Enhancing sexual health in primary care: Guidance for practitioners

Sexual health is an integral aspect of overall health and well-being and is fundamental to the sustainable development of societies worldwide. The World Health Organization (WHO) defines sexual health as ‘a state of physical, emotional, mental, and social well-being in relation to sexuality’. Howeve...

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Main Authors: Padaruth Ramlachan, Keshena Naidoo
Format: Article
Language:English
Published: AOSIS 2024-01-01
Series:South African Family Practice
Subjects:
Online Access:https://safpj.co.za/index.php/safpj/article/view/5822
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author Padaruth Ramlachan
Keshena Naidoo
author_facet Padaruth Ramlachan
Keshena Naidoo
author_sort Padaruth Ramlachan
collection DOAJ
description Sexual health is an integral aspect of overall health and well-being and is fundamental to the sustainable development of societies worldwide. The World Health Organization (WHO) defines sexual health as ‘a state of physical, emotional, mental, and social well-being in relation to sexuality’. However, addressing sexual health has been afforded low priority in primary healthcare systems. Primary care practitioners (PCPs), who play a crucial role in providing comprehensive care to communities, receive little training on screening and managing individuals with sexual health problems. The scope of services ranges from education, prevention and screening, to management of sexual health matters. Patients with noncommunicable diseases (NCDs), such as stroke, cancer, heart disease and diabetes, are at increased risk for sexual dysfunction, possibly because of common pathogenetic mechanisms, such as inflammation. This is of considerable importance in the sub-Saharan African context where there is a rapidly increasing prevalence of NCDs, as well as a high burden of HIV. Strategies to improve the quality of sexual health services in primary care include creating a safe and non-judgemental practice environment for history-taking among gender-diverse populations, utilising effective screening tools aligned with the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria for sexual dysfunctions. In particular, the International Consultation on Sexual Medicine (ICSM -5) diagnostic and treatment algorithm can empower primary care providers to effectively address sexual dysfunctions among patients and improve the quality of care provided to communities regarding sexual and reproductive health.
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spelling doaj.art-a143a37fd2bd41c389f11ef2eceba4612024-02-01T12:44:44ZengAOSISSouth African Family Practice2078-61902078-62042024-01-01661e1e510.4102/safp.v66i1.58224376Enhancing sexual health in primary care: Guidance for practitionersPadaruth Ramlachan0Keshena Naidoo1International Society for Sexual Medicine (ISSM), Durban; and, African Society for Sexual Medicine (ASSM), DurbanDepartment of Family Medicine, University of KwaZulu-Natal, DurbanSexual health is an integral aspect of overall health and well-being and is fundamental to the sustainable development of societies worldwide. The World Health Organization (WHO) defines sexual health as ‘a state of physical, emotional, mental, and social well-being in relation to sexuality’. However, addressing sexual health has been afforded low priority in primary healthcare systems. Primary care practitioners (PCPs), who play a crucial role in providing comprehensive care to communities, receive little training on screening and managing individuals with sexual health problems. The scope of services ranges from education, prevention and screening, to management of sexual health matters. Patients with noncommunicable diseases (NCDs), such as stroke, cancer, heart disease and diabetes, are at increased risk for sexual dysfunction, possibly because of common pathogenetic mechanisms, such as inflammation. This is of considerable importance in the sub-Saharan African context where there is a rapidly increasing prevalence of NCDs, as well as a high burden of HIV. Strategies to improve the quality of sexual health services in primary care include creating a safe and non-judgemental practice environment for history-taking among gender-diverse populations, utilising effective screening tools aligned with the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria for sexual dysfunctions. In particular, the International Consultation on Sexual Medicine (ICSM -5) diagnostic and treatment algorithm can empower primary care providers to effectively address sexual dysfunctions among patients and improve the quality of care provided to communities regarding sexual and reproductive health.https://safpj.co.za/index.php/safpj/article/view/5822sexual healthprimary healthcaresexual dysfunctionsgender-diversescreening
spellingShingle Padaruth Ramlachan
Keshena Naidoo
Enhancing sexual health in primary care: Guidance for practitioners
South African Family Practice
sexual health
primary healthcare
sexual dysfunctions
gender-diverse
screening
title Enhancing sexual health in primary care: Guidance for practitioners
title_full Enhancing sexual health in primary care: Guidance for practitioners
title_fullStr Enhancing sexual health in primary care: Guidance for practitioners
title_full_unstemmed Enhancing sexual health in primary care: Guidance for practitioners
title_short Enhancing sexual health in primary care: Guidance for practitioners
title_sort enhancing sexual health in primary care guidance for practitioners
topic sexual health
primary healthcare
sexual dysfunctions
gender-diverse
screening
url https://safpj.co.za/index.php/safpj/article/view/5822
work_keys_str_mv AT padaruthramlachan enhancingsexualhealthinprimarycareguidanceforpractitioners
AT keshenanaidoo enhancingsexualhealthinprimarycareguidanceforpractitioners