The National Sexual Health Strategy (SNSS) has registered immediately in the long term, since its planned duration spans from 2017 to 2030. Holistic, it seeks to act on the determinants of sexual health and to reduce inequalities in this area in an interinstitutional and interdisciplinary approach. It was the subject of 2 roadmaps (2018-2020 and 2021-2024), which highlighted its progress and delays. The High Council for Public Health (HCSP) was responsible by the Directorate General of Health (DGS) to prepare the third (2025-2030) by publishing a assessment From the path accomplished and the one who remains to be done.
This evaluation remains complicated, in the absence ” of a structured follow -up system -Evaluation », Fault often noted by the High Council in its reports on public policies. However, he notes, ” This difficulty is in the process of resolution ».
Overall, the High Council ” note that SNSS represents significant progress towards the coordination of national public policies concerning sexual health ». He observes with satisfaction that ” Many measures have been taken, in terms of vaccination, screening for sexually transmitted infections, access to contraception, condoms, voluntary pregnancy interruption, for the sexual health of people with disabilities, for better regional sexual health coordination. »» But he adds that “Margins of progression remain ».
It concludes with 58 recommendations, concentrated on 3 strategic axes on the 6 initials. Among them, we note the following.
1) Axis 1: Invest in sexual health promotion, in particular to young people, in a global approach
- The legal obligation to education for emotional, relational life and sexuality in schools must be effective: very few schools comply. It is desirable that these identify ” Proximity structures approved by national education »To be asked to help them.
- Resource centers Intimagir and the Handigyneco program must continue to develop young people with disabilities.
- The High Authority for Health must be entered again for ” Produce a repository for the content and objectives of the CCP listed consultation “(First contraception, sexual health prevention consultation).
- The initial training of sexual health professionals must be reinforced. In particular, sexual health must be integrated into the structured objective clinical examinations (ECOS) and internships must be promoted in sexual health and CEGIDD centers (free information, screening and diagnostic centers).
2) Improve the health course in IST (sexually transmitted infections)
- It’s necessary ” strengthen communication on condoms in all circles and different ages of life ».
- Regarding HIV infection (human immunodeficiency virus), ” Continue the deployment of the PREP (Prophylaxis pre-exposure-pre-exhibition prophylaxis) and facilitate access to TPE (post-exposition treatment) ».
- It is desirable to assess the association of vaccination remedial against hepatitis B with anti-HPV vaccination (Human Papilloma Virus) in schools.
- From the start of the management of pregnancy, it would be advisable to propose the screening of the STIs ” not only to women, but also to their spouse or partner ».
- It is necessary to set up ” A health check including IST screening within 4 months of the arrival of migrants ».
3) Improve reproductive health
- We must improve information on contraceptive methods, in particular ” by systematically highlighting their effectiveness in real life ».
- Access to abortion (voluntary termination of pregnancy) must be guaranteed throughout the territory, including overseas.
- The conciliation between professional and maternity life must be favored.
In conclusion, the HCSP notes that ” The promotion of sexual health with young people remains an issue in front, on the one hand, to active hostility to education in emotional, relational and sexual life of certain groups or associations, on the other hand, in the growing place of digital media ».