The forgotten sexual health player: the unacknowledged role of community sexual and reproductive health clinics in managing uncomplicated sexually transmitted infections

2005 ◽  
Vol 16 (4) ◽  
pp. 333-333
Author(s):  
J Evans ◽  
L Bacon
Keyword(s):  
Reproductive Health ◽  
Sexual Health ◽  
Sexually Transmitted Infections ◽  
Sexual And Reproductive Health ◽  
Sexually Transmitted ◽  
Health Clinics

scholarly journals Knowledge on sexually transmitted infections and AIDS of women who have sex with women

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A B H Parenti ◽  
M A O Ignacio ◽  
T S Buesso ◽  
M A Santini ◽  
A T A R Cerqueira ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Sexual Health ◽  
Sexually Transmitted Infections ◽  
Risk Behavior ◽  
Sexual And Reproductive Health ◽  
Public Policies ◽  
Transmitted Disease ◽  
Multiple Linear Regression Model ◽  
Sexually Transmitted ◽  
Average Percentage

Abstract Introduction Literature points to a scarcity of studies on sexual health and risk behavior of women who have sex with women (WSW) living in low- and middle-income countries, reporting lack of knowledge, high prevalence of sexually transmitted infections (STI), and low incidence of consistent use of protective barriers. Objective Analyze knowledge of WSW on STI and AIDS. Methods Cross-sectional study developed in São Paulo state, Brazil. The intentional sample consisted of 182 women (55 WSW and 127 women who have sex only with men - WSM). Data were obtained from April to December 2019 through a questionnaire with questions related to the sociodemographic variables and the validated instrument Sexually Transmitted Disease Knowledge Questionnaire (STD-KQ), which has 28 questions adapted to Brazilian Portuguese in order to assess knowledge on STI/AIDS. The percentage of correct responses in function of sexual orientation, correcting the confounding effects, was adjusted by using a multiple linear regression model. The analyses were performed using the software SPSS 22.0. This research was approved by the ethics committee under protocol number 3.320.951. Results Out of the 182 participants, those self-reported as white (79%) and the ones living with their partner (81%) were predominant. The median age was 26 years old (18-48) and the median number of completed years of studies was 14 (1-24). As for their knowledge on STI/AIDS, the average percentage of correct answers was 63%, which on average was 12% lower among WSW compared to WSM. Conclusions The data in the present research indicate the importance of implementing public policies concerning the sexual and reproductive health of WSW, especially aiming at knowledge on STI/AIDS and ways to prevent them. Key messages Importance of implementing public policies concerning the sexual and reproductive health of women who have sex with women. Scarcity of studies on sexual health and risk behavior of women who have sex with women.

Should we change the focus of health promotion in sexual health clinics?

Sexual Health ◽  
2010 ◽  
Vol 7 (4) ◽  
pp. 407 ◽  
Author(s):  
Rudiger Pittrof ◽  
Elizabeth Goodburn
Keyword(s):  
Risk Factors ◽  
Health Promotion ◽  
Cost Effectiveness ◽  
Reproductive Health ◽  
Sexual Health ◽  
Sexual And Reproductive Health ◽  
Health Clinics ◽  
Unknown Risk ◽  
Sexual Health Clinics ◽  
The Cost

The effectiveness of sexual behaviour change interventions in sexual health clinics is unknown. Risk factors for poor sexual and reproductive health such as depression, violence, alcohol and smoking in sexual health clinics are all common and can be identified easily in sexual health services. Targeting these risk factors could be as effective as traditional sexual health promotion and could have additional benefits. The authors propose a pilot to assess the cost-effectiveness and acceptability of incorporating screening and interventions for these risk factors.

scholarly journals School-Based Health Clinics: Improving Adolescent Sexual and Reproductive Health in British Columbia – An Integrative Literature Review

2020 ◽  
Author(s):  
◽  
Carmen Schalles
Keyword(s):  
British Columbia ◽  
Reproductive Health ◽  
Health Services ◽  
Literature Review ◽  
Sexual Health ◽  
Sexual And Reproductive Health ◽  
Societal Implications ◽  
Health Clinics ◽  
School Based ◽  
Reproductive And Sexual Health

