STI/HIV Resources for Healthcare Providers

Information and resources regarding Sexually Transmitted Infections and HIV

It is recommended healthcare providers take a sexual history on all clients, as sexual health is a part of the client's overall health and well-being. The sexual history allows the provider to care for each client based on their individual and specific needs.

It is also recommended to test for Sexually Transmitted Infections (STIs), including HIV and hepatitis, based on screening guidelines, and more frequently if the client has an increased threat of getting a STI.

    Who should be tested for STIs, including HIV and hepatitis?

    The most important step is for healthcare providers to review the STI screening guidelines to consider who and when clients should be screened for STIs.

    While reviewing the STI screening guidelines and a client's history, collect the sexual health history, including sexual orientation and gender identity data, in order to provide quality care.

    Ensure you provide a behavioral and biologic risk assessment for STIs/HIV.

    • A client who:
      • Has new or multiple sex partners, especially if the sex partners' sexual history is not known,
      • Is pregnant,
      • Has a sex partner with a STI, including HIV,
      • Is living with HIV,
      • Exchanges sex for money, drugs or other life needs (food, clothing, shelter, etc.),
      • Identifies as transgender,
      • Uses injection drugs (more so if the client shares injection works, i.e. needles, syringes, etc.),
      • Has sex with a person who uses injection drugs,
      • Has condomless sex (anal, vaginal, oral),
      • Men who have sex with other men (MSM), and
      • Women who have sex with MSM,
    Note: All persons aged 13-64 years of age should be tested for HIV at least once in their lifetime by their healthcare provider.

    When collecting the sample for STI screening, the collection should be performed at the site of potential STI exposure.

    • For example: If a client has oral or anal sex, they should be screened for gonorrhea in both the throat and rectal areas.

    What is the correct treatment for STIs?

    Expedited Partner Therapy (EPT):

    How can clients let their sex partner(s) know about their exposure to a STI?

    • Clients should be encouraged to:
      • Identify sex and needle sharing partners
      • Provide partners information on STIs
      • Urge partners to see a healthcare provider for evaluation.

    The DPHS Linkage to Care staff provides confidential Partner Services for sex and needle sharing partners of those who have tested positive for gonorrhea, syphilis, and HIV.

    To request Partner Services:

    • Call 603-271-4502 or
    • 800-852-3345 ext. 4502 (toll-free within NH)
    • Or email L2C@dhhs.nh.gov

    HIV Partner Services

    Where can I send someone who needs free or low cost testing and/or treatment for a STI?

    For testing services, people should see their healthcare provider, visit a local community health center, or one of the DPHS Partner Agencies who offer STI testing and treatment.

    The CDC recommends everyone ages 13-64 be tested for HIV at least once in their lifetime, by their healthcare provider.

    In an emergency, clients need to go directly to the nearest urgent care center or hospital ER.

    It is recommended healthcare providers take a sexual history on all clients, as sexual health is a part of the client's overall health and well-being. The sexual history allows the provider to care for each client based on their individual and specific needs.

    It is also recommended to test for Sexually Transmitted Infections (STIs), including HIV and hepatitis, based on screening guidelines, and more frequently if the client has an increased threat of getting a STI.

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      Changes to Infectious Disease Reporting Fax Numbers (3/16/2022, NH Health Alert Network)