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 advice, PrEP and PEP uses, harm reduction for drug use, and motivational chats to encourage safer choices among Ugandan adolescents.
HPV, hepatitis, and other key vaccinesCondom and barrier method choices and teachingHIV PrEP uses, tests, and sticking to treatmentPost-exposure treatment for sexual risksHarm reduction for drug use and chemsexMotivational chats for changing risky habitsLesson 2Confidentiality, parental involvement, and legal/ethical considerationsThis part looks at privacy in youth care, involving parents, and legal rules, including laws on minors' consent, record-keeping, billing dangers, required reporting, and ways to guard privacy while building family ties in Uganda.
Laws on minors' consent for sexual health servicesExplaining privacy and its limits to young peopleInvolving parents while keeping youth privacyRequired reporting of abuse and underage sexRecord-keeping, portals, and insurance billing risksEthical issues and real-life examplesLesson 3Focused sexual and social history for adolescents (partners, consent, abuse screening, contraception goals)This part outlines a targeted, age-suited sexual and social history, covering partners, activities, pregnancy plans, consent, abuse checks, mental wellbeing, and weaving in family planning and STI prevention aims into care for Ugandan teens.
Building trust and setting privacy limitsChecking partners, activities, and pregnancy risksExploring gender identity and sexual orientationScreening for force, abuse, and traffickingFamily planning aims and life planningMental health, school, friends, and online habitsLesson 4STI risk assessment and symptom-directed questions (exposure, discharge, dysuria, rectal/oral exposure)This part details organised STI risk checks for youth, with specific questions on exposures, symptoms, partner details, and substance use, using non-judging, inclusive words and trauma-aware, age-appropriate questioning in Ugandan contexts.
Main parts of youth STI risk historySymptom check: discharge, painful urine, sores, painChecking oral, anal, and genital exposure patternsPartner count, gender, overlaps, and networksSubstance use, force, and consent impairment risksNormalising, 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 ways to share results and next steps in Uganda.
Picking tests by exposure and symptomsNAATs for chlamydia and gonorrhea at all sitesHIV testing choices, waiting times, and early infectionSyphilis blood test plans and stage hintsHepatitis B and C checks and follow-upSharing results, unknowns, and retestingLesson 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 youth, 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 Uganda.
Overview of LARC: implants and intrauterine devicesCombined hormonal pills, patch, and vaginal ringProgestin-only pills and injectable family planningEmergency contraception methods and timingMedical suitability, 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 tests, quick partner therapy, advice on cutting spread, and planning records and follow-ups in Ugandan clinics.
Treatment plans for chlamydia in youthUpdated gonorrhea treatment 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 exams safely and respectfully in Uganda.
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
