As a result, syndromic diagnosis of STD has been adopted in many settings all over the world. Simplicity does not prevent physicians from using other tools, such as a thermometer or a stethoscope. It is a great advantage for STD control if other service providers, in addition to doctors, can use the syndromic approach to make a diagnosis. A streamlined diagnosis and treatment process also frees up more time for health workers to offer education for behaviour change. The syndromic approach does not use a service provider's clinical skills and experience.
Many clinicians rely heavily on their own clinical judgement.
They find it difficult to accept that using a clinical judgement alone could be a problem. An example of inappropriate case management. It is likely that by using the proper flow-chart, the provider can treat straight away without waiting for results from diagnostic tests. It would be better to treat the patient first for the most common cause and then, if the symptoms don't improve, treat for a second cause. Patients who are not cured by the first treatment may not return to the health centre and may even seek further treatment elsewhere, resulting in an inappropriate course of treatment.