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Purpose: The objective of this study was to evaluate general and sexual health and violence services, resources and information available to CC students. Methods: This qualitative case study used phenomenology to evaluate five diverse CC campuses in Western Washington. Campuses were located in both urban and suburban locations and had a range from 10,000-32,000 students/year. The variables of interest in evaluation of resources included accessibility, information and privacy. Data collection included photographs during field observation, interviews with administrative and health services staff, and content evaluation of webpages and social media posts. Results: Across the 5 campuses there were no on-site health centers, but varied presence of counseling and other health resources. Many staff did not know what health resources were available. Websites were accurate but information was hard to find, and social media was rarely utilized for health. Privacy was limited around health services and information. Conclusion: Findings indicate a need for improved staff knowledge, and effective use of websites and social media to disseminate health information.
Health Program Planning and Evaluation, Fifth Edition carefully walks the reader through the process for developing, implementing, and evaluating successful community health promotion programs. Featuring reader-friendly, accessible language and practical tools and concepts, this outstanding resource prepares students and professionals to become savvy consumers of evaluation reports and prudent users of evaluation consultants. The Fifth Edition reflects the major changes in the field of community health with updated examples and references throughout.
One in five people in the United States had a sexually transmitted infection (STI) on any given day in 2018, totaling nearly 68 million estimated infections. STIs are often asymptomatic (especially in women) and are therefore often undiagnosed and unreported. Untreated STIs can have severe health consequences, including chronic pelvic pain, infertility, miscarriage or newborn death, and increased risk of HIV infection, genital and oral cancers, neurological and rheumatological effects. In light of this, the Centers for Disease Control and Prevention, through the National Association of County and City Health Officials, commissioned the National Academies of Sciences, Engineering, and Medicine to convene a committee to examine the prevention and control of sexually transmitted infections in the United States and provide recommendations for action. In 1997, the Institute of Medicine released a report, The Hidden Epidemic: Confronting Sexually Transmitted Diseases. Although significant scientific advances have been made since that time, many of the problems and barriers described in that report persist today; STIs remain an underfunded and comparatively neglected field of public health practice and research. The committee reviewed the current state of STIs in the United States, and the resulting report, Sexually Transmitted Infections: Advancing a Sexual Health Paradigm, provides advice on future public health programs, policy, and research.
Introduction: The prevalence of non-volitional sex is higher in those with a sexual debut before the age of 16. BASHH therefore advocates the use of a Young Personu2019s Proforma (YPP) to detect signs and concurrent risk factors of child sexual exploitation (CSE), intending to safeguard this vulnerable group of attenders.Objectives: To investigate the adherence to BASHH guidelines relating to the care of young people accessing sexual health services, specifically the use of the YPP. Methods: A retrospective, service evaluation audit analysing 150 case notes of patients under-16yrs, attending between 1st July 2014 and 1st June 2015. Notes were extracted from a central clinic (n=50), and 4 community sexual health clinics (n=100).Results: Centrally, all patients had a proforma completed, compared with 81% of community patients. Proformas were completed in 67% of male community patients. 19 patients had experienced involuntary sexual activity. 19% of patients had 1 or more significant risk factor for CSE. In total, 83 further referrals (57% safeguarding) were made. Risk factors were reassessed in 79% of patients. 71% attended primarily for contraception (central=46%, community=83%), with 79% offered STI screening.Discussion: The central clinic achieved all BASHH targets, whereas the community clinics failed to do so; discrepancies debatably a result of adapting services to patientsu2019 needs. Proforma completion is pivotal in safeguarding patients, however consistency between sexes is needed. Extending proforma use for reassessment and 16-17 year olds may also be beneficial. Improvements that facilitate the creation of an equitable service are needed, specifically regarding communication between central and community clinics.