%0 Journal Article %A A E Brown %A S E Tomkins %A L E Logan %A D S LaMontagne %A H L Munro %A V D Hope %A A Righarts %A J E Blackham %A B D Rice %A T R Chadborn %A P A Tookey %A J V Parry %A V Delpech %A O N Gill %A K A Fenton %T Monitoring the effectiveness of HIV and STI prevention initiatives in England, Wales, and Northern Ireland: where are we now? %D 2006 %R 10.1136/sti.2005.016386 %J Sexually Transmitted Infections %P 4-10 %V 82 %N 1 %X 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. %U https://sti.bmj.com/content/sextrans/82/1/4.full.pdf