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A risk-assessment tool for integrated reproductive health services.

In response to the global AIDS epidemic and the contributions of other sexually transmitted diseases (STDs) to the spread of HIV the 1994 Cairo International Conference on Population and Development developed an STD risk assessment tool. This paper discusses the importance of the STD risk assessment tool in providing a unified pathway for integrated reproductive health services. The STD risk assessment tool uses a variety of demographic behavioral and clinical information (other than laboratory test results) to assess the likelihood that persons are currently infected with an STD or at high risk of future infection. Providers of reproductive health services can use this tool in counseling clients about behavioral and contraceptive choices that will help them achieve future childbearing goals. Moreover it can be used as a guide to treat STD symptoms in settings where appropriate laboratory services are not available. Thus STD risk assessment serves as a bridge for integrating reproductive health programs.