Unit of Competency Mapping – Information for Teachers/Assessors – Information for Learners

HLTAHW515B Mapping and Delivery Guide
Provide sexual and reproductive health care

Version 1.0
Issue Date: May 2024


Qualification -
Unit of Competency HLTAHW515B - Provide sexual and reproductive health care
Description This unit describes advanced skills and knowledge required to provide clients with health care services in addition to general health care and specific to sexual and reproductive health
Employability Skills This unit contains Employability Skills
Learning Outcomes and Application This unit is intended to address additional skills and knowledge required by those working with Aboriginal or Torres Strait Islander communities to deliver specific health care services and is available only within the context of qualifications at Certificate IV level or higher in Aboriginal and/or Torres Strait Islander Primary Health CareIt is imperative that cultural issues, including gender and kinship issues, are respected in the delivery, assessment and application of this competency unitWhilst the practical application of skills for this competency unit may be limited to clients of the same gender, knowledge should apply to both genders
Duration and Setting X weeks, nominally xx hours, delivered in a classroom/online/blended learning setting.
Prerequisites/co-requisites Pre-requisitesThis unit must be assessed after successful achievement of pre-requisites:HLTAHW401B Assess client's physical well beingHLTAHW402B Assess and support client's social and emotional well beingHLTAHW403B Plan and implement health care in a primary health care contextHLTAHW404B Monitor health care
Competency Field
Development and validation strategy and guide for assessors and learners Student Learning Resources Handouts
Activities 		Slides
PPT 		Assessment 1 Assessment 2 Assessment 3 Assessment 4
Elements of Competency Performance Criteria              
Element: Check sexual and reproductive health
  • Undertake tests, observations and other screening procedures in line with protocols and client requirements
  • Review client records to determine priorities and potential areas of risk for each client
  • Question client appropriately to identify and/or clarify any sexual and/or reproductive health issues and/or significant variations from normal
  • Use medical equipment effectively and maintain in accordance with organisation policies
  • Consult relevant allied professionals and available documentation in relation to the sexual and/or reproductive health of the client
  • Obtain informed consent for all examinations and tests and undertake appropriate pre-test discussion before testing for HIV or other blood-borne viruses
       
Element: Provide care to clients with sexual health problems
  • Respect Aboriginal and/or Torres Strait Islander community values, beliefs and gender taboos in assessing and managing sexual health problems
  • Engage clients in holistic STI risk assessment and take an appropriate sexual health history for each client presenting or identified with a sexual health problem
  • Assess common sexual health problems according to clinical presentation and treat/refer/support in line with standard protocols and organisation guidelines
  • Obtain history of sexual contacts where an STI is identified, negotiate contact tracing and follow up contacts for testing and treatment in line with standard protocols
  • Develop holistic health care plan for each client with sexual health problems
  • Support and counsel clients with STIs to assist in treatment and prevention of infection
  • Ensure records of STI management and contact tracing are kept confidential and secure
  • Maintain current, complete, accurate and relevant records for each client interaction
       
Element: Provide information on sexual and reproductive health care
  • Promote safe sex practices or other STI risk reduction strategies and distribute condoms as appropriate
  • Discuss common methods of birth control with clients, explaining the methods, their advantages and disadvantages
  • Discuss transmission of STIs and complications with the client as appropriate
  • Discuss symptoms of pregnancy with clients and identify as appropriate
  • Provide information on healthy lifestyle and risks during pregnancy
  • Provide clients with information which is age and culturally appropriate and aligned with their specific needs
  • Employ a range of interpersonal techniques to ensure own values are not imposed on clients and information is provided in a non-judgmental way
  • Provide referral where own personal and professional abilities do not match client needs
       
Element: Evaluate effectiveness of sexual and reproductive health care
  • Monitor sexual and reproductive health in line with schedule and criteria incorporated in care plan for each client
  • Evaluate intervention/ongoing sexual and/or reproductive health care against standing order/written care protocols and client level of comfort and compliance with health care practices
  • Ascertain degree of improvement of client's holistic health and compare with expectations under the health care plan
  • Undertake clinical re-assessment and/or review of treatment/medication regime as required where client fails to progress in accordance with expectation
  • Provide client with clear information about their level of improvement in relation to the health care plan and their level of compliance
  • Encourage clients to maintain sexual and reproductive health by active involvement with the care plan
       


Evidence Required

List the assessment methods to be used and the context and resources required for assessment. Copy and paste the relevant sections from the evidence guide below and then re-write these in plain English.

The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria, Required Skills and Knowledge, the Range Statement and the Assessment Guidelines for this Training Package.

