1. Ministry of Health, Welfare and Sport 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

2. 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

3. Ministry of Health, Welfare and Sport State of sexual health in the Netherlands 1 Sexual transmittable diseases (heterosexual men and women)

4. Ministry of Health, Welfare and Sport State of sexual health in the Netherlands 2 Teenage mothers 2795 mothers under the age of 20 years in 2005 1059 from them of a Non-western background

5. 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 199419951996199719981999200020012002200320042005

6. 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.

7. 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

8. Ministry of Health, Welfare and Sport Basis of sexual health policy 3 - - - --- + STDs Unintended pregnancy Violence Specific Preventive measures Treatment and care Healthy choices of youth Comprehensive sexuality education

9. Ministry of Health, Welfare and Sport Actors Prevention (collective and specific) Treatment and care MinistryCentre for infectious diseases Regular health care (GP, second line). Financed by insurance AbortionclincsSexuality STD clinics NGO’sMunicipal Health Centres Financing through Public Health Act Additional to GP Finance Support

10. 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

11. 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

12. 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

13. 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)

14. 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

15. 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

16. Ministry of Health, Welfare and Sport The end