الفهرس 
* IntroductionOnly 14 pages are availabe for public view
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Abstract
Sexually transmitted diseases (STDs) pose a serious threat not only to women health but also to general health and well-being of millions of people worldwide .An estimated 65 million people live with an in curable STDs ,and another 19 million are infected each year (Center of Disease prevention and Control, 2010). Egypt is considered a low prevalence country with regard to HIV and AIDS in the general populations ,with less than 0.1percent of 15-49 population being infected in 2008 .(WHO /UNAIDS ,2008)estimated the total number of people living with HIV to be 9,200 individuals (WHO, 2008). Sexually Transmitted Diseases (STDs) are a major global cause of acute illness, infertility, long-term disability and death, with serious medical and psychological consequences to millions of men, women and infant (Ibraheem, 2012). Counseling is a process, as well as a relationship, between persons. Contrary to what some people believe, counseling is not concentrated advice-giving. The aim of the counselor is usually to assist the person or persons (client or clients) in realizing a change in behavior or attitude, or to seek achievement of goals. Prevention counseling is used to stop problems before they start or to prevent things from getting worse (Gloria, 2004). This study conducted to determine the effect of counseling about health hazard of sexual transmitted disease on women health.
Subjects A convenient sample of 189 women was selected at obstetric and family planning outpatient clinic at (BerketElsaba Hospital).according to following criteria: Age 14-49. Married. Tool of Data Collection. Data was collected using the following tools: A structured interviewing questionnaire that covers the following parts: Part (1) Socio demographic data It recorded data about the following women’s name, age, education, occupation, number of family. Part (2) Past medical and obstetrical history It recorded about the following: obstetrical history included number of pregnancy ,number of abortion ,number of live children, abnormal vaginal discharge ,ectopic pregnancy ,pelvic pain ,infertility. Past medical history ; such as history of hypertension ,diabetes anemia and allergy Part (3) Pre –post intervention and retention test. Was designed by investigator it included (definition ,types, mode of transmission ,signs and symptoms , health hazards and prevention of STDs) to test women knowledge .
The main finding of the study revealed the following: The mean finding of this study Showed that the main age of studied women were 31.4 ± 5.8 years the highest percentages of studied sample were university education, three quarters of studied women were house wives, and all of them were married .The analysis of the present work revealed that, there was a highly significant improvement in all knowledge of health hazards of sexually transmitted diseases was delivered to the intervention group from the pre to post intervention and retention test . The mean score for the sample knowledge about sexual transmitted disease was 96.7±8.53at post intervention compared with 41.9±11.05at pre intervention and 88.5±8.23at retention test. There was highly statistical significance differences regarding total women’s knowledge about sexually transmitted diseases in pre –post intervention and retention test. There was highly statistical significance differences regarding to women’s knowledge about sexually transmitted diseases in pre –post and retention test. There was highly statistical significance differences regarding to women’s knowledge about causes of sexually transmitted diseases in pre –post and retention test. There was highly statistical significance differences regarding to women’s knowledge about route of transmission sexually transmitted diseases in pre –post and retention test. There was highly statistical significance differences regarding to women’s knowledge about signs and symptoms of sexually transmitted diseases in pre –post and retention test.
There was highly statistical significance differences regarding to women’s knowledge about health hazards of STDs on women as a general in pre –post intervention and retention test. There was highly statistical significance differences regarding to women’s knowledge about health hazards of STDs on women during pregnancy in pre –post intervention and retention test. There was highly statistical significance differences regarding to women’s knowledge about health hazards of STDs on women after labor on pre –post intervention and retention test. There was highly statistical significance differences regarding to women’s knowledge about health hazards of STDs on newborn baby on pre –post intervention and retention test. There was highly statistical significance differences regarding to women’s knowledge about ways of prevention STDs in pre –post intervention and retention test. In the light of the present study finding, it can be concluded that: There was a highly significant improvement in all knowledge delivered to the intervention group, after attending the counseling session. Counseling was effective in raising women’s knowledge about health hazards of sexually transmitted diseases. Based on the finding of the study, the following important recommendations are proposed. In the light of the present study findings, it can be recommended that: Provide health education about STDs in health center, health unites, Mother and Child Health Center (MCHC) to increase women knowledge and awareness about STDs by mass media and posters. Encourage education about STDs early in school to encourage premarital screenings and hence help reduce the risk of the possible expansion of STDs. Suggested integrated approach for creating knowledge and awareness to control the spread of STDs (including HIV and AIDS) among young people. Reinforce the role of preachers by encouraging people to follow and implement the Islamic rules and values that prohibit adultery, homo sexuality and intravenous drug use and to practice safe sex only through legal marriage. Reinforce the role of the nurse and health profession in providing education and counseling to women and routine follow up in STDs clinic. Establish effectiveness of the Islamic preventive strategies in reducing STDs /HIV transmission in Muslim communities. Reapplicability of research study at further setting and sample using health belief tool.