Select Committee on Health Appendices to the Minutes of Evidence


APPENDIX 7

Memorandum by Centre for HIV and Sexual Health (SH 14)

  There are three main elements to improving the nation's sexual health. These are the provision of:

    —  excellent sexual health services;

    —  excellent sex and relationships education; and

    —  excellent sexual health promotion.

  The Centre for HIV and Sexual Health, a national centre based in Sheffield, and working with local communities as well as at regional, national and international levels, contributes to all the above activities. However, because it is the one that can fall off the agenda, it is the third of these, which is specifically addressed here.

  It is vital that sexual health promotion, including HIV prevention, does not become a "Cinderella issue" in sexual health because this offers a long-term solution to many of the sexual health problems which challenge us, from HIV and STI's, to unwanted and unintended pregnancies and psychosexual problems. All districts and PCT's should therefore have robust and rigorous sexual health promotion programmes, building on the evidence of what works.

  These should:

    —  particularly target vulnerable groups eg young people, women, gay/bisexual/men who have sex with men, black and ethnic minorities and African communities, and IV drug users;

    —  use a variety of methods which actively engage individuals, groups and communities;

    —  offer the opportunity to acquire skills such as negotiation, saying "no", developing friendships and resisting pressure and coercion;

    —  increase people's confidence in accessing sexual health services;

    —  draw on a variety of media such as printed resources (eg leaflets, packs), interactive ones (eg CD ROMS, board games, the internet), and visual ones (eg videos and posters);

    —  be multi-disciplinary and interagency wherever possible to ensure the maximum "reach";

    —  address self-esteem building, assertiveness, and emotional development as key issues which impact on sexual health; and

    —  be based in a sense of entitlement to good sexual health and responsibilities to self and others.

  This Centre has 15 years of expertise in this field to draw on, publishing a range of resources used nationally, training sexual health trainers throughout the UK and Ireland, and with a rich fund of community based expertise to share. If we are to ensure a sexually healthy future for the people of this country, sexual health promotion will be a vital area of exploration and development. The Centre would welcome the opportunity to contribute to the Select Committee's consideration of this topic.

WORKING TOWARDS SEXUAL HEALTH FOR ALL

  This leaflet offers an introduction to the Centre for HIV and Sexual Health—to the values and principles which inform our work, to our activities at local, regional and national levels and to our continuing practice in supporting Sexual Health Promotion and HIV Prevention initiatives. To find out more about any of the work described here, or to discuss ways in which we may be able to help you, see the contact details on the back page.

WORKING WITHIN A HOLISTIC MODEL OF SEXUAL HEALTH

  Our holistic model of working acknowledged the interplay between a variety of factors in constructing and supporting people's sexual health. These include political, social and cultural factors and health inequalities, as well as issues relating to individual experience, emotions, sexuality, sensuality and spirituality. Our approach affirms people's right to sex, which is consensual, mutual and equal, and the importance of pleasure, intimacy, desire, love and fulfilling relationships.

  Within the wider aim of working towards sexual health for all, our specific objectives include:

    —  reducing unintended teenage pregnancies;

    —  the prevention of HIV and other STIs;

    —  the promotion of positive and mutually satisfying relationships; and

    —  the provision of excellent Sex and Relationships Education.

  We are also committed to developing a more positive and affirming overall culture for sexual health, and an environment in which this is seen as a basic human right.

OUR VALUES AND PRINCIPLES

  We believe that the most effective sexual health promotion is multi-faceted, including activities such as:

    —  The development of policy and strategies at local, national and organisational levels which address sexual health inequalities, support the development of positive sexual health and of caring relationships and ensure that sensitive, appropriate and accessible services are available.

    —  The provision of excellent sexual health and HIV—and other health—services, delivered by staff who are well trained and supported and who have the necessary knowledge, skills and attitudes to promote the health of their service-users.

    —  Comprehensive Sex and Relationships Education from an early age. This needs to be person-centred, dealing with emotions, anxieties and human sexuality, encouraging skills development and answering questions and concerns—rather than just giving information on biology, reproduction and contraception.

    —  Constructively and helpfully challenging prejudice, stigma and discrimination and enabling people to move beyond these barriers to build alliances, to claim their own sexuality and to respect the choices and life-styles of others.

    —  Enabling individuals, groups and communities to gain the skills, understanding and information to take control of their own sexual health and to be empowered to make positive, responsible choices.

OUR WORK NATIONALLY

  The Centre operates at a national level, through activities including:

    —  A comprehensive national training programme of courses delivered in Sheffield and throughout the UK and Ireland on a broad variety of topics related to Sexual Health Promotion, HIV Prevention, Youth Work, Sex and Relationships Education and Organisational Development.

    —  Contributing to emerging national strategies and policy and to the curriculum of appropriate professional training bodies.

    —  A wide range of publications, resources and materials including packs and manuals, leaflets, games, posters, videos, credit cards and tool-kits.

    —  Partnerships and collaboration with the other major national sexual health promotion agencies.

    —  National and Regional conferences, seminars and workshops on many sexual health issues.

    —  Service reviews, organisational audits and community needs assessments.

    —  Tailor-made training courses commissioned by individual organisations, local networks and Forums.

    —  Consultancy on a range of sexual health and health promotion issues.

    —  Support for those developing and implementing local Sexual Health Strategies and Projects.

    —  Input to conferences, seminars, study days and workshops—for example by speeches, workshops and presentations on practice as well as inclusion of Publications Catalogues and Training Programmes in Delegates' Conference Packs.

    —  Organisational development, consultancy and input.

    —  Provision of information about the Centre's activities and developments via our web-site.

OUR WORK IN SHEFFIELD

  We are still rooted in our local community-based work. In this, our activities include:

    —  Community development—particularly with marginalised, vulnerable or stigmatised groups.

    —  Support for teachers, schools and youth workers in Sex and Relationships Education.

    —  Consultancy, training, resources and support for those working in Primary Care settings.

    —  Training for staff and volunteers within statutory services—such as health, education and social services—as well as for those in voluntary and community-based organisations.

    —  HIV prevention initiatives, HIV and AIDS education and work to reduce the incidence of other STIs.

    —  Projects, training and ongoing work to reduce unintended teenage pregnancies in the city.

    —  A major resources library of books, videos, games and other materials related to Sexual Health Promotion available for loan or reference, and a catalogue listing these.

    —  Awarness-raising work eg by public campaigns and through liaison with the media.

    —  Subsidised places and Centre-funded places for Sheffield participants on many of our national training courses, conferences and seminars.

    —  Strong partnerships and collaboration with other organisations and agencies offering sexual health and related services.

    —  Support for organisations in developing sexual health policies, strategies and action plans.

    —  Community needs assessments, action-research and evaluation.

    —  Free materials and resources for dissemination within Sheffield.

    —  A Directory of Local Sexual Health Services including information on how to refer people to these.

    —  Networking and agenda-building opportunities for meeting and planning with other colleagues eg via Forums and Think-Tanks.

    —  Capacity-building within communities through support, training, skills development and the provision of resources, advice and information.

TO FIND OUT MORE

  If you would like to know more about how we may be able to help you, do contact us. You may find the following resources useful:

    —  The up-to-date programme of the Centre's national Training Courses.

    —  Our Publications and Materials Catalogue.

    —  Our Annual Review, detailing much of our work locally and nationally.

    —  Packs, Tool-kits and Manuals produced by the Centre.

    —  A Resources catalogue, listing what is available in our Resources Centre for reference or loan.

    —  Regular updates of the Centre's activities.


 
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