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Chlamydia Monday   Marta Hansson
Chlamydia Monday   Marta Hansson
Chlamydia Monday   Marta Hansson
Chlamydia Monday   Marta Hansson
Chlamydia Monday   Marta Hansson
Chlamydia Monday   Marta Hansson
Chlamydia Monday   Marta Hansson
Chlamydia Monday   Marta Hansson
Chlamydia Monday   Marta Hansson
Chlamydia Monday   Marta Hansson
Chlamydia Monday   Marta Hansson
Chlamydia Monday   Marta Hansson
Chlamydia Monday   Marta Hansson
Chlamydia Monday   Marta Hansson
Chlamydia Monday   Marta Hansson
Chlamydia Monday   Marta Hansson
Chlamydia Monday   Marta Hansson
Chlamydia Monday   Marta Hansson
Chlamydia Monday   Marta Hansson
Chlamydia Monday   Marta Hansson
Chlamydia Monday   Marta Hansson
Chlamydia Monday   Marta Hansson
Chlamydia Monday   Marta Hansson
Chlamydia Monday   Marta Hansson
Chlamydia Monday   Marta Hansson
Chlamydia Monday   Marta Hansson
Chlamydia Monday   Marta Hansson
Chlamydia Monday   Marta Hansson
Chlamydia Monday   Marta Hansson
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Chlamydia Monday Marta Hansson

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jan norton

jan norton

Published in: Health & Medicine, Education
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  • Transcript

    • 1. Chlamydia Monday 2003 – 2007 A preventive intervention in Stockholm County, Sweden Marta Hansson Bocangel Midwife Lafa – Unit for Sexuality and Health Stockholm County Council
    • 2. Lafa’s objectives
      • Prevent the spread of HIV and other sexually transmitted infections, STI
      • Prevent unwanted pregnancies
      • Promote sexual health and well-being
      • Marta Hansson Bocangel
      • Lafa 2008
    • 3. Lafa´s target groups
      • Teenagers/young adults
      • Immigrants
      • Men who have sex with men
      • Patients in the primary care system
    • 4. The Lafa model
      • Training programme
      • Method material
      • Information centre
      • Insight – magazine
      • Websites
      • Free condoms for young people
      • Statistics on births, abortions, STIs
      • Mentoring and support
    • 5. Youth Clinics in Sweden
      • Promote physical and mental health
      • Strengthen young people in the
      • development of their identity so that
      • they can handle and enjoy their
      • sexuality
      • Prevent unwanted pregnancies and
      • STIs
      • Policy programme for Sweden´s Youth Clinics 2002
    • 6. The work at the Youth Clinic is based on
      • Respect for the individual
      • Professional secrecy
      • Voluntary participation
      • Services free of charge
      • High accessability
    • 7. Youth Clinics
      • 230 in Sweden, 36 in the Stockholm area
      • Staffed by midwives, social workers, doctors
      • Different sizes
      • Outreach efforts and individual visits
      • Majority of clients are young women
    • 8. Chlamydia trend in Sweden 1990 - 2007
      • Figure 1. Number of chlamydia cases per 100,000 inhabitants in Sweden 1989–2007.
      • Source: Swedish Institute for Infectious Disease Control
    • 9.  
    • 10.  
    • 11.
      • Changed sexual habits
      • Delayed family formation
      • Less knowledge about STIs
      • Less fear of HIV
      • Low condom usage
      • Less effective partner tracing and notification due to lack of time
      • Higher alcohol and drug consumption
      Possible factors underlying the increase in chlamydia .
    • 12. CHLAMYDIA MONDAY 2003 - 2007 in Stockholm County
    • 13. The goals of Chlamydia monday
      • Bring attention and spread knowledge about the infection
      • Offer extended testing
      • Testing at many different sites
      • Encourage condom-use
    • 14. Implementation
      • Step one: invitation to participate to medical centres, gynaecological clinics and antenatal clinics Youth clinics and Sesam (sexual health) clinics have been obvious participants all five years
      • Step two: production of the information campaign
      • Step three: coordination before and during Chlamydia Monday
      • Step four: distribution of informational materials and surveys to all participating clinics
      • Step five: processing of statistics and survey responses at Lafa
    • 15. Chlamydia Monday 2003-2007, number of positive and negative test results
    • 16. Participants by age and sex, 2007, number n=1,234
    • 17. Patient oriented questions
      • Had chlamydia before: 20 – 25%
      • Been tested before: about 50%
      • Reason for getting a test: unprotected sex
      • Wouldn`t get tested if not for C.M:
      • 2003 – 15%
      • 2007 - 22%
    • 18. Reason for getting tested, 2007, number (n=1,237)
    • 19. Attitudes and knowledge
      • 90 % think chlamydia is a serious infection, but more than half state unprotected sex as their reason for getting tested
      • A great change in knowledge about the side-effects of chlamydia
      • Young men tested at youth clinics is the group that is both mainly untested and has the least knowledge about chlamydia.
    • 20.  
    • 21.  
    • 22.  
    • 23. Summary of Chlamydia Monday
      • Follow-up a key component
      • Accessibility important
      • Clinics more alert on STIs in general and in chlamydia in particular
      • More people in the primary care system become condom distributors, training in condom awareness
      • Increasing knowledge
    • 24. Summary of Chlamydia Monday
      • Behaviour has not changed but
      • A small decline in the first half of 2008 in the number of chlamydia cases
    • 25.  
    • 26. Summary of Chlamydia Monday
      • “ A change process begins with knowledge enhancement and is followed by a change in attitude, which finally leads to a change in behaviour”
    • 27. Cost benefit analysis
      • Evaluating chlamydia Monday 2007
      • Health gains measured in QUALYs – quality adjusted life years
      • Cost effective intervention
    • 28. Concluding thoughts
      • Young people are not a homogeneous group – preventive interventions must be adapted
      • Make it possible to talk about condoms
      • Find the risk-takers and use effective dialogue to influence them to practise safer sex
      • Talk to teenage boys and young men about fatherhood
    • 29. THANK YOU

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