Critical aspects of assessment:

The individual being assessed must provide evidence of specified essential knowledge as well as skills

Consistency of performance should be demonstrated over the required range of situations relevant to the workplace

Where, for reasons of safety, space, or access to equipment and resources, assessment takes place away from the workplace, the assessment environment should represent workplace conditions as closely as possible

Conditions of assessment:

This unit includes skills and knowledge specific to Aboriginal and/or Torres Strait Islander culture

Assessment must therefore be undertaken by a workplace assessor who has expertise in the unit of competency or who has the current qualification being assessed and who is:

Aboriginal or Torres Strait Islander him/herself

or:

accompanied and advised by an Aboriginal or Torres Strait Islander person who is a recognised member of the community with experience in primary health care

Context of assessment:

Competence should be demonstrated working individually, under supervision or as part of a primary health care team working with Aboriginal and/or Torres Strait Islander clients

Assessment should replicate workplace conditions as far as possible

Related units:

This unit may be assessed independently or in conjunction with other units with associated workplace application.

Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assignment, checklist) and due date here

Assessment task 1: [title]      Due date:

(add new lines for each of the assessment tasks)

Assessment Tasks

Copy and paste from the following data to produce each assessment task. Write these in plain English and spell out how, when and where the task is to be carried out, under what conditions, and what resources are needed. Include guidelines about how well the candidate has to perform a task for it to be judged satisfactory.

This describes the essential skills and knowledge and their level required for this unit.

Essential knowledge:

The candidate must be able to demonstrate essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role

This includes knowledge of:

Organisation policies and procedures relating to client confidentiality

Anatomy/physiology, pharmacology, pathology and basic microbiology relevant to sexual and/or reproductive development stages and health

Knowledge of microbiology relevant to sexual and/or reproductive health and prevention of infection or cross infection

Health conditions and associated issues related to sexual and/or reproductive health

Nature, history, pathology and transmission of sexually transmitted infections and relevant interventions

Understanding of oppression and discrimination as related to sexuality

Assessment methods, equipment and testing procedures associated with sexual and reproductive health and STIs

Methods of birth control and their advantages and disadvantages

Essential skills:

It is critical that the candidate demonstrate the ability to:

Undertake comprehensive health checks related to sexual and reproductive health

Provide information, guidance and support to clients and their families with sexual and/or reproductive health issues

Monitor the outcomes of sexual and reproductive health care services and make any required revisions to services, care plans or information provided

In addition, the candidate must be able to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role

This includes the ability to:

Conduct an accurate sexual and/or reproductive health assessment, including requesting pathology tests

Recognise situations requiring immediate or urgent action

Provide treatment, medicine and advice/ information appropriate to sexual and/or reproductive health in a safe and effective manner and within guidelines

Communicate effectively with client to obtain information and ensure understanding of information provided

Holistically evaluate impact of treatment on client's physical, mental and emotional condition and behaviour

Make timely and appropriate referrals, providing accurate and relevant details to clients and referral agencies

Reflect on own and others' values in relation to sexual behaviour and health

Reflect on and improve own level and application of skills and knowledge to achieve desirable outcomes and maintain own capabilities

The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts.

Cultural respect

This competency standard supports the recognition, protection and continued advancement of the inherent rights, cultures and traditions of Aboriginal and Torres Strait Islander peoples

It recognises that the improvement of the health status of Aboriginal and Torres Strait Islander people must include attention to physical, spiritual, cultural, emotional and social well being, community capacity and governance

Its application must be culturally sensitive and supportive of traditional healing and health, knowledge and practices

Community control

Community participation and control in decision-making is essential to all aspects of health work, and the role of the health worker is to support the community in this process

Supervision

Supervision must be conducted in accordance with prevailing state/territory and organisation legislative and regulatory requirements

References to supervision may include either direct or indirect supervision of work by more experienced workers, supervisors, managers or other health professionals

A person at this level should only be required to make decisions about clients within the organisation's standard treatment protocols and associated guidelines

Legislative requirements

Federal, state or territory legislation may impact on workers' practices and responsibilities. Implementation of the competency standards should reflect the legislative framework in which a health worker operates. It is recognised that this may sometimes reduce the application of the Range of Variables in practice. However, assessment in the workplace or through simulation should address all essential skills and knowledge across the Range of Variables

Aboriginal and/or Torres Strait Islander Health Workers may be required to operate in situations that do not constitute 'usual practice' due to lack of resources, remote locations and community needs. As a result, they may need to possess more competencies than described by 'usual practice circumstances'

Under all circumstances, the employer must enable the worker to function within the prevailing legislative framework

Sexual health check refers to:

A sexual and reproductive health consultation that incorporates assessment (with the client) of:

STI risk factors

promotion of good sexual health and safe sex practices

examination/testing based on risk status, best available evidence and consideration of local circumstances.

