Family Planning NSW Hunter clinic is trialing a process aimed to improve service delivery of long-acting contraceptive methods. Traditionally, clients interested in an intra-uterine device (IUD) were required to attend an initial assessment visit prior to a second consultation for insertion of the device. Family Planning NSW Hunter is trialing a new process for providing IUD insertion in a single clinic visit, following completion of an on-line questionnaire.
Methods: Since October 3, 2012, clients enquiring about IUDs were given the option of the usual two visit process, or completing an on-line questionnaire followed by IUD insertion in one visit, if suitable. Clients opting for a single visit process were e-mailed information and a link to an on-line questionnaire. Completed questionnaires were reviewed by a clinic nurse who then phoned clients. Women were advised to attend an assessment visit if potential issues were identified requiring further discussion or assessment, or were booked for IUD insertion at an appropriate time. Outcomes were monitored for all clients who opted for the single visit process.
Results: Of 71 women sent e-mails between 3rd October 2012 and 21st January 2013, 52 (73.2%) submitted questionnaires. Twenty-four of 52 respondents (46.2%) were assessed as suitable for a single visit process, and same-day insertion was successful for 19 women (79.2%). No complications were experienced on the day of insertion. Slightly over half (53.8%) of respondents were advised to attend for an assessment visit. Only three of these women indicated an absolute contra-indication to IUD insertion.
Conclusion: A same-day IUD insertion process following completion of an on-line questionnaire is feasible and safe. This pilot study is ongoing, with criteria for determining suitability for a single visit process under review.
The case is of a 30 year-old HIV positive Zimbabwean woman (UK resident) who arrived in Australia in January 2011 on a one-year working visa. She was diagnosed with HIV in 2003 in the UK and commenced on Atripla® in 2005. She was first seen in Adelaide in May 2011, requesting a script for Atripla.®.
Background: Liquid based anal Papanicolaou smears, followed by High Resolution Anoscopy (HRA) guided biopsies are increasingly being advocated to identify areas of High Grade Anal Intraepithelial Neoplasia (HGAIN). We hypothesized that the ability to identify HGAIN would increase with experience of the anoscopist, and that comparison with contemporary Papanicolaou smears might yield insights into technical abilities.
Indigenous Australians experience a greater burden of sexually transmitted infections, however are less likely than the general population to access sexual health services. We examined the effectiveness of an Indigenous cultural appropriateness audit in assessing a sexual health clinic with low rates of Indigenous clients.
Despite the high proportion of young people annually accessing general practices, including Aboriginal Medical Services (AMS), testing for Chlamydia trachomatis remains relatively low in urban areas. A project officer was employed within the Institute of Urban Indigenous Health (IUIH) to serve a mentoring and facilitation role for the SE Queensland network of AMS and their sexual health workers, with a view to improving testing, management and follow-up of chlamydia and other STIs by community controlled medical services.
Monocytes are a heterogeneous cell population having specialised functions and differing phenotype. They are a link between innate immune system and adaptive immune system therefore, to identify if immune activation exists in HIV-1 individuals with controlled virema and recovered CD4 T cell counts, we assessed cell surface monocyte activation markers (MAM) within the monocyte subsets.
Involving consumers in healthcare decisions is important for high quality care. We previously tested a brief, consumer-led intervention consisting of three questions in a trial employing trained, standardized patients. The intervention enhanced discussion of evidence and increased patient involvement. We now report a research translation study which tested implementation with real patients at a reproductive and sexual health clinic.