This integrative literature review strives to determine if the delivery of reproductive and sexual health services provided through high school-based primary care clinics can improve BC adolescent sexual and reproductive health. Adolescent sexual and reproductive health not only impacts life-long health; it also has significant societal implications. Although BC has begun to focus on adolescent health, innovative health service solutions are needed to improve adolescents’ health. Systematic search through the University of Northern British Columbia online library databases and Google scholar and the evaluation of the literature using CASP analysis tools resulted in the inclusion of 10 articles. Findings suggest school-based health clinics (SBHCs) decrease barriers that adolescents experience when accessing health services as well as public health system costs. Moreover, SBHCs are an effective mechanism to support adolescent reproductive and sexual health needs, especially in those populations with elevated levels of sexual and reproductive risk factors. However, for SBHCs to be effective, sustainable funding needs to be sourced, and barriers adolescents experience when accessing services need to be evaluated and addressed. SBHCs can complement current adolescent-friendly services to meet this unique population’s needs; however, further research is needed. More robust research on various demographics, health outcomes, and Canadian-based examination is required to strengthen SBHC implementation recommendations.

Sexually transmitted infections and women's sexual and reproductive health

2013 ◽  
Vol 123 (3) ◽  
pp. 183-184 ◽  
Author(s):  
Sami L. Gottlieb ◽  
Lori M. Newman ◽  
Avni Amin ◽  
Marleen Temmerman ◽  
Nathalie Broutet
Keyword(s):  
Reproductive Health ◽  
Sexually Transmitted Infections ◽  
Sexual And Reproductive Health ◽  
Sexually Transmitted

scholarly journals Use of sexual health services at hospitals by cleaning workers in Bogotá D.C. 2016

2018 ◽  
Vol 66 (4) ◽  
pp. 617-622
Author(s):  
Diana Marcela Hernández-Pérez ◽  
María Natalia Moreno-Ruíz ◽  
Anderson Iván Rocha-Buelvas ◽  
Arsenio Hidalgo-Troya
Keyword(s):  
Health Care ◽  
Reproductive Health ◽  
Health Services ◽  
Sexual Health ◽  
Risk Behaviors ◽  
Sexual And Reproductive Health ◽  
Negative Impact ◽  
Bivariate Analysis ◽  
Reproductive Health Services ◽  
Sexually Transmitted

Introduction: Poverty and social inequalities together with sexually transmitted diseases have a negative impact on women’s health, which is considered to be a public health problem.Objective: To analyze barriers to accessing sexual and reproductive health services in cleaning workers.Materials and methods: A survey was administered to a sample of 37 female cleaning workers at a hospital in Bogotá D.C. A bivariate analysis was performed with chi-square test, as well as a multivariate analysis with binomial logistic regression.Results: Need factors showed greater association with non-use of sexual health services. All married women had accessed the service over the past 12 months, but there were 5.9 less possibilities of using sexual and reproductive health services when there was no awareness about risk behaviors of sexually transmitted diseases.Conclusion: The determining factor for the utilization of sexual health services is the health care need factor. Variables such as perception of risk behaviors and appropriateness of health care significantly influence the use of the service.

scholarly journals Sexual and reproductive health problems among Ugandan youth during the COVID-19 pandemic lockdown: An online cross-sectional study

2020 ◽  
Author(s):  
Simon Binezero Mambo ◽  
Franck K. Sikakulya ◽  
Robinson Ssebuufu ◽  
Yusuf Mulumba ◽  
Henry Wasswa ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexually Transmitted Infections ◽  
Sexual And Reproductive Health ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Reproductive Health Services ◽  
Long Distance ◽  
Cross Sectional ◽  
Sexually Transmitted

Abstract BackgroundThe COVID-19 pandemic threatens access to sexual and reproductive health services. With global health emergencies, there is often a total reversal of priorities and access to sexual and reproductive health services may become challenging. The aim of this study was to establish the problems related to sexual and reproductive health among Ugandan youths during the COVID-19 lockdown. MethodsThis was an online cross-sectional study carried out from April 2020 to May 2020 in Uganda. An online questionnaire was used and participants aged 18years to 30 years recruited using the snowballing approach. The statistical analysis was done using STATA version 14.2.Results Out of 724 participants, 203 (28%) reported not having information and/or education concerning sexual and reproductive health (SRH). About a quarter of the participants (26.9%, n=195) reported not having testing and treatment services of sexually transmitted infections available during the lockdown. Lack of transport means was the commonest (68.7%) limiting factor to access to SRH services during the lockdown followed by the long distance from home to SRH facility (55.2%), high cost of services (42.2%) and curfew (39.1%). Sexually transmitted infections were the commonest (40.4%) problem related to SRH during the lockdown followed by unwanted pregnancy (32.4%) and sexual abuse (32.4%). The multivariate regression analysis shows that problems were more prevalent among the co-habiting youth [APR: 2.3 (1.6 - 3.29), p<0.001] followed by unemployed (volunteer or unpaid) [APR: 1.6 (1.03 - 2.64), p: 0.037] than in other participants. ConclusionsThe findings of this study show that Ugandan youths have accessing SRH information and services during the COVID-19 lockdown. Cohabiting and unemployed participants were the most affected. Lack of transport means and high cost of services were the major limiting factors to access SRH services among the youths. The findings call for concerted efforts from the Uganda government and international non-governmental organisations to ensure access and availability of SRH services for Ugandan youths during the COVID-19 lockdown.

