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Preventing sexually transmitted infections and under-18 conceptions

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What is covered

This interactive flowchart covers preventing sexually transmitted infections among the whole population and preventing under-18 conceptions. It focuses on the provision of one-to-one interventions as part of the routine care provided by primary care, sexual health and contraceptive services. It also includes guidance on condom distribution schemes.

Updates

Updates to this interactive flowchart

5 April 2017 Updated on publication of sexually transmitted infections: condom distribution schemes (NICE guideline NG68).

Short Text

Everything NICE has said on preventing sexually transmitted infections and under-18 conceptions in an interactive flowchart

What is covered

This interactive flowchart covers preventing sexually transmitted infections among the whole population and preventing under-18 conceptions. It focuses on the provision of one-to-one interventions as part of the routine care provided by primary care, sexual health and contraceptive services. It also includes guidance on condom distribution schemes.

Updates

Updates to this interactive flowchart

5 April 2017 Updated on publication of sexually transmitted infections: condom distribution schemes (NICE guideline NG68).

Sources

NICE guidance and other sources used to create this interactive flowchart.

Quality standards

Quality statements

Effective interventions library

Effective interventions library

Successful effective interventions library details

Implementation

Pathway information

Supporting information

In these recommendations, competence refers to an assessment of whether a young person has maturity and understanding to make decisions and provide consent. This is sometimes called 'Gillick competence' and may be applied through 'Fraser guidelines' (see section 6 of Brook and Public Health England's C-Card condom distribution schemes).
Mainly referred to as 'condom schemes' in these recommendations. The term refers to all schemes that provide free or cost-price condoms, female condoms and dental dams, with or without lubricant. This includes schemes that also offer advice, information or support.
These schemes provide cost-price condoms and, if appropriate, lubricant. They include community schemes that provide cost-price condoms to sex workers and online services.
Thin, square piece of rubber that is placed over the labia or anus during oral-vaginal or oral-anal intercourse.
Groups at high risk of STIs (including HIV and Chlamydia trachomatis) may be involved in higher rates of risky sex (for example, they may have multiple partners or frequently change partners). Nationally, the highest levels of STIs are among men who have sex with men, and young people aged 16 to 24. The highest levels of HIV are among men who have sex with men and among black Africans living in the UK. Locally, other population groups may also be identified as high risk. These can be identified using Public Health England's sexual and reproductive health profiling tool.
People who are at risk of getting an STI include:
  • men who have sex with men
  • people who have come from or who have visited areas of high HIV prevalence.
Behaviours that increase the risk of STIs include:
  • misuse of alcohol and/or substances
  • early onset of sexual activity
  • unprotected sex and frequent change of and/or multiple sexual partners.
These schemes distribute free condoms with or without lubricant, together with training, information or other support.
These schemes distribute free condoms with or without lubricant, together with training, information or other support.
Public areas where people go for consensual sexual contact (both same sex and opposite sex).
A month-long course of drugs that can prevent HIV infection after the virus has entered a person's body. The sooner PEP is started, the more likely it is to work. A course of PEP needs to start within 72 hours of exposure otherwise it is unlikely to work.
This term is used for commercial venues, as opposed to public spaces and parks, where men who have sex with men can meet and have sexual relations on site. A similar term, 'on-premises club', is used by heterosexual swingers to describe a sex club where non-commercial sexual activity takes place.
These schemes provide or distribute free condoms and, if appropriate, lubricant. This include online services for specific groups or areas of the country, and distribution schemes in public places.
Vulnerable young people aged under 18 may include thoseDepartment for Education and Skills [2006] Teenage pregnancy: accelerating the strategy to 2010. London: Department for Education and Skills:
  • from disadvantaged backgrounds
  • who are in – or leaving – care
  • who have low educational attainment.

Glossary

British Association for Sexual Health and HIV
genito-urinary medicine
long-acting reversible contraception
sexually transmitted infection
sexually transmitted infections

Paths in this pathway

Pathway created: August 2011 Last updated: April 2017

© NICE 2017

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