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S18.2 Bridging the gap – best practice global examples of integration of HIV and STI services
  1. Janet Wilson
  1. Leeds Teaching Hospitals NHS Trust, Leeds Sexual Health and HIV, Leeds, UK


In response to the 2015 United Nations resolution, Transforming our world: The 2030 Agenda for Sustainable Development, in 2016 WHO developed three global strategies on HIV, viral hepatitis, and STIs. These are aiding reductions in the infections, and their related deaths, as well as improving the sexual health and well-being of all people. All three strategies highlight the importance of policies and systems that enable the delivery of integrated health interventions and services, and which can be tailored to different populations, at different locations, in order to achieve equitable and quality care. What might an integrated sexual health service look like? It would include the integration of STI services (including hepatitis B and HPV vaccination), reproductive health services (including contraception and cervical cancer screening), and HIV treatment and care. Partner notification and treatment would be a core component of the services. There would be universal antenatal screening for HIV, STIs and hepatitis B (or infant vaccination at birth) with combined efforts to reduce mother to child transmission of HIV, syphilis and hepatitis B. There would be targeted services for key populations such as sex workers and men who have sex with men. It would also include advice about protection against STIs, HIV and unplanned pregnancies and initiatives to promote behaviour change, with the provision of male circumcision, pre-exposure prophylaxis and post-exposure prophylaxis for the prevention of HIV. There would be assessments for drug and alcohol use/addiction and provision of, or referral to, services to reduce these. This talk will look at examples of health policies and services from around the world that are delivering integrated sexual, reproductive and HIV services. It will consider potential barriers to providing integrated services and possible solutions to overcome these.

Disclosure No significant relationships.

  • integrated sexual health
  • reproductive health
  • STI services
  • HIV treatment and care

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