Sexually transmitted diseases (STDs) are a major public health problem
now compounded by the advent of AIDS and HIV infection. The size of t
he problem represented by STDs and HIV is unknown however it is estima
ted that there are 333 million new cases of STD per annum and currentl
y 15-20 million people infected worldwide with HIV. Control programmes
for STDs must prevent the acquisition of STDs, their complications an
d sequelae and interrupt and reduce transmission. They can also reduce
the incidence of HIV infection. Such programmes must place emphasis o
n health education, condom usage, altering health seeking behaviour an
d providing case management. The syndromic approach currently offers t
he most realistic, and cost effective, way in which to treat patients.