Details:

Alternative Title:
Sex Transm Dis
Personal Author:
Golden, Matthew R. ; Katz, David A. ; Dombrowski, Julia C.
Golden, Matthew R. ; Katz, David A. ; Dombrowski, Julia C. Less -
Description:
Public health field services for sexually transmitted infections (STIs) have not adequately evolved to address the expanding scale of the STI problem, its concentration among men who have sex with men, the emergence of new communication technologies and the availability of antiretroviral therapy as a cornerstone of human immunodeficiency virus (HIV) prevention. Field services need to modernize. Modernization should seek to expand field services objectives beyond sex partner STI testing and treatment to include: HIV testing of persons with bacterial STI and their partners, including efforts to promote frequent HIV/STI testing; increased condom access; linkage and relinkage to HIV care and promotion of viral suppression; preexposure prophylaxis promotion; linkage to long-acting contraception; and referral for health insurance. Field services programs cannot advance these new objectives while simultaneously doing all of the work they have traditionally done. Modernization will require a willingness to reconsider some longstanding aspects of field services work, including the centrality of face-to-face interviews and field investigations. Health departments seeking to modernize will need to carefully assess their ongoing activities and reorganize to align the use of field services resources with program priorities. In some instances, this may require reorganization to allow the staff greater specialization and closer integration with surveillance activities. Adapting programs will require new staff training, improvements in data management systems, and a greater investment in monitoring and evaluation. Although modernization is likely to evolve over many years, the time to start is now.
Subject:
[+]
Article
Condoms
Contraception
HIV Infections
Humans
Insurance, Health
Public Health
Referral And Consultation
Sexually Transmitted Diseases
Sexual Partners
Social Change

Source:
Sex Transm Dis. 44(10):599-607.
Pubmed ID:
28876325
Pubmed Central ID:
PMC5637519
Document Type:
Journal Article
Funding:
H25 PS004364/PS/NCHHSTP CDC HHS/United States ; H25 PS005108/PS/NCHHSTP CDC HHS/United States ; P30 AI027757/AI/NIAID NIH HHS/United States
H25 PS004364/PS/NCHHSTP CDC HHS/United States ; H25 PS005108/PS/NCHHSTP CDC HHS/United States ; P30 AI027757/AI/NIAID NIH HHS/United States Less -
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:e5643ab3ac6062c9c14c9852941ea211738dc7449dde2baa40b2fcc0aaf8e5c8
File Type:

Supporting Files

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  	nihms874934f1.gif	gif
  	nihms874934f1.jpg	jpeg

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