Lesson 1Vaccination, prevention counselling, barrier methods, and harm reduction (HPV vaccine, condom use, PrEP indications)This part covers main and follow-up STI prevention, including HPV and hepatitis jabs, condom and barrier advice, PrEP and PEP uses, harm reduction for drug use, and motivational talk to encourage safer habits among Nigerian youth.
HPV, hepatitis, and other key vaccinesCondom and barrier method choice and teachingHIV PrEP uses, tests, and sticking to treatmentPost-exposure treatment for sexual risksHarm reduction for drug use and chemsexMotivational talk for changing risky behavioursLesson 2Confidentiality, parental involvement, and legal/ethical considerationsThis part looks at keeping things private in youth care, involving parents, and legal rules, including consent for minors, record-keeping, billing issues, must-report cases, and ways to guard privacy while building family ties in Nigerian settings.
Consent laws for minors in sexual health servicesExplaining privacy and its limits to young peopleInvolving parents while keeping youth privacyMust-report cases of abuse and statutory rapeRecord-keeping, portals, and insurance billing risksEthical issues and real-life case examplesLesson 3Focused sexual and social history for adolescents (partners, consent, abuse screening, contraception goals)This part outlines a targeted, age-fitting sexual and social history, covering partners, activities, pregnancy plans, consent, abuse checks, mental health, and blending family planning and STI prevention into care for Nigerian adolescents.
Building trust and explaining privacy limitsChecking partners, activities, and pregnancy risksLooking into gender identity and sexual orientationScreening for force, abuse, and traffickingFamily planning goals and life planningMental health, school, friends, and online behavioursLesson 4STI risk assessment and symptom-directed questions (exposure, discharge, dysuria, rectal/oral exposure)This part details organised STI risk checks for young people, with specific questions on exposures, symptoms, partner details, and drug use, using non-judging, inclusive words and trauma-aware, age-fitting interview styles common in Nigeria.
Main parts of youth STI risk historySymptom check: discharge, painful urination, sores, painChecking oral, anal, and genital exposure patternsPartner count, gender, overlap, and networksDrug use, force, and consent risk issuesNormalising, inclusive, and trauma-aware 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, including site-specific NAATs, HIV and syphilis checks, hepatitis tests, waiting periods, result reading, and clear, sensitive talk on results and next steps in Nigerian clinics.
Picking tests based on exposure and symptomsNAATs for chlamydia and gonorrhea at all sitesHIV testing choices, waiting times, and early infectionSyphilis blood test plans and stage signsHepatitis B and C checks and follow-upSharing results, doubts, and retesting needsLesson 6Contraceptive options: mechanism, effectiveness, indications, contraindications, and adolescent counselling (LARC, implants, IUDs, combined and progestin-only methods, emergency contraception)This part reviews family planning methods for young people, including LARC, pills, patch, ring, injection, and emergency options, focusing on how they work, success rates, no-go cases, side effects, and joint decision counselling in Nigeria.
Overview of LARC: implants and intrauterine devicesCombined hormonal pills, patch, and vaginal ringProgestin-only pills and injectable family planningEmergency contraception methods and timingMedical fitness, no-go cases, and risksJoint decisions and sticking to plansLesson 7Management of common STI results and partner notification principles (treatment regimens for chlamydia, gonorrhea, trichomonas, herpes)This part covers proven handling of common youth STIs, including first-choice and backup treatments, cure checks, quick partner therapy, advice on cutting spread, and planning records and follow-up in Nigerian health systems.
Treatment plans for chlamydia in young peopleUpdated gonorrhea therapy and resistance worriesTrichomonas diagnosis, treatment, and retestingGenital herpes advice, short-term and ongoing careQuick partner therapy and notificationFollow-up, cure tests, and preventing re-infectionLesson 8Physical exam approach for adolescents (general exam, abdominal, external genitalia, pelvic when indicated)This part reviews step-by-step youth physical checks, stressing privacy, chaperones, and consent, with tips on general, belly, and outer genital exams, and when/how to do pelvic or speculum checks safely and respectfully in Nigeria.
Setting up the room, chaperone, and privacy stepsExplaining exam steps and getting agreementGeneral and belly exam for STI issuesOuter genital and perineal check techniquesReasons for internal and speculum examsHandling worry, pain, and past trauma
