scholarly journals Guidelines to reduce sexually trasmitted infections at primary health care centres - Part 2

Curationis ◽  
2007 ◽  
Vol 30 (4) ◽  
Author(s):  
S.T.J. Molapo ◽  
T.M.M. Maja ◽  
S.C.D. Wright
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Sexually Transmitted Infections ◽  
Sexually Transmitted Diseases ◽  
Health Clinic ◽  
Structured Interviews ◽  
Care Clinic ◽  
Professional Nurse ◽  
Sexually Transmitted ◽  
Primary Health

Sexually transmitted diseases are the second highest cause of death among women aged 15-44 years. The incidence and prevalence of sexually transmitted diseases is on the increase at many health care centres despite their dreadfulness and many preventative measures. According to the Scope of Practice of registered professional nurses working in a community health clinic, the registered professional nurse has a responsibility to prevent disease and promote health as well as do research. This paper aims to describe guidelines to reduce sexually transmitted infections at primary health care centres based on research done to investigate the community specific knowledge, attitudes and perceptions regarding sexually transmitted infections. Structured interviews were used to collect data from 1694 participants (males and females) who were consulted at a primary health care clinic in Mamelodi, Gauteng province. Existing patients’ records were also utilised to calculate the incidence rate of sexually transmitted infections. Data were computerised and analysed quantitatively to reflect the results in frequencies and percentages as reported in Part 1 of this research. Guidelines to direct the practice of registered professional nurse were developed based on the findings of the results. These guidelines must underpin community specific interventions to reduce the incidence of sexually.

scholarly journals Exploration of knowledge, attitudes and percepions regarding sexually transmitted infections among patients attending a primary health care clinic in Gauteng - Part 1

Curationis ◽  
2007 ◽  
Vol 30 (4) ◽  
Author(s):  
T.J. Molapo ◽  
T.M.M. Maja ◽  
S.C.D. Wright
Keyword(s):  
Public Health ◽  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Sexually Transmitted Infections ◽  
Major Public Health Problem ◽  
Care Clinic ◽  
Sexually Transmitted ◽  
Primary Health Care Clinic ◽  
Primary Health

Sexually transmitted infections are a major public health problem in South Africa. The high incidence and prevalence of sexually transmitted infections in South Africa pose a serious threat to public health for two main reasons. Firstly, the long-term consequences of these infections are a major cause of loss of health or life, and secondly, sexually transmitted infections are important co-factors in driving the human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) epidemic. The control and prevention of sexually transmitted infections has become an urgent priority. At a primary health care clinic, the nursing personnel experienced an increasing number of persons daily seeking treatment for sexually transmitted infections. The purpose of the study was therefore to investigate the knowledge, attitudes and perceptions of people seeking treatment at Stanza Bopape Clinic regarding sexually transmitted infections. The study was a contextual, quantitative survey. The population was all patients (15 years and older) who visited the clinic for a health-related problem during November 2004 to January 2005. The sampling method was convenient. The data gathering method was self-report using a structured questionnaire basic on current knowledge. The data analysis was done with descriptive statistics.

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 associated syndromes assisted in the primary health care in Northeast, Brazil

2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Elani Graça Ferreira Cavalcante ◽  
Maria Alix Leite Araújo ◽  
Marli Teresinha Gimeniz Galvão ◽  
Heber José de Moura ◽  
Ana Paula Soares Gondim ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Sexually Transmitted Infections ◽  
Northeast Brazil ◽  
Sexually Transmitted ◽  
Primary Health

scholarly journals Vulnerability of adolescents to sexually transmissible diseases in primary care

2018 ◽  
Vol 12 (3) ◽  
pp. 753 ◽  
Author(s):  
Patricia Santos de Oliveira ◽  
Ana Cristina Freire Abud ◽  
Ana Dorcas De Melo Inagaki ◽  
José Antônio Barreto Alves ◽  
Kaellyne Figueiredo Matos
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Sexually Transmitted Diseases ◽  
Health Care Services ◽  
Socioeconomic Conditions ◽  
Sexually Transmitted ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
Uso Del Preservativo

