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Sex Transm Infect 2006;82:4-10 doi:10.1136/sti.2005.016386
  • Epidemiological review

Monitoring the effectiveness of HIV and STI prevention initiatives in England, Wales, and Northern Ireland: where are we now?

  1. A E Brown1,
  2. S E Tomkins1,
  3. L E Logan1,
  4. D S LaMontagne1,
  5. H L Munro1,
  6. V D Hope1,2,
  7. A Righarts1,
  8. J E Blackham1,
  9. B D Rice1,
  10. T R Chadborn1,
  11. P A Tookey3,
  12. J V Parry4,
  13. V Delpech1,
  14. O N Gill1,
  15. K A Fenton1,5
  1. 1HIV and STI Department, Health Protection Agency Centre for Infections, 61 Colindale Avenue, London NW9 5EQ, UK
  2. 2Centre for Research on Drugs and Health Behaviour, Imperial College London, UK
  3. 3Institute of Child Health (ICH), University College London, UK
  4. 4The Sexually Transmitted and Blood-borne Viruses Laboratory, Health Protection Agency Centre for Infections, UK
  5. 5The Centre for Sexual Health and HIV Research, Department of Primary Care and Population Sciences, Royal Free and University College Medical School, London, UK
  1. Correspondence to:
 Alison E Brown
 HIV and STI Department, Centre for Infections, 61 Colindale Avenue, London NW9 5EQ, UK; alison.brown{at}hpa.org.uk
  • Accepted 26 September 2005

Abstract

Primary and secondary prevention are essential components of the response to HIV and sexually transmitted infections (STIs). We present findings from nationally implemented HIV/STI prevention interventions. In 2003, of those attending STI clinics at least 64% of men who have sex with men (MSM) and 55% of heterosexuals accepted a confidential HIV test; 88% of all HIV infections in women giving birth in England were diagnosed before delivery; 85% of MSM eligible for hepatitis B vaccination received a first dose of vaccine at their first STI clinic attendance; 74% of STI clinic attendees for emergency appointments, and 20% of those for routine appointments were seen within 48 hours of initiating an appointment; the National Chlamydia Screening Programme in England found a positivity of 10% and 13% among young asymptomatic women and men, respectively. Prevention initiatives have seen recent successes in limiting further HIV/STI transmission. However, more work is required if current levels of transmission are to be reduced.

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