Adolescent Sexual and Reproductive Health

2020 ◽  
Author(s):  
Ndola Prata ◽  
Karen Weidert
Keyword(s):  
Reproductive Health ◽  
Sexually Transmitted Infections ◽  
Disease Burden ◽  
Sexual And Reproductive Health ◽  
High Quality ◽  
Middle Income ◽  
Sexually Transmitted ◽  
Pregnancy And Childbirth ◽  
Middle Income Countries ◽  
The World

Adolescence, spanning 10 to 19 years of age, begins with biological changes while transitioning from a social status of a child to an adult. For millions of adolescents in low- and middle-income countries (LMICs), this is a period of exposure to vulnerabilities and risks related to sexual and reproductive health (SRH), compounded by challenges in having their SHR needs met. Globally, adolescent sexual and reproductive ill-health disease burden is concentrated in LMICs, with sexually transmitted infections and complications from pregnancy and childbirth accounting for the majority of the burden. Adolescents around the world are using their voices to champion access to high-quality, comprehensive SRH information and services. Thus, it is imperative that adolescents’ SRH and rights be reinforced and that investments in services be prioritized.

scholarly journals Assessment in the primary care of the State of São Paulo, Brazil: incipient actions in sexual and reproductive health

2017 ◽  
Vol 51 ◽  
Author(s):  
Mariana Arantes Nasser ◽  
Maria Ines Battistella Nemes ◽  
Marta Campagnoni Andrade ◽  
Rogério Ruscitto do Prado ◽  
Elen Rose Lodeiro Castanheira
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Reproductive Health ◽  
Sexually Transmitted Infections ◽  
Sexual And Reproductive Health ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
Sexually Transmitted ◽  
Primary Health

OBJECTIVE The objective of this study is to assess performance in sexual and reproductive health of primary health care services of the Brazilian Unified Health System, in the State of São Paulo, Brazil. METHODS An evaluative framework was built for sexual and reproductive health with the categorization of 99 indicators in three domains: sexual and reproductive health promotion (25), sexually transmitted infections/AIDS prevention and care (43), and reproductive health care (31). This framework was applied to assess the services responses to the questionnaire of Quality Evaluation of Primary Health Care in the Municipalities of São Paulo State (QualiAB), in 2010. Percentages were calculated for positive responses to indicators and performance in the sexual and reproductive health dimension, according to domains, and their contribution to the overall score in sexual and reproductive health (Friedman), relative participation (Dunn), and correlation (Spearman) was verified. RESULTS Overall, 2,735 services participated in the study. They were located in 586 municipalities (distributed throughout the 17 regional health departments of São Paulo), of which 70.6% had fewer than 100,000 inhabitants. The overall average performance of these services for sexual and reproductive health is 56.8%. The actions are characterized by: prenatal with adequate beginning and exams, better organization for immediate rather than for late postnatal care, and selective reproductive planning for some contraceptives; prevention based on specific protection, limitations in the prevention of congenital syphilis, in the treatment of sexually transmitted infections, and in the screening of cervical and breast cancer; specific educational activities, with a restricted vulnerability approach, focus on sexuality over reproduction. The domain of reproductive health has greater participation in the overall score, followed by prevention/care and promotion. The three domains are correlated; the domain of prevention/care has the highest correlation with the other ones. CONCLUSIONS The implementation of sexual and reproductive health in primary health care in the services studied is incipient. The revision of the purpose of the work, the dissemination of technologies, and the investing in permanent education are needed. The evaluative framework built can be used by the sexual and reproductive health program services and management in primary health care, thereby contributing to their actions.

scholarly journals Sexually Transmitted Infections and Behavioral Determinants of Sexual and Reproductive Health in the Allahabad District (India) Based on Data from the ChlamIndia Study

