Lesson 1Vaccination, prevention counseling, barrier methods, and harm reduction (HPV vaccine, condom use, PrEP indications)This part covers primary and secondary STI prevention for Eritrean youth, including HPV and hepatitis vaccines, condom advice, PrEP and PEP uses, harm reduction for drug use, and motivational talks to encourage safer choices.
HPV, hepatitis, and other relevant vaccinesCondom and barrier method selection and teachingHIV PrEP indications, labs, and adherence supportPost-exposure prophylaxis in sexual exposuresHarm reduction for substance use and chemsexMotivational interviewing for risk behavior changeLesson 2Confidentiality, parental involvement, and legal/ethical considerationsThis part looks at confidentiality in adolescent care in Eritrea, parental roles, and legal rules, covering minor consent laws, records, billing issues, required reporting, and ways to safeguard privacy while aiding family ties.
Minor consent laws for sexual health servicesExplaining confidentiality and its limits to teensEngaging parents while preserving teen privacyMandatory reporting of abuse and statutory rapeDocumentation, portals, and insurance billing risksEthical dilemmas and practical case examplesLesson 3Focused sexual and social history for adolescents (partners, consent, abuse screening, contraception goals)This part describes a targeted, age-suitable sexual and social history for Eritrean adolescents, including partners, behaviors, pregnancy plans, consent, abuse checks, mental health, and blending contraception and STI prevention into care.
Establishing rapport and confidentiality limitsAssessing partners, practices, and pregnancy riskExploring gender identity and sexual orientationScreening for coercion, abuse, and traffickingContraception goals and reproductive life planningMental health, school, peers, and digital behaviorsLesson 4STI risk assessment and symptom-directed questions (exposure, discharge, dysuria, rectal/oral exposure)This part explains organized STI risk evaluation for Eritrean adolescents, with specific questions on exposures, symptoms, partner details, and drug use, using non-judgmental, inclusive words and trauma-aware, age-fitting interviews.
Core elements of adolescent STI risk historySymptom review: discharge, dysuria, lesions, painAssessing oral, anal, and genital exposure patternsPartner number, gender, concurrency, and networksSubstance use, coercion, and impaired consent risksNormalizing, inclusive, and trauma-informed languageLesson 5STI testing algorithms and interpretation (NAAT for chlamydia/gonorrhea, HIV, syphilis serology, hepatitis B/C testing)This part clarifies STI testing plans for Eritrean adolescents, including site-based NAATs, HIV and syphilis checks, hepatitis tests, window times, result reading, and clear, sensitive talks on results and next steps.
Choosing tests based on exposure and symptomsNAATs for chlamydia and gonorrhea at all sitesHIV testing options, windows, and acute infectionSyphilis serology algorithms and staging cluesHepatitis B and C screening and follow-upCommunicating results, uncertainty, and retestingLesson 6Contraceptive options: mechanism, effectiveness, indications, contraindications, and adolescent counseling (LARC, implants, IUDs, combined and progestin-only methods, emergency contraception)This part reviews birth control choices for Eritrean adolescents, like LARC, pills, patch, ring, shots, and emergency options, focusing on how they work, success rates, warnings, side effects, and joint decision talks.
Overview of LARC: implants and intrauterine devicesCombined hormonal pills, patch, and vaginal ringProgestin-only pills and injectable contraceptionEmergency contraception methods and timingMedical eligibility, contraindications, and risksShared decision-making and adherence strategiesLesson 7Management of common STI results and partner notification principles (treatment regimens for chlamydia, gonorrhea, trichomonas, herpes)This part discusses proven handling of common adolescent STIs in Eritrea, with main and backup treatments, cure tests, quick partner therapy, advice on lowering spread, and records plus follow-up plans.
Treatment regimens for chlamydia in adolescentsUpdated gonorrhea therapy and resistance concernsTrichomonas diagnosis, treatment, and retestingGenital herpes counseling, episodic and suppressive careExpedited partner therapy and partner notificationFollow-up, test-of-cure, and reinfection preventionLesson 8Physical exam approach for adolescents (general exam, abdominal, external genitalia, pelvic when indicated)This part reviews step-by-step physical checks for Eritrean adolescents, stressing privacy, helpers, and agreement, with tips on general, belly, and outer genital exams, and when to do pelvic or tool exams safely and kindly.
Preparing the room, chaperone, and privacy stepsExplaining exam steps and obtaining assentGeneral and abdominal exam for STI complicationsExternal genital and perineal inspection techniquesIndications for bimanual and speculum examinationManaging anxiety, pain, and prior trauma history
