Lesson 1Vaccination, prevention counseling, barrier methods, and harm reduction (HPV vaccine, condom use, PrEP indications)This part talks about main and follow-up STI prevention, like HPV and hepatitis shots, teaching on condoms and barriers, when to use PrEP and PEP, harm reduction for drug use, and motivational talk to help safer choices among Liberian youth.
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 keeping things private in young people's care, involving parents, and legal rules, including laws on minors consenting, record-keeping, billing dangers, must-report cases, and ways to guard privacy while helping family ties in Liberia.
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 lays out a targeted, age-fitting sexual and social history, covering partners, ways, plans for babies, consent, checking for abuse, mental health, and mixing in family planning and STI prevention aims into care for Liberian adolescents.
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 gives details on planned STI risk checks for young people, with pointed questions on exposures, signs, partner issues, and drug use, while showing fair, open talk and trauma-aware, age-right interviewing in Liberian settings.
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 explains STI testing plans for adolescents, covering site-based NAATs, HIV and syphilis checks, hepatitis tests, wait times, reading results, and how to share results and next steps clear and kindly in Liberia.
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 family planning choices for young people, like LARC, pills, patch, ring, shots, and emergency options, focusing on how they work, success rates, warnings, side effects, and joint choice counseling in Liberian context.
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 covers proven ways to handle common young people's STIs, with first-choice and other treatments, when to retest, quick partner treatment, counseling on cutting spread, and planning records and follow-up in Liberia.
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 young people, stressing privacy, helpers, and consent, with tips on general, belly, and outer private parts exams, and when and how to do inner pelvic or tool exams safe and respectful.
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