ABSTRACT Objective: to identify the vulnerability situations adolescents are in relation to Sexually Transmitted Diseases in Primary Health Care. Method: this is a bibliographical, descriptive, integrative review type search of articles in the MEDLINE, BDENF and LILACS databases, in the period from January 2011 to December 2015. For this purpose, the following descriptors were used: adolescent, sexually transmitted diseases and primary health care, all with associations applying the “AND” in Portuguese, English and Spanish languages. The instrument adapted from the Ursi 2006 study was used to select the articles, which allowed outlining the main information. Results: there were 12 articles analyzed after applying the criteria. The results identified the following themes: socioeconomic conditions, early onset of sexual activity, lack of condom use, gender differences and difficulty of communication and access to Primary Health Care services. Conclusion: it was observed that adolescents need to be sensitized on the circumstances that lead to Sexually Transmitted Diseases, through partnerships with health services and social spaces in the community. Descriptors: Adolescent; Sexually Transmitted Diseases; Primary Health Care; Sexuality; Condoms; Gender Identity. RESUMO Objetivo: identificar as situações de vulnerabilidade em que os adolescentes se encontram em relação às Doenças Sexualmente Transmissíveis na Atenção Primária à Saúde. Método: estudo bibliográfico, descritivo, tipo revisão integrativa com busca de artigos nas bases de dados MEDLINE, BDENF e LILACS, no período de janeiro de 2011 a dezembro de 2015. Para tanto, utilizou-se os descritores: adolescente, doenças sexualmente transmissíveis e atenção primária à saúde, todos com associações aplicando-se o “AND” nos idiomas português, inglês e espanhol, além disso, para a seleção dos artigos, foi utilizado o instrumento adaptado do estudo de Ursi 2006, o qual permitiu esquematizar as principais informações. Resultados: foram analisados 12 artigos após aplicação dos critérios. Os resultados identificaram as seguintes temáticas: condições socioeconômicas; início precoce da atividade sexual; falta do uso do preservativo; diferença de gêneros; e dificuldade de comunicação e acesso aos serviços de Atenção Primária à Saúde. Conclusão: observou-se que os adolescentes necessitam ser sensibilizados sobre as circunstâncias que acarretam às Doenças Sexualmente Transmissíveis por meio de parcerias com os serviços de saúde e espaços sociais na comunidade. Descritores: Adolescente; Doenças Sexualmente Transmissíveis; Atenção Primária à Saúde; Sexualidade; Preservativos; Identidade de Gênero. RESUMEN Objetivo: identificar las situaciones de vulnerabilidad en que los adolescentes se encuentran en relación a las Enfermedades Sexualmente Transmisibles en la Atención Primaria a la Salud. Método: estudio bibliográfico, descriptivo, tipo revisión integradora con búsqueda de artículos en las bases de datos MEDLINE, BDENF y LILACS, en el período de enero de 2011 a diciembre de 2015. Para eso, se utilizaron los descriptores: adolescente, enfermedades sexualmente transmisibles y atención primaria a la salud, todos con asociaciones aplicándose “AND” en los idiomas portugués, inglés y español, además de eso, para la selección de los artículos fue utilizado el instrumento adaptado del estudio de Ursi 2006, el cual permitió esquematizar las principales informaciones. Resultados: fueron analizados 12 artículos después de la aplicación de los criterios. Los resultados identificaron las siguientes temáticas: condiciones socioeconómicas, inicio precoz de la actividad sexual, falta del uso del preservativo, diferencia de géneros y dificultad de comunicación y acceso a los servicios de Atención Primaria a la Salud. Conclusión: se observó que los adolescentes necesitan ser sensibilizados sobre las circunstancias que acarretan las Enfermedades Sexualmente Transmisibles, por medio de la asociación con los servicios de salud y espacios sociales en la comunidad. Descriptores: Adolescente; Enfermedades de Transmisión Sexual; Atención Primaria de Salud; Sexualidad; Condones; Identidad de Género. 

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