In 2004, the British Association for Sexual Health and HIV Scottish Branch audited HIV testing in new attendees diagnosed with a sexually transmitted infection at genitourinary medicine clinics in Scotland. In 2008 the audit loop was completed. Large increases were seen in rates of test offer and uptake, particularly in health boards with low baseline levels of testing. Overall rates of testing remain below those recommended and wide variability between boards persists.
An audit of contraception service offered to teenagers attending Scottish genitourinary (GU) medicine clinics in 2007 was carried out by collecting data from each main clinic of 11 Scottish health boards. The case notes of 579 women aged under 18 years were reviewed. In 553 (95.5%) cases, sufficient data were available to make an assessment regarding whether the women needed any advice on having a reliable method of contraception. Of these 553 women, 280 (50.6%) were assessed as requiring contraceptive advice. Of the 280 women who needed advice, 156 (56%) received it. Currently, there are some gaps in the provision of contraception services offered to teenagers attending GU medicine clinics, which could be improved by increasing awareness among staff and providing adequate resources.
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