Most low- and middle-income countries (LMICs) rely on syndromic management to guide diagnosis and treatment of sexually transmitted infections (STIs). Sexual History Taking: Perspectives on Doctor-Patient Interactions During Routine Consultations in Rural Primary Care in South Africa. The study provided detailed information on the complexity of sexual history taking during a routine consultation and is relevant to primary health care in a rural setting.
Overall, sexual dysfunction in patients was totally overlooked and risk for HIV was not explored, which had a negative effect on patients’ quality of life and long-term health outcomes. Theme 3, consultation content, dealt with poor coverage of the components of the sexual health history. The consultation context theme included the seating arrangements, ineffective use of time, and privacy challenges due to interruptions and translators. In the patient-doctor relationship theme, patients experienced paternalism and a lack of warmth and respect. Three themes emerged from these 5 consultations. Sexual history was taken in 5 (3%) out of 151 consultations. If patients understand how disease and medication contribute to their sexual wellbeing, this may change their perceptions of the illness and adherence patterns. Sexual history was not taken and patients living with sexual dysfunction were missed. Confirmability was ensured by 2 generalist doctors, a public health specialist and the study supervisors. Patient consultations were analyzed thematically, which entailed open coding, followed by focused and verbatim coding using MaxQDA 2018 software. This article reports on the 5 consultations where some form of sexual history taking was observed. This qualitative study, based on grounded theory, involved the video-recording of 151 consultations of adult patients living primarily with hypertension and diabetes. To describe the optimal consultation process, as well as associated factors and skills required to improve disclosure of sexual health issues during a clinical encounter with a doctor in primary health care settings in North West province, South Africa. Giving the high numbers of people living with AIDS, every patient in South Africa should be offered an HIV test, which implies that a comprehensive sexual history must be taken. Sexual history taking for risk behavior contributes to improving health outcomes in primary care. MSM in communities as well as in health facilities for MSM in the North. There is a need for health promotion on STIs and risky behaviours among This study had casual sex, and are involved in sex work without practising safe Conclusion: The study concludes that the MSM in Which made them vulnerable because they could not successfully negotiateĬondom use, and they reported that they sometimes accepted gifts or money Most of the MSM played a female or bottom role, In the heterosexual population with poor understanding of STIs affecting There was a high level of knowledge of STIs MSM in this study were having multiple sexual partners and exchanging partners, alcohol abuse, inconsistent condom-use, having unprotected anal The high-risk behaviours noted among the majority of the Townships, rural villages and informal settlements in the vicinity of the clinical All were unmarried, and all of them came from Results: The mean age of the sample was 26 years, and the age Thematic content analysis was used for data analysis, using NVivo version 10 On MSM 18 years and older, using a semi-structured interview guide. Face-to-face in-depth interviews were conducted A convenience sampling method was used and
#SMU MAXQDA TRIAL#
In an HPV clinical trial at MECRU, which is a clinical research unit at the Sefako Qualitative design was employed to assess the STIs and the risky Have sex with men in the North-West region of Tshwane. The understanding of the STIs and the risky sexual behaviours of men who The aim of the study was to qualitatively assess Interventions, which could exacerbate the rapid spread of STIs,Įspecially HIV, among MSM. With men (MSM) could lead to the development and implementation of inappropriate Transmitted infections (STIs) and risky behaviours among men who have sex Background: The gap in the understanding of the context of the sexually
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