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Barriers of seeking for health services for STDs and HIV-AIDS in Puskesmas experienced by Female Sex Workers; between needs and demands.

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Academic year: 2017

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16th International Union Agains Sexually Transmitted Infections 16th International Union Agains Sexually Transmitted Infections

POSTER PRESENTATION Recurrent vaginal discharge in a five year old girl correlated with

hiv infection

Vulvovaginal candidiasis coinfections gonorrhea in menopause

Trichomonas vaginalis infection in post menopausal woman

Sexual health and sexual practice among indonesian MSM

Positivity proportion of Chlamydia trachomatis and Neisseria

gonorrhoeae with leukocyte esterase test and PCR technique in men

who have sex with men

Syphilis and HBsAg serologic positivity proportion and their association with knowledge, attitudes, and practices on STI among transvestites

HIV prevention for hard-to-reach men who have sex with men in Indonesia: can we reach them with multi-media

Proctitis gonorrhea

Comprehensive sexual health services for men who have sex with men in Indonesia

Proportion of oropharyngeal and rectal Chlamydia trachomatis infection among warias with PCR method at PKBI clinic, East Jakarta

Perianal condylomata accuminata in man who have sex with man

Proportion of oropharyngeal and rectal gonorrhea among warias with pcr method and related sexual behavior factors at Perkumpulan Keluarga Berencana Indonesia (PKBI) clinic, East Jakarta

Knowledge, atitude and practice of Malaysian medical and pharmacy students towards human papillomavirus vaccination

Ulcus vulvae acutum (Lipschü'tz ulcer)

Vulvae acutum ulcer (Lipschutz ulcer) that initially diagnosis as genital herpes

A case of vulval intraepithelial neoplasia with clinical features mimicking extra mammary Paget’s disease

A case of lymphatic malformation on left major labium mimicking genital warts Review on working diagnosis proctitis

Study on PMTCT services in nepal

Improving workflow at a sexual health clinic by using short messaging services to release test results

Barriers of seeking for health services for STDs and HIV/AIDS in Puskesmas experienced by female sex workers; between needs and demands

Bacterial vaginosis in pregnancy

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16th International Union Agains Sexually Transmitted Infections 16th International Union Agains Sexually Transmitted Infections

POSTER PRESENTATION PP-67

Lalitha Nair

Department of STI Control, Singapore

Background The Department of STI Control Clinic is the national referral centre for

the management of sexually transmitted infections in Singapore. The clinic manages ~28 000 patients a year and staffs 8 health advisors. Health advisors spend 6 hours a week releasing results to patients via the phone, a time consuming and inefficient process. Problems faced over the phone include incorrect information for identity verification, inability to recall passwords, calling before results are ready and asking staff for other information. As a large majority of Singaporeans use mobile phones, this study looked to improve the workflow by using short messaging services (SMS) to release test results to patients.

Methods A computer programme was installed for $4900 where requests for test

results by SMS service are tracked and sorted into “normal” and “abnormal” results. Patients were given the option to leave their mobile phone numbers should they prefer this service over the current telephone service. A bulk SMS was sent to patients informing them of their normal results. Patients with abnormal test results were sent an SMS informing them that one of their results was abnormal and to return to the clinic.

Results Health advisors workload dropped by 72% as they spent < 2 hours a week

releasing results by SMS. There was a $143 saving per month on manpower and administrative costs. Over a 3 month study period there was a 91% uptake of the SMS service resulting in discontinuation of the previous telephone service. Patients were able to receive their HIV results within 3 working days and other results within a week, instead of 2 weeks, alleviating much of their anxiety.

Conclusions The use of computer assisted technology to release results via SMS

has resulted in a more efficient clinic workflow and improved patient satisfaction. A regular review of the clinic’s processes enables the clinic to seek new and better ways to operate, better manage resources and improve patient satisfaction.

1

IMPROVING WORKFLOW AT A SEXUAL HEALTH CLINIC BY

USING SHORT MESSAGING SERVICES TO RELEASE TEST

RESULTS

POSTER PRESENTATION PP-68

Pande Januraga, Putu Wulandari, Made Nopiyani School of Public Health, Udayana University, Denpasar, Indonesia

Aim of Study To identify barriers of seeking for health services for STDs and

HIV-AIDS in Puskesmas (primary health center) experienced by FSWs, and explore possible solutions accordingly.

Method Using a qualitative research design, we have interviewed Head of Puskesmas,

pimps and FSWs. Question guide was developed prior to conducting an interview. Content analysis was used to analyze the results, and data was validated using several techniques of validating qualitative data such as member checking, peer debriefing, and comparison with other studies.

Results The main barriers encountered by FSWs in seeking health care services are

related to issues on convenience, privacy, and communication. In most cases, these “demands” issues are often neglected by the Puskesmas.

The themes on possible contribution on healthcare financing for FSWs was also emerged. This issue has been neglected possibly due to the stigma attached to this group. The potential role of as peer educators was also emerged.

Empowerment of Puskesmas needs to be enhanced in order for it to be effective in providing comprehensive health care services for FSWs. The overloaded duties, lack of qualities of human resources, inadequate facilities were among the challenges that should be considered.

Conclusions Puskesmas should identify not only health needs of FSW’s but also their

demands to eliminate the barriers.

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