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HIV : DUTCH (PREVENTION AND) TESTING GUIDELINES

HIV : DUTCH (PREVENTION AND) TESTING GUIDELINES. Rebecca van Riel Policy advisor Sexual Health The Netherlands. 3 November 2009 HIV in Europe Conference Stockholm. Objectives  safe, voluntary and respectful sex And prevention of: - STI’s (incl. HIV), - sexual coercion, and

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HIV : DUTCH (PREVENTION AND) TESTING GUIDELINES

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  1. HIV :DUTCH (PREVENTION AND) TESTING GUIDELINES Rebecca van Riel Policy advisor Sexual Health The Netherlands 3 November 2009 HIV in Europe Conference Stockholm

  2. Voettekst Objectives  safe, voluntary and respectful sex And prevention of: - STI’s (incl. HIV), - sexual coercion, and - unintended pregnancies SEXUAL HEALTH POLICY IN THE NETHERLANDS • Based on4 central values: • 1. autonomy • 2. empowerment • 3. mutual understanding and respect • 4. the right to effective care safe, voluntary and respectful sex

  3. Voettekst HIV (SEXUAL HEALTH) POLICY • Prevention (education) • (active) Testing • Youth • Men who have sex with men • Pregnant women • Ethnic minorities

  4. Voettekst HIV IN THE NETHERLANDSNUMBER OF HIV CASES KNOWN IN HEALTH CARE Source: Hiv monitoring foundation by year of HIV diagnosis by year of registration

  5. Voettekst PREVENTION OF HIV (EDUCATION) NGO NGO CIb NGO NGO NGO ministry NGO NGO university ZonMw university other

  6. Voettekst ACTIVE TESTING 2006: Ministry ordered STI clinics to introduce active testing on HIV and STI’s (high risk groups) 1999 Recommendation of Dutch Health Coucil to intensify (and further implement) active testing policy 2001: Steering committee that advocates active testing for high risk groups stimulated the active testing policy through the development of guidelines 2010: HIV opting out

  7. Voettekst ACTIVE TESTING BY STI CLINICS (1) High risk groups people under the age of 25; people experiencing symptons of an STI; people with an increased risk of STI’s (sex workers and their clients, men who have sex with men, people from countries with high STI occurence & partners of people with an increased STI risk); people identified through partner tracing schemes; people who wish to remain anonymous.

  8. Voettekst ACTIVE TESTING BY STI CLINICS (2)TRENDS IN CONSULTATIONS Source: Center for Infectious Disease Control number of consultations at clinics: 1995  20.000 2007  78.000

  9. Voettekst youth campaigns Safe Sex Campaigndeveloped by STI Aids Netherlands YOUTH: CAMPAIGNS andCONSULTATION SERVICES Consultation services www.sense.info reliable website on sexuality and sexual health Safe Sex campaign

  10. Voettekst CAMPAIGNS MSM Testing on STI’s / HIV: one of the central issues in campaigns for men who have sex with men (MSM) Campaigns Schorer Foundation: - “MAN to MAN campaign”- 2010 new campaign MAN to MAN campaign

  11. Voettekst Blood test for pregnant women (around 12th week) Screening on: - Blood diseases - Syphilis (lues) - Hepatitis B - HIV PREGNANT WOMENNATIONAL SCREENING PROGRAMME 110 out of 185.000 test positive for HIV

  12. Voettekst Special ethnic minority-programme (STI Aids Netherlands)that pays special attention to active testing among ethnic minorities Other sexual health interventions and programmes for ethnic minorities Stimulation local sexual health projects Projects by local health authorities together with civil society (migrant media, schools, youth work et cetera) ETHNIC MINORITIES

  13. Voettekst ACHIEVEMENTS CHALLENGES Combination of prevention and testing Active-testing in STI clinics appears to be successful increasing number of tests &more treatment reduction of further transmission & reduction of burden of disease Expected side effect: reduction of stigma because of introduction of hiv opting out Financial sustainability (open-ended financing) Reaching ethnic minorities Reaching sex workers Sometimes: long waiting times Enhancing connection between prevention and treatment

  14. Voettekst THE END http://www.minvws.nl/en/

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