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he starting point for this guideline is the point at which a woman has learnt that she is living with HIV and it therefore covers key issues for providing comprehensive sexual and reproductive health and rights-related services and support for women living with HIV. As women living with HIV face unique challenges and human rights violations related to their sexuality and reproduction within their families and communities as well as from the health-care institutions where they seek care particular emphasis is placed on the creation of an enabling environment to support more effective health interventions and better health outcomes. This guideline is meant to help countries to more effectively and efficiently plan develop and monitor programmes and services that promote gender equality and human rights and hence are more acceptable and appropriate for women living with HIV taking into account the national and local epidemiological context. It discusses implementation issues that health interventions and service delivery must address to achieve gender equality and support human rights.
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.
The first book to integrate EMDR Therapy treatment of sexual trauma with a focus on helping clients achieve empowered sexual health This unique text provides EMDR clinicians with a complete toolkit, assisting sexual trauma survivors in moving from symptomology reduction/elimination to optimal sexual health and functioning. By integrating sexual health and EMDR Therapy together throughout this innovative book, the Adaptive Information Processing (AIP) Model is applied to sexual health, with sexual health-related material blended into all eight phases of the EMDR Protocol. Encompassing principles and best practices of current helpful positive sexual health frameworks, including fundamental sex therapy information and sex education models, this first of its kind EMDR Therapy resource disseminates essential information on anatomy, the history of sex research, Sexually Transmitted Infections (STIs) and pregnancy related issues, the Dual Control Model of arousal and desire, spontaneous and responsive desire, arousal non-concordance, models of consent for sexual activities, and out of control sexual behaviors. This guide considers the gender experience of trauma for all EMDR Therapy clients, covering challenges, concepts, and helpful strategies for discussing sensitive sexual health matters. It addresses sexual/affectional orientation, consensual non-monogamy, and how EMDR Therapy can help address the sexual health concerns of erotically marginalized populations. Also covered are matters of aging and spirituality as they impact sexual health. Packed with helpful resources such as questionnaires, guidelines, case examples, charts, cutting-edge diagrams, and anatomy illustrations with non-gendered labels, EMDR therapists will gain the knowledge and confidence they need to facilitate optimal sexual health for the clients in their practice. Key Features: Reinforces innovative content with abundant and diverse case studies Includes first-time publication of two valuable questionnaires: Sexual History Questionnaire and Sexual Styles Survey Delivers new EMDR Therapy resources for facilitating sexual health--Bubble Boundary and Self-Compassion Container Provides a new EMDR Therapy future-oriented resource--Strengthening a Confident and Joyful Sexual Self Examines in-depth sexual/affectional orientation, relationship status such as consensual non-monogamy, and pregnancy loss Includes helpful, nonjudgmental, and affirming information about the kink/BDSM population Provides an overview of EMDR Therapy and sexual health for individuals with physical and intellectual disabilities Describes important sexual health frameworks and concepts Includes sex-positive resources for further education along with client handouts
Adolescence is a time of major transition, however, health care services in the United States today are not designed to help young people develop healthy routines, behaviors, and relationships that they can carry into their adult lives. While most adolescents at this stage of life are thriving, many of them have difficulty gaining access to necessary services; other engage in risky behaviors that can jeopardize their health during these formative years and also contribute to poor health outcomes in adulthood. Missed opportunities for disease prevention and health promotion are two major problematic features of our nation's health services system for adolescents. Recognizing that health care providers play an important role in fostering healthy behaviors among adolescents, Adolescent Health Services examines the health status of adolescents and reviews the separate and uncoordinated programs and services delivered in multiple public and private health care settings. The book provides guidance to administrators in public and private health care agencies, health care workers, guidance counselors, parents, school administrators, and policy makers on investing in, strengthening, and improving an integrated health system for adolescents.
This timely book introduces social aspects of the study of sexual health and their application to public health practice. The book addresses five key themes: Conceptual and theoretical aspects of sexual health, Sexual health outcomes of Risk and Vulnerability, Improving sexual health status and Measuring and assessing sexual health status. The authors consider each of these themes within their cultural and historical context and illustrate topics with international examples and case studies. Key features of the book include: A spotlight on populations rather than individuals, and a focus on the prevention of ill health and promotion of well being. A global perspective; the book makes the distinction between developing and developed countries, but recognises that inequalities are to be found within as well as between countries. A view of sexual behaviour as socially learned rather than biologically given and so as amenable to change and intervention to improve sexual health status. An emphasis on ways in which risk and vulnerability are products, not only of individual behaviours, but of the social context in which they are practiced. Written by authors with a wide range of experience, this book will be a valuable resource for public health practitioners and those studying and working in the area of sexual health. Understanding Public Health is an innovative series published by Open University Press in collaboration with the London School of Hygiene & Tropical Medicine. Series Editors: Ros Plowman and Nicki Thorogood Contributors: Sevgi O Aral, Chris Bonell, Helen Burchett, Joanna Busza, Martine Collumbien, Simon Forrest, Rebecca French, Claudia Garcia-Moreno, Anna Glasier, Jami Leichliter, Kirstin Mitchell, Will Nutland, Thomas Peterman, Elisabeth Pisani, Kaye Wellings, Meg Wiggins and Maria Zuurmond.
