Impact of National Chlamydia Screening Programme on sexual health of children under the age of 16 years.

The objectives of the study were to investigate the rates of sexually transmitted infections (STIs), uptake of full STI screening and contraceptive use during pre- and post National Chlamydia Screening Programme (NCSP) periods and to determine the prevalence of sexual abuse/assault. The method used was a retrospective case notes audit of children aged <16 years. STIs were found in 20% (n = 264) of children; 10% had genital chlamydia. 157 (59%) of 264 children had an assessment for non-consensual sexual activity; of those, 34% had a history of past or continuing sexual abuse/assault. An uptake of 'full STI screening' and contraceptive use were similar in both pre- and post-NCSP periods. Overall STIs and chlamydia rates were higher during post-NCSP period. In conclusion, NCSP has not yet made any significant impact on sexual health of under-16-year-olds and the prevalence of past or ongoing sexual abuse/assault was high.