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Inspiration from the Netherlands
A presentation about the sexual health policy of the Ministry of
Health, Welfare and Sport
Maryse Kok, MSc. Department of Public
Health
Ministry of Health, Welfare and Sport
Content of the presentation
• State of sexual health in the Netherlands• Basis of sexual health policy• Actors• Prevention policy• Treatment and care policy• Challenges for the future
Ministry of Health, Welfare and Sport
State of sexual health in the Netherlands 1
Sexual transmittable diseases (heterosexual men and women)
0
1000
2000
3000
4000
5000
6000
2003 2004 2005 2006
0
20
40
60
80
100
120
140
gonorroe chlamydia syfilis HIV+
Ministry of Health, Welfare and Sport
State of sexual health in the Netherlands 2
Teenage mothers
2795 mothers under theage of 20 years in 2005
1059 from them of aNon-western background
Ministry of Health, Welfare and Sport
State of sexual health in the Netherlands 3
Abortion
Netherlands
Foreign countries
0
5000
10000
15000
20000
25000
30000
35000
40000
1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
Ministry of Health, Welfare and Sport
Basis of sexual health policy 1
Basic principles of sexual health policy:• Be open towards and accept sexuality;• Combine policy, research, prevention and
treatment;• Support people having problems with
sexuality;• Respect for human rights;• Complement the specific roles of national
and local governments and of strong NGO’s.
Ministry of Health, Welfare and Sport
Basis of sexual health policy 2
Objective of our policy:To improve and maintain the sexual health of the people in the Netherlands
By:• Preventive activities• Appropriate treatment• Surveillance• Research
Ministry of Health, Welfare and Sport
Basis of sexual health policy 3
-
-
-
---
+
STDs Unintended
pregnancy
Violence
Speci
fic
Pre
venti
ve
measu
res
Tre
atm
ent
and c
are
Healthy choices of youth
Comprehensive sexuality education
Ministry of Health, Welfare and Sport
Actors
Prevention (collective and specific)
Treatment and care
Ministry Centre for
infectious diseases
Regular health care (GP, second line).
Financed by insurance
Abortion
clincs
Sexuality
STDclinics
NGO’sMunicipal Health Centres
Financing through Public Health Act
Additional to GP
Finance
Support
Ministry of Health, Welfare and Sport
Prevention policy
• National mass media campaigns about Save Sex
• Actions at local level: implementation of preventive measures at schools and in youth work
• Information at the internet, in magazines
Money “labeled” for prevention sexual health: €8.8 million
Ministry of Health, Welfare and Sport
Treatment and care policy
• Health insurance – GP, hospital care– Contraceptive pill and morning after pill– Condoms
• Abortion/ STD/ sexual health clinics– Total amount of money: €30 million
• NGO’s supporting care (unintended pregnancy, undesired childlessness, adoption)– Total amount of money: €4 million
Ministry of Health, Welfare and Sport
Link between prevention and treatment/care
STD and sexual health clinics• Integration of these two separate facilities• 8 coordinating municipal health centres
Ministry of Health, Welfare and Sport
Research and surveillance
• Research– ZonMw (money from the ministry)– Universities– Certain NGO’s
• Surveillance– STD’s: Centre for Infectious Diseases– Other: Rutgers Nisso Groep (NGO)
Ministry of Health, Welfare and Sport
Important conditions
• Attention of municipalities• Strong NGO’s and
involvement of target groups• Coordination of NGO’s, for instance by the
Centre for Infectious Diseases• Good surveillance system• International cooperation
– European Union– Outside EU
Ministry of Health, Welfare and Sport
Challenges for the future
Priorities (!)• Attention to sexual health issues compared with other
health issues
Handling with stigma:• Unwillingness of parents and school/ teachers (!)• Specific problems of certain groups of immigrants• Problems of religious groups
Changing norms about sexuality• More kinds of sexual manifestations• Influence of television and internet
Ministry of Health, Welfare and Sport
The end