Introduction

2021 ◽  
pp. 1-6
Author(s):  
Debra Holloway
Keyword(s):  
Sexual Health ◽  
Nurse Practitioners ◽  
Unplanned Pregnancy ◽  
Holistic Approach ◽  
Sexually Transmitted ◽  
Sexual Health Care ◽  
Pregnancy Care ◽  
Human Immuno Deficiency Virus ◽  
Health Visitors ◽  
Reproductive Sexual Health

Women require contraceptive and reproductive/sexual health care from menarche to menopause. An holistic approach to care enables women of all ages to make effective and safe choices regarding contraceptive methods, managing sexually transmitted infections/human immuno–deficiency virus (STI/HIV), unplanned pregnancy care, or pregnancy care within the community and other specialist services provided by health professionals. The multidisciplinary team comprises: Consultants in Reproductive and Sexual Health), GPs, sessional doctors, nurse consultants, Clinical Nurse Specialist and Advanced Nurse Practitioners, nurses, midwives, health visitors, pharmacists, health advisors, associates, healthcare assistants, counsellors, client support workers (CSWs), and receptionists providing client-centred care.

Sexual health care of HIV-positive patients: an audit of a local service

2003 ◽  
Vol 14 (7) ◽  
pp. 493-496 ◽  
Author(s):  
Jane Hutchinson ◽  
Penny Goold ◽  
Hugh Wilson ◽  
Kevin Jones ◽  
Claudia Estcourt
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Hiv Care ◽  
Hiv Positive ◽  
Hiv Diagnosis ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Sexual Health Care ◽  
Patient Appointment ◽  
Health Screen

The sexual health care of 175 HIV-positive patients attending the two HIV clinics at Barts and the London NHS Trust was audited for the first time. The audit standard was that 100% of patients should be in receipt of a sexual health screen within six months of their first HIV out-patient appointment. Overall, 44.5% of patients had a sexual health screen, of which 46 (60.5%) were diagnosed with a sexually transmitted infection. Those screened were younger than those who were not. Five factors were identified which were significantly associated with not having a genitourinary screen performed; site of HIV care, setting of HIV diagnosis, stage of HIV disease, specialty of HIV physician and whether a screen was recommended by the HIV physician. A number of recommendations have been implemented to improve the uptake of sexual health screening amongst HIV-positive patients.

UK national audit of sexual health care for people with HIV infection: case-notes audit

2007 ◽  
Vol 18 (9) ◽  
pp. 639-642 ◽  
Author(s):  
Chris Carne ◽  
Hugo McClean ◽  
Paul Bunting ◽  
Ed Wilkins ◽  
Linda Tucker ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Hiv Infection ◽  
Sexual History ◽  
Hiv Diagnosis ◽  
Sexually Transmitted ◽  
Sexual Health Care ◽  
Outbreak Areas ◽  
Hepatitis B Testing ◽  
Syphilis Serology

The case-notes of 3210 patients with HIV infection were audited. A sexual history was documented within four weeks before or after initial HIV diagnosis in 69% of cases (regional range 45–84%), and in the six months before attendance during the audit interval in 34% (12–53%). An offer of tests for sexually transmitted infections was documented within four weeks before or after HIV diagnosis in 58% (30–83%), and in the prior six months in 28% (14–47%). Syphilis serology was offered in the previous three months to 45% (14–100%) of cases resident in syphilis outbreak areas and to 25% (7–62%) of other cases. Hepatitis B testing was performed for 98% (95–100%) of cases and for hepatitis C, for 91% (79–100%). Cervical cytology results in the past year were documented for 73% (43–94%) of eligible women. Considerable inter-regional variation in performance exists. Interventions are needed to improve the sexual health care of people with HIV infection.

UK national audit of sexual health care for people with HIV infection: clinic policies

2007 ◽  
Vol 18 (9) ◽  
pp. 635-638
Author(s):  
Hugo McClean ◽  
Chris Carne ◽  
Paul Bunting ◽  
Ed Wilkins ◽  
Linda Tucker ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Hiv Infection ◽  
Service Providers ◽  
National Standard ◽  
Care Pathways ◽  
National Audit ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Sexual Health Care

A national audit of the sexual health care for people with HIV infection (PWHIV) was conducted in genitourinary medicine clinics and other clinics providing care for PWHIV in the UK in the summer of 2006. Data were aggregated by region and clinic, allowing practice to be compared between regions, as well as to national averages and against various guidelines. In this, the first of two papers, clinics were surveyed on their local policies. In total, 126 clinics participated. Only 38 clinics (30%, regional range 0–60%) had written local care pathways on management of sexually transmitted infection in PWHIV, while 73 (58, 20–100%) had unwritten policies. This compares with the national standard that 100% of service providers should be able to provide documentation of local care pathways for sexually transmitted diseases in people with HIV. Clinics should consider creating policies especially where standards are not being met.

Learnings from a decade experience of a community-based HIV and STI testing and counseling center in Lisbon – Portugal

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
F Fernandes ◽  
P Meireles ◽  
M Rocha ◽  
M Duque ◽  
H Barros
Keyword(s):  
Sexual Health ◽  
Sexual Behaviors ◽  
Community Based ◽  
Sexually Transmitted ◽  
Sexual Health Care ◽  
Sti Testing ◽  
Free Service ◽  
History Of ◽  
Hiv And Sti Testing ◽  
Sex With Men

