STI Control Programme in Myanmar Nay Pyi Taw 28th May 2014

STI Case Report (2012) Total Clinic Attendance 35669 Total STI patients 3899 11% Patients with Genital Ulcer 631 16.18% Patients with Genital Discharge Disease 1479 37.93% Patients with other STI symptoms 2007 51.40% No. of STI Patients (FSW) on Treatment 584 15.0% No. of STI Patients (MSM) on Treatment 139 3.6% No. of STI Patients (Clients) on Treatment 936 24.0% No. of STI Patients (IDU) on Treatment 3 0.1% Regular partners of STI clients on Treatment 745 19.1% Pregnant Mother (STI) on Treatment 172 4.4%

STI Reporting VDRL Test Data 2012 Female Sex Workers VDRL reactive rate: 7.7% MSM VDRL reactive rate: 4.1% IDU VDRL reactive rate (male): 0.39% IDU VDRL reactive rate (female): 8% Clients (male) of FSW 5.9% Regular partners (male) MARP 1.1% Regular partners (female) MARP 4.1% Pregnant Mother (primary gravid) reactive 0.5% Pregnant Mother (multip) reactive 0.6% Blood Donor Male (reactive) 0.3% Blood Donor Female (reactive) 0.2%

STI Epidemiology Prevalence of Syphilis in MSM (from HIV Sentinel Surveillance 2008, National STI survey) 14.1 But from STI survey 2011, it was still high in Yangon 15% (44/300) In MDY, there is only 0.3% (2/300)

Findings from Survey 2011 FSW In both regions prevalence of STI infection was higher than presentation of signs or a history of symptoms E.g. Most FSW in Yangon had gonorrheal and chlamydial infections, but urethral discharge was seen in only 3% (9 out of 302). more than half of FSW 56% participants in Yangon had syphilis infection but less than a third had signs or a history of ulcers or sores