2019 ◽  
Vol 7 (11) ◽  
pp. 557 ◽  
Author(s):  
Pierre P. M. Thomas ◽  
Jay Yadav ◽  
Rajiv Kant ◽  
Elena Ambrosino ◽  
Smita Srivastava ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Sexually Transmitted Infections ◽  
Sexual And Reproductive Health ◽  
Uttar Pradesh ◽  
Positive Association ◽  
Vaginal Swab ◽  
P Value ◽  
Behavioral Determinants ◽  
Sexually Transmitted ◽  
Adverse Pregnancy

Background: Sexually transmitted infections (STIs), like Chlamydia trachomatis and Neisseria gonorrhoeae (CT and NG, respectively) are linked to an important sexual and reproductive health (SRH) burden worldwide. Behavior is an important predictor for SRH, as it dictates the risk for STIs. Assessing the behavior of a population helps to assess its risk profile. Methods: Study participants were recruited at a gynecology outpatient department (OPD) in the Allahabad district in Uttar Pradesh India, and a questionnaire was used to assess demographics, SRH, and obstetric history. Patients provided three samples (urine, vaginal swab, and whole blood). These samples were used to identify CT and NG using PCR/NAAT and CT IgG ELISA. Results: A total of 296 women were included for testing; mean age was 29 years. No positive cases of CT and NG were observed using PCR/NAAT. A 7% (22/296) positivity rate for CT was observed using IgG ELISA. No positive association was found between serology and symptoms (vaginal discharge, abdominal pain, dysuria, and dyspareunia) or adverse pregnancy outcomes (miscarriage and stillbirth). Positive relations with CT could be observed with consumption of alcohol, illiteracy, and tenesmus (p-value 0.02–0.03). Discussion: STI prevalence in this study was low, but a high burden of SRH morbidity was observed, with a high symptomatic load. High rates of miscarriage (31%) and stillbirth (8%) were also observed among study subjects. No associations could be found between these ailments and CT infection. These rates are high even for low- and middle-income country standards. Conclusion: This study puts forward high rates of SRH morbidity, and instances of adverse reproductive health outcomes are highlighted in this study, although no associations with CT infection could be found. This warrants more investigation into the causes leading to these complaints in the Indian scenario and potential biases to NAAT testing, such as consumption of over-the-counter antimicrobials.

scholarly journals Sexual and reproductive health in HIV-positive adolescents

2020 ◽  
Vol 1 ◽  
pp. 11
Author(s):  
Esther Simon Yiltok ◽  
Augustine Odo Ebonyi ◽  
Emeka Uba Ejeliogu
Keyword(s):  
Reproductive Health ◽  
Sexually Transmitted Infections ◽  
Sexual And Reproductive Health ◽  
Relevant Information ◽  
Hiv Positive ◽  
Sexually Active ◽  
Hiv Status ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Sexual Activities

Objectives: Adolescents grow to experience both emotional and sexual changes that occur at this stage in life. During this stage, these adolescents have increased experimentation, including sexuality, this also affects HIV-positive adolescents. The aim of this study was to evaluate the sexual and reproductive health of HIV-positive adolescents. Material and Methods: A semi-structured interviewer-administered questionnaire was used to obtain relevant information from adolescents who were enrolled into the study over a 6 months period. Information obtained included the bio-data, menstruation, sexual activity, HIV status of partner, use of contraceptives, abortion, and treatment of sexually transmitted infections (STIs). Data were analyzed using SPSS version 23. Results: One hundred and forty-seven HIV-positive adolescents were recruited into the study, males were 56 (38.1%), while females were 91 (61.9%). Fifty-nine (64.8%) of the females have started menstruating, out of which nine (6.1%) of them were sexually active. All those that were sexually active did not know the HIV status of their partners. Four (44.4%) of those who were sexually active use contraceptives, while three became pregnant out of wedlock and one had an abortion. Three (33.3%) of the sexually active adolescents had sexually transmitted infection. None of the 46 early adolescents was sexually active, but three out of the 71 middle adolescents and 6 out of the 30 late adolescents were sexually active. Conclusion: HIV-positive adolescents engage in sexual activities which are sometimes risky, just like other adolescents. The consequences of such acts include unplanned pregnancies and abortions in addition to sexually transmitted infections. Therefore, additional programs/interventions should be put in place to address these observations as well as prepare them as they transit to adulthood.

Sign in / Sign up

Export Citation Format

Share Document