Abstract Background In the context of an increased number of men who have sex with men (MSM) being diagnosed with HIV infection in many European countries, it became a matter of maximum priority to consider new strategies to monitor and tackle the epidemic. In this scenario, CheckpointLX and a cohort study were projected as a sexual health and research center oriented towards MSM in Portugal. Methods In 2011 CheckpointLX was launched in Lisbon as a community-based center for anonymous and free rapid HIV and other sexually transmitted diseases (STI) testing with a strong component of counseling for sexual health, specially targeted at MSM. In the case of a reactive test, a medical appointment is proposed and scheduled. The Lisbon Cohort of MSM is an ongoing observational prospective study conducted at CheckpointLX. Collected data include sexual behaviors, preventive strategies, and history of STI. Results Until July 2019, 7,351 HIV-negative MSM chose to participate in the Lisbon Cohort of MSM. 3,523 had at least one follow-up visit. The median age was 29 (IQR 25 - 37), and 27% were born in a foreign country, including 15% born in Africa and South America. HIV incidence increased up until 2015, reaching 5 reactive tests per 100 tested annually. There has been a sustained decrease in HIV observed since 2015. The use of HIV prevention tools was provided: 31% used condoms consistently, 3% reported PrEP, and 4% PEP. Conclusions A decade since the beginning of this experience shows positive results, such as increased access and testing. We promoted a stigma-free service that facilitated MSM's and other key population's access to sexual health care. We contribute unique data for assisting in the monitoring of the Dublin Declaration in Portugal.

scholarly journals Effects of Health Counseling on the Level of Knowledge and Attitudes Regarding Sexual Health in AL-Huda MTs Students

2018 ◽  
Vol 2 (1) ◽  
pp. 22-30
Author(s):  
Andi Suswani ◽  
Asdinar ◽  
Hamdana
Keyword(s):  
Health Education ◽  
Sexual Health ◽  
Sexually Transmitted Diseases ◽  
Design Research ◽  
Wilcoxon Test ◽  
Sexually Transmitted ◽  
Knowledge And Attitudes ◽  
Before And After ◽  
Level Of Knowledge ◽  
Reproductive Sexual Health

Abortion, pregnancy and sexually transmitted diseases are also a problem of adolescent sexual health in the world (WHO, 2015). This data shows that the number has increased every year. Increased sexual health problems also occur in cases of abortion, pregnancy and sexually transmitted diseases. The importance of knowledge about reproductive health, adolescents need to get enough information, so that they know what should be done and which should be avoided. Besides, with a good knowledge of sexual health, will form a positive attitude towards sexual health. This study aims to determine the effect of health education on the level of knowledge and attitudes about sexual health in MTs AL-Huda students. One group pretest-posttest design research design is the pre-experimental design type. A total population of 128 with a sample of 97 respondents employing purposive sampling and research instruments was a questionnaire. The results of univariate studies before health education for knowledge were 24 good (24.7%), 39 adequate (40.2%), 34 poor (35.1%) and attitudes of 36 positive (37.1%) and 61 negative ( 62.9%). After health education for knowledge, 62 were good (63.9%), 33 were sufficient (34.0%) and 2 were less (2.1%) while for attitudes namely, 78 were positive (80.4%) and 19 were negative (19, 6%), bivariate results with the Wilcoxon test (ρ = 0,000 <α = 0.05), it was concluded that there were significant differences between knowledge and attitudes before and after health education. It is recommended to improve the knowledge and attitudes of adolescents through health education, especially in maintaining and maintaining reproductive/sexual health.

Nurse-led sexual health care: international perspectives

2003 ◽  
Vol 14 (4) ◽  
pp. 243-247 ◽  
Author(s):  
Kevin Miles ◽  
Vickie Knight ◽  
Irina Cairo ◽  
Irene King
Keyword(s):  
Sexual Health ◽  
Service Providers ◽  
Care Providers ◽  
First Line ◽  
Sexually Transmitted ◽  
Sexual Health Care ◽  
The United Kingdom ◽  
International Perspectives ◽  
Genitourinary Medicine ◽  
The Uk

Nurses as first-line care providers for the treatment of sexually transmitted infections are a relatively new concept in the United Kingdom (UK). However, for over 25 years, services in other countries have been empowering nurses to work as autonomous practitioners, capable of dealing with patients presenting with a range of sexual health conditions and issues without necessarily seeking the advice or input of a doctor. This paper will present the observations of nurse-led services in Amsterdam, Seattle and Sydney. It will discuss how service providers in the UK can learn from the experiences of international colleagues and will argue why trained and experienced genitourinary medicine nurses need to advance their role and be better integrated as first-line care providers.

scholarly journals Sexual health and education guidelines for the care of people with spina bifida

2020 ◽  
Vol 13 (4) ◽  
pp. 611-619
Author(s):  
Amy Houtrow ◽  
Michele Roland
Keyword(s):  
Spina Bifida ◽  
Sexual Health ◽  
Sexual Coercion ◽  
Health Knowledge ◽  
Unplanned Pregnancy ◽  
Developmentally Appropriate ◽  
World Health ◽  
Fourth Edition ◽  
Sexually Transmitted ◽  
Sexual Health Knowledge

Sexual development is not only comprised of the changes to a person’s body during puberty; it is a part of social development and should be considered in the context of basic and routine human desires for connectedness and intimacy, beliefs, values and aspirations. As is true for everyone, it is important that individuals with spina bifida have opportunities to acquire developmentally appropriate, relevant and accurate sexual health knowledge. Those with spina bifida need to be able to negotiate sexual desire, intimacy and sexual expression. They also need education about their sexual health and how to limit the negative outcomes of sexual activity related to sexually transmitted infections, unplanned pregnancy or sexual coercion, violence, abuse or exploitation. This article discusses the Spina Bifida Sexual Health and Education Healthcare Guidelines from the 2018 Spina Bifida Association’s Fourth Edition of the Guidelines for the Care of People with Spina Bifida using the World Health Organization’s framing of sexual health and reviews the literature on sexual health and education for individuals with spina bifida.

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