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Sexual Health and Wellbeing for Wales

Sexual Health and Wellbeing for Wales. 19 th March 2010. Dr Marion Lyons. Sexual health and Wellbeing for Wales, 2009 – 2014 Aims:. Increase sexual health and relationship literacy Improve access to good quality sexual health services

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Sexual Health and Wellbeing for Wales

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  1. Sexual Health and Wellbeing for Wales 19th March 2010 Dr Marion Lyons

  2. Sexual health and Wellbeing for Wales, 2009 – 2014 Aims: • Increase sexual health and relationship literacy • Improve access to good quality sexual health services • Reduce the number of unintended pregnancies, particularly among teenage girls • Reduce the rates of STIs and HIV • Improve the health and social care of people living with HIV • Reduce the number of new diagnoses of sexually transmitted Hepatitis B and the number of people at risk • Strengthen the monitoring, surveillance and research of the population's sexual health and well-being Dr Marion Lyons

  3. How far have we to go?Increase sexual health and relationship literacy • 2006 Health Behaviour in School Children showed that Wales has one of the highest proportions of 15 year olds reporting having sexual intercourse (out of 34 countries) • Teenage conception rates high, STI rates high in teenagers • Estyn’s report 2007 on the provision of SRE showed wide variation in the quality and impact of teaching of SRE Economic, social and cultural influences all impact on the sexual health and wellbeing Dr Marion Lyons

  4. Increase sexual health and relationship literacyFuture tasks: • WAG to develop and publish updated guidance for the delivery of sex and relationships education in schools • PHW to profile sexual health of the population and undertake targeted awareness raising campaigns Dr Marion Lyons

  5. AOF 2010/2011 Target 24 Sexual Health Services To ensure that all patients have access to core sexual health services (HIV and sexually transmitted infection testing and routine contraception advice*) provided by appropriate specialists within 2 working days. How far have we to go?Access to good quality sexual health services Dr Marion Lyons

  6. Access to good quality sexual health servicesFuture work: • Diagnosing Urogenital Chlamydia trachomatis and Neisseria gonorrhoea with an amplified DNA assay on self-taken vaginal swabs and first-catch urine • Improve access to services in rural areas • Review availability and provision of LARCs across all service providers Dr Marion Lyons

  7. How far have we to go?Reduce the rates of STIs and HIV • Between 2007 and 2008 the numbers of new cases of syphilis, uncomplicated Chlamydia, herpes and warts diagnosed in GUM clinics in Wales all continued to increase. • However, the numbers of new cases of uncomplicated gonorrhoea and hepatitis C diagnosed have continued to decrease. • The number of new cases of hepatitis B also decreased in 2008. Dr Marion Lyons

  8. Cases of infectious SYPHILIS reported to Public Health Wales CDSC through the enhanced surveillance scheme by month by region, 2002 to 2008 Dr Marion Lyons

  9. Reported cases of uncomplicated GONORRHOEA from GUM clinics in Wales on form KC60 per 100,000 population: teenagers and all ages, 1994-2008 Dr Marion Lyons

  10. Reported cases of uncomplicated GONORRHOEA from GUM clinics in Wales on form KC60 from 2004-2008 Dr Marion Lyons

  11. Reports of uncomplicated CHLAMYDIA from GUM clinics in Wales on form KC60 per 100,000 population: teenagers and all ages, 1994 - 2008 Dr Marion Lyons

  12. Reports of cases of uncomplicated CHLAMYDIA from GUM clinics in Wales on form KC60 from 2004-2008 Dr Marion Lyons

  13. Reports of cases of ANOGENITAL HERPES SIMPLEX - first attack - from GUM clinics in Wales on form KC60 from 2004 - 2008 Dr Marion Lyons

  14. Reports of cases of ANOGENITAL WARTS - first attack - from GUM clinics in Wales on form KC60 from 2004 - 2008 Dr Marion Lyons

  15. HIV – Source SOPHID data – analysed by HPA Dr Marion Lyons

  16. Clinical reports of HIV* and AIDS in Wales, 1994–2008 by year of diagnosis Dr Marion Lyons

  17. HIV infections by exposure risk 1999-2008 600 500 400 MSM IDU 300 Sex between men and women Blood/Blood products Mother to child Other/unknown 200 100 0 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Dr Marion Lyons

  18. The prevalence of HIV infection in Wales is low – approximately 0.05% of the population have been diagnosed with infection. • There is a steady increase in the number of people living with HIV reflecting both an increase in survival and new diagnoses • Approximately 100 new cases are diagnosed annually • Using data from 2008, we can find no evidence of follow-up in approximately 20% of those with a new diagnosis of HIV • Heterosexual risk behaviour accounts for approximately 60% of all new infections, of these 60% were from black and minority ethnic group (BMEG) • Infections arise in all age groups with very few infection in those under 20 years of age Dr Marion Lyons

  19. Reduce the rates of STIs and HIVFuture work: • Review provision of Condom Card Schemes in Wales and develop national standards • PHW to profile sexual health of the population and undertake targeted awareness raising campaigns • Cognitive behavioural work focusing on risk reduction, sexual negotiation etc can be effective in reducing risk taking behaviour in men who have sex with men (MSM) • Deliver multi component interventions for group work • Interventions to be targeted at specific sub groups of MSM e.g. those from ethnic minority groups • Increase access to testing for HIV in hard to reach groups Dr Marion Lyons

  20. Dr Marion Lyons

  21. Rate of teenage pregnancies by area of usual residence 2001 - 2008 Dr Marion Lyons

  22. Reducing the rate of teenage pregnanciesFuture work: • Use multiagency partnerships to identify the causes of teenage pregnancies and address the underlying risk factors such as low self-esteem and educational attainment • Commission easy to access contraceptive services • Revise the sexual health service specification to include primary care services • Pilot and evaluate a community based intervention (funding secured) Dr Marion Lyons

  23. Strengthen the monitoring, surveillance and research of the population's sexual health and well-being • Develop high level indicators for sexual health • Review KC60 and KT31 in light of the integration of services and develop future capture systems and construct a minimum data set for collection of standardised sexual health data across genitourinary medicine, community clinics, general practice and pharmacy Dr Marion Lyons

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