Nepal"s key strategies for managing sexually transmitted infections (STIs) include targeted behaviour change communication (BCC), condom promotion and distribution, STI diagnosis and treatment (using both syndromic and etiological approaches), and referral services. These services are accessible through government health facilities and non-governmental organizations (NGOs) for both key populations and the general public.

Nepal follows the World Health Organization"s (WHO) recommended approach to managing STIs in patients presenting with identifiable signs and symptoms. The first National STI Case Management Guideline was introduced in 1995 and has since been updated in 2014 and 2022 to incorporate the latest global and local evidence. The updated 2022 guidelines were developed by the NCASC.

To monitor STI prevalence and trends among key and general populations, Nepal relies on data from Integrated Biological and Behavioural Surveillance (IBBS) sur veys and the Health Management Information System (HMIS/DHIS2). As part of the national HIV response, the ongoing strategy has standardize the quality of STI diagnosis and treatment, extending these services to the health post level within primary healthcare. Addressing Nepal"s concentrated HIV epidemic also involves strengthening the connections between BCC programs and HTC, as well as enhancing linkages between HTC and STI services. For key populations, STI management services are integrated into antiretroviral therapy (ART) centres to provide comprehensive care