Audit of the Management of Sexual Assault Complainants attending Genitourinary Medicine against  The British Association for Sexual Health and HIV UK National Guidelines on the Management of Adult and Adolescent Complainants of Sexual Assault 2011

2016 ◽  
Author(s):  
Anna Garner
Keyword(s):  
Sexual Assault ◽  
Sexual Health ◽  
British Association ◽  
National Guidelines ◽  
Genitourinary Medicine

Evaluation, using two assessment instruments, of the American and British national guidelines for the management of sexually transmissible and genital infections

Sexual Health ◽  
2007 ◽  
Vol 4 (4) ◽  
pp. 255 ◽  
Author(s):  
Aisling Baird ◽  
Olufunso Olarinde ◽  
Martin Talbot
Keyword(s):  
Sexual Health ◽  
Disease Control ◽  
Guideline Development ◽  
Correlation Method ◽  
British Association ◽  
Assessment Instruments ◽  
Control Methods ◽  
Evaluation Instrument ◽  
National Guidelines ◽  
Very High

Background: The objective of the present study was to compare, utilising two guideline assessment instruments, six corresponding clinical practice guidelines of the British Association for Sexual Health and HIV and the Centres for Disease Control. Methods: Three raters independently assessed the recently published guidelines for gonorrhoea, chlamydial infection, early syphilis, pelvic inflammatory disease, bacterial vaginosis and HIV testing using two instruments, the Cluzeau and the AGREE (Appraisal of Guidelines for Research and Evaluation instrument). The Cluzeau scores were a simple percentage comparison; the AGREE scores were a standardised score for each guideline development domain. Differences were assessed using the Wilcoxson signed ranks test. Inter-rater variability was calculated on the Cluzeau instrument utilising the intragroup correlation method. Results: The British Association for Sexual Health and HIV guidelines scored higher than the Centres for Disease Control guidelines in many of the assessed domains. There were significant differences between the two in many of the scores (P = 0.026–0.028). Inter-rater concordance was high to very high at 0.70–0.83. Conclusions: There were often major differences in scores between the two guideline groups. It is necessary for wider discussion within the profession to consider the significance of these findings.

What impact has tendering had on trainees? Results of a national survey by British Association for Sexual Health and HIV Trainees’ Collaborative for audit, research and quality improvement projects

2017 ◽  
Vol 29 (1) ◽  
pp. 38-43
Author(s):  
Helen Wiggins ◽  
Anna Hartley ◽  
Emily Clarke ◽  
Elizabeth Foley ◽  
Rak Nandwani ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Sexual Health ◽  
Negative Impact ◽  
British Association ◽  
Electronic Survey ◽  
Training Standards ◽  
Management Experience ◽  
Genitourinary Medicine ◽  
The Impact ◽  
Variable Impact

In April 2013, local authorities gained responsibility for commissioning sexual health services in England. With many services going out to tender and resultant change in services or service provider, there is anecdotal evidence that this has impacted on the education, training and morale of genitourinary medicine (GUM) trainees. The aim of this study was to evaluate the impact of tendering on GUM trainees. An electronic survey designed by the British Association for Sexual Health and HIV Trainees’ Collaborative for Audit, Research and Quality Improvement Projects (T-CARQ) was distributed to GUM trainees and newly appointed consultants. Eighty-two individuals responded (74% GUM trainees, 25% newly appointed consultants, 1% locum appointed for service). Sixty-three per cent (45/72) had experience of training within a service which was being tendered. Of these, 59% (24/41) felt their training was not considered during the tendering process and 20% (8/41) felt that it was. Forty-four per cent (18/41) felt adequately supported. Thirty per cent (12/40) reported active participation in the tendering process. On a scale of 0 (no impact) to 5 (major impact), the median score for impact of tendering on training was 2. The positive/negative impact of tendering on different training elements was rated: other than management experience the overall impact on all parameters was negative, namely morale, senior support and education. In conclusion, this survey describes the variable impact of service tendering on GUM training. Our recommendations for maintaining training standards despite tendering include actively involving trainees and education partners, inclusion of specialist GUM training in service specifications, development of guidance for commissioners and services for the management of GUM training within tendering.

