counselling on, sexually transmitted diseases, especially infections in women
and youth, including HIV/AIDS.
7.32. Information, education and counselling for responsible sexual behaviour
and effective prevention of sexually transmitted diseases, including HIV, should
become integral components of all reproductive and sexual health services.
7.33. Promotion and the reliable supply and distribution of high-quality
condoms should become integral components of all reproductive health-care
services. All relevant international organizations, especially the World Health
Organization, should significantly increase their procurement. Governments and
the international community should provide all means to reduce the spread and
the rate of transmission of HIV/AIDS infection.
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