This open access edited volume explores physical disability and sexuality in South Africa, drawing on past studies, new research conducted by the editors, and first-person narratives from people with physical disabilities in the country. Sexuality has long been a site of oppression and discrimination for people with disabilities based on myths and misconceptions, and this book explores how these play out for people with physical disabilities in the South African setting. One myth with which the book is centrally concerned, is that people with disabilities are unable to have sex, or are seen as lacking sexuality by society at large. Societal understandings of masculinity, femininity, bodies and attractiveness, often lead people with physical disabilities to be seen as being undesirable romantic or sexual partners. The contributions in this volume explore how these prevailing social conditions impact on the access to sexual and reproductive healthcare, involvement in romantic relationships, childbearing, and sexual citizenship as a whole, of people with physical disabilities in the Western Cape of the country. The authors' research, and first person contributions by people with physical disabilities themselves, suggest that education and public health policy must change, if the sexual and reproductive health rights and full inclusion of people with disabilities are to be achieved.
Sexual and Reproductive Health at a Glance provides a highly-illustrated, visual introduction to all aspects of sexual and reproductive health, from basic clinical examination skills to the management of acute Sexually Transmitted Infections (STIs) and unplanned pregnancy. Covering topics which are often difficult to access as an undergraduate or junior doctor, Sexual and Reproductive Health at a Glance focuses on the fundamental principles in delivering effective contraception and sexual health care. It features high-yield information on the essential clinical topics covered in the Community Sexual and Reproductive Health (CSRH) curriculum. Presented in the familiar, easy-to-use, at a Glance format, Sexual and Reproductive Health at a Glance: • Provides a quick revision of basic anatomy, physiology and clinical skills • Offers balanced coverage of both male and female GU pathology, STIs and contraception • Includes material on practical gynaecological procedures performed in the out-patient setting • Presents a holistic approach to issues dealt with in this specialty • Takes a global perspective by addressing SRH issues in different cultures and resource-limited settings • Includes a companion website at www.ataglanceseries.com/sexualhealth featuring a selection of case scenarios and interactive flashcards for self-test This brand new title will provide an invaluable resource for medical and healthcare students, junior doctors, SRH trainees and busy clinicians working in other specialties.
Out of control sexual behavior ñ referred to variously as "sex addiction", "sexual compulsivity", and "hypersexuality", among other terms, has been a controversial and attention-getting issue since it first captured both public and professional attention over 30 years ago. Previous discussions of this behavior have been grounded in conceptualizing it as a pathologized, medical issue on par with substance abuse addictions, or, in backlash, as simply irresponsible behavior indicating weakness in the individual. In keeping with the call from many leaders in the mental health and sexual health areas to move beyond these two polarized conceptualizations of these sexual behavior problems, the authors present a model for working with clients in both group and individual treatment settings. Based on their experience with hundreds of clients, this book provides a comprehensive and practical conceptualization of out of control sexual behavior framed as a sexual health problem within a larger model of human behavior, not a psychiatric or addictive disorder. The book includes step-by-step tools for assessment, treatment planning as well as treatment implementation. It describes a process for professionals to guide clients to define and be accountable for their own personal vision of sexual health as the foundation on which they regain sexual behavior control. The authors provide rich and varied composite case examples based on 20 years of clinical experience that demonstrate clinician sexual health treatment conversations and tools, as well as stories of hope and guidance so essential to individuals wanting to understand how sexual health can be the essential ally in changing their sexual behavior.
This classic and invaluable reference Handbook, written for sex researchers and their students, has now been completely revised in a new edition complete with its own companion website. It remains the only easy and efficient way for researchers to learn about, evaluate, and compare instruments that have previously been used in sex research. In this third edition of the Handbook, 218 scales, complete with full descriptions and psychometric data, are made available, with additional information provided at the companion website for this volume.