Audit on management of sexual assault victims attending an integrated sexual health service in Coventry

2019 ◽  
Vol 30 (9) ◽  
pp. 911-914
Author(s):  
Billakanti Swarna Kumari ◽  
Shyamalie Bopitiya ◽  
Anne Bassinder ◽  
Satyajit Das
Keyword(s):  
Sexual Assault ◽  
Health Service ◽  
Sexual Health ◽  
Holistic Approach ◽  
Ethnic Origin ◽  
Post Exposure Prophylaxis ◽  
Transmitted Infection ◽  
Sexual Health Service ◽  
Assault Victims ◽  
Hiv Risk Assessment

The management of victims of sexual assault need a holistic approach. The British Association of Sexual Health and HIV (BASHH) has set up standards for the management of sexual assault victims attending Sexual Health Clinics. We audited the management of victims of sexual assault attending an integrated sexual health service against recommendations from the latest BASHH guidelines. We included the recommendations and implementations already in place following an earlier audit in 2013 using the same guideline. Sixty-seven individuals identified themselves as victims of sexual assault. Most were of white ethnic origin (78%), female (96%) and the commonest age group was 18–25 years (39%). We achieved the 100% target in recording the date of assault, offering baseline sexually transmitted infection (STI) screening, HIV risk assessment, offer of post-exposure prophylaxis (PEP) for HIV where applicable and offer of emergency contraception. We were below the 100% target for other categories but improved compared to the previous audit except in recording the time when the first dose of PEP for HIV was given. The BASHH guideline has 14 auditable standards, all with a target of 100%. Our audit cycle completed in three years showed considerable improvement in achieving the standards in the management of Sexual Assault Victims. We hope this will encourage other centres audit their practice against the standards set by BASHH.

Specific genitourinary situations

2019 ◽  
pp. 81-116
Keyword(s):  
Sexual Health ◽  
Clinical Features ◽  
Diagnosis And Management ◽  
Genitourinary Medicine

This chapter summarizes clinical features, causes, diagnosis, and management of different groups of presentations or situations that need to be managed in genitourinary medicine or sexual health settings. Algorithms are provided for the different topics covered. The topics are listed at the beginning of the chapter.

scholarly journals Barriers to Utilization of Sexual Health Services among Young People in District Dang Nepal: A Qualitative Study

2018 ◽  
Vol 19 (2) ◽  
pp. 79-83
Author(s):  
Prayas Gautam ◽  
Munawar Hussain Soomro ◽  
Suprich Sapkota ◽  
Koshish Raj Gautam ◽  
Aastha Kasaju
Keyword(s):  
Young People ◽  
Qualitative Study ◽  
Health Services ◽  
Sexual Health ◽  
Rural Areas ◽  
Large Population ◽  
Easy Access ◽  
Reproductive Health Services ◽  
National Guidelines ◽  
Youth Friendly

Background: Sexual behavior of young people is becoming one of the important social and major publichealth concerns in recent years. Despite the large population of young people, their needs receive limited programmatic and policy attention. Youth-friendly sexual and reproductive health services are lacking despite the existence of national guidelines that call for youth-friendly services. The aim of this study was to determine the barriers to utilization of sexual health services among young people of Badi community of Nepal.Materials & Methods: This qualitative study included the young people, 15-24 years of age among the Badi community in district Dang Nepal. We conducted 22 in-depth interviews by using the interview guideline among the young people. Written and verbal informed consent was taken from each research participants before data collection.Results: Fourteen of the participants were males and eight were females. Participants were divided into two age groups: 15-19 and 20-24 and there were eight and fourteen participants from each group respectively. Rural participants were not satisfied with the services provided to them. We observed that discrimination, beliefs of society and feeling of shame towards family norms, lack of information about existing services, poor gender friendly services,lack of privacy and confidentiality and poor availability of the services pose the barriers to utilization of the sexual health services.Conclusions: Communities should be provided with educational programs on sexual health through community based organization and the establishment of youth friendly service centers with easy access to communities in urban as well as in rural areas would encourage young people to use sexual health services more frequently.J MEDICINE JUL 2018; 19 (2) : 79-83

British Association for Sexual Health and HIV: framework for guideline development and assessment

2010 ◽  
Vol 21 (7) ◽  
pp. 453-456 ◽  
Author(s):  
M Kingston ◽  
K Radcliffe ◽  
D Daniels ◽  
M FitzGerald ◽  
N Lazaro ◽  
...  
Keyword(s):  
Sexual Health ◽  
Guideline Development ◽  
British Association
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