Abstract
A combination approach of behavioural and biomedical interventions for prevention of sexually transmitted infections.
Highlights
The World Health Organization (WHO) estimated that in 2016 the global annual incidence of chlamydia, gonorrhoea, trichomoniasis and syphilis among people 15 to 49 years of age was 376.4 million infections.[1]
Most of the studies were conducted in the United States of America and other high-income countries, suggesting the need to examine the role of combining behavioural with biomedical interventions for the reduction of these infections in low- and middle-income countries (Fig. 1)
Brief sexuality-related communication is a clinical tool grounded in behaviour change theories; it is primarily based on motivational interviewing techniques, encompasses a holistic and positive understanding of sexual health and sexuality and addresses clientdriven sexual health goals in a single session shorter than 25 minutes within primary health-care settings.[10]. Such communication has great potential if used as part of a combination prevention approach to reduce the incidence of sexually transmitted infections, including human immunodeficiency virus (HIV), but wider experience is needed for implementation at the country level.[10] a UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), World Health Organization, avenue Appia 20, 1211
Summary
Before introducing behavioural interventions (including brief interventions), in the context of combination prevention programmes, the needs of different populations should be assessed, followed by the development of targeted programmes and interventions. Brief sexuality-related communication is a clinical tool grounded in behaviour change theories; it is primarily based on motivational interviewing techniques, encompasses a holistic and positive understanding of sexual health and sexuality and addresses clientdriven sexual health goals in a single session shorter than 25 minutes within primary health-care settings.[10] Such communication has great potential if used as part of a combination prevention approach to reduce the incidence of sexually transmitted infections, including HIV, but wider experience is needed for implementation at the country level.[10] a UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), World Health Organization, avenue Appia 20, 1211 Geneva 27, Switzerland
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