Obtaining a client sexual health history involves:

Ensuring confidentiality

Building trust

Providing explanations for seeking information

Obtaining history of current complaint and genital symptoms

Sensitive questioning on sexual practices and risk behaviours

Eliciting details of sexual contacts

Common sexual health problems include:

Male urethral syndrome (gonorrhoea, chlamydia)

Impotence (psychological, medication related, microvascular disease)

Inguino-scrotal swellings (hydrocele, hernia, varicocele, testicular tumour)

Acute painful testicle (torsion, epididymo-orchitis)

Penile disorders (phimosis, balanitis, circumcision complications)

Prostatism (benign prostatic hypertrophy, prostatic carcinoma)

Vaginal discharge (gonorrhoea, chlamydia, bacterial vaginosis, candidiasis, trichomoniasis)

Female pelvic pain (gonorrhoea, chlamydia, and non-infectious causes such as ovarian complications and ectopic pregnancy)

Ulcerative genital disease (herpes simplex virus, syphilis, Donovanosis)

Genital lumps (wart virus)

Asymptomatic (most of above, plus HIV and Hepatitis B)

Sexual health issues may include:

Rape and sexual assault

Family and domestic violence

Child sexual abuse

Relationships

Sexual identities

Homophobia

Gender, including transgender issues

Power and discrimination

Menopause

Unplanned pregnancy

Sexually transmitted infections

Sexual behaviours

Contraception

Management of menstruation, including menstrual problems and pre-menstrual syndrome

Sexual coercion

Sexual health check ups

Impotence

Impotence

Circumcision complications

Puberty

Cervical and breast screening

Issues relating to pregnancy may include:

Consideration of options in relation to unwanted pregnancy

Provision of information about pregnancy

Difficulties associated with pregnancy

Examination/testing of client may include:

Routine examinations for sexual and/or reproductive health problems.

More invasive examinations such as:

pap smears

STI specimen collection

Risk factors for sexually transmitted infection include:

Number of sexual partners

Unsafe sex practices

Past history of sexually transmissible infections

Alcohol or substance misuse

Local disease prevalence

Frequency of being named as sexual contact of an index case

Screening for STI may include:

Genital inspection for ulceration, pubic lice and discharge

Taking genital swabs for gonorrhoea and chlamydia

Taking blood for syphilis, HIV and Hepatitis B serology

Obtaining a first-pass urine specimen for gonorrhoea and chlamydia PCR testing

Acquiring a client-obtained vaginal specimen (tampon or low-vaginal swab) for gonorrhoea and chlamydia PCR testing

Common methods of birth control (and their advantages and disadvantages) include:

Oral contraceptive pill (reliable, safe, need to take daily)

Condoms (reduced STI transmission, shared responsibility, high failure rate)

Withdrawal (male responsibility, high failure rate)

Breast-feeding (high failure rate)

Injectable or implantable hormonal contraception (highly reliable, low effort, delayed return of fertility, irregular menses)

Post coital ('morning after') pill (nausea)

Tubal ligation

Vasectomy (reliable)

Ethical, legal and religious issues involved in reproductive choices may include:

Restrictions on termination of pregnancy

Access to pharmaceutical supplies

Church teachings

Factors that influence reproductive choices for Aboriginal and/or Torres Strait Islander women may include:

Age of consent

Educational attainment

Informed decision making

Cultural norms for maternal age and numbers of children

Coercion

Local beliefs and traditional practices regarding pregnancy and childbirth may include:

Food restrictions in pregnancy

Role of traditional midwives

Birthing in traditional country

Copy and paste from the following performance criteria to create an observation checklist for each task. When you have finished writing your assessment tool every one of these must have been addressed, preferably several times in a variety of contexts. To ensure this occurs download the assessment matrix for the unit; enter each assessment task as a column header and place check marks against each performance criteria that task addresses.

Observation Checklist

Tasks to be observed according to workplace/college/TAFE policy and procedures, relevant legislation and Codes of Practice Yes No Comments/feedback
Undertake tests, observations and other screening procedures in line with protocols and client requirements 
Review client records to determine priorities and potential areas of risk for each client 
Question client appropriately to identify and/or clarify any sexual and/or reproductive health issues and/or significant variations from normal 
Use medical equipment effectively and maintain in accordance with organisation policies 
Consult relevant allied professionals and available documentation in relation to the sexual and/or reproductive health of the client 
Obtain informed consent for all examinations and tests and undertake appropriate pre-test discussion before testing for HIV or other blood-borne viruses 
Respect Aboriginal and/or Torres Strait Islander community values, beliefs and gender taboos in assessing and managing sexual health problems 
Engage clients in holistic STI risk assessment and take an appropriate sexual health history for each client presenting or identified with a sexual health problem 
Assess common sexual health problems according to clinical presentation and treat/refer/support in line with standard protocols and organisation guidelines 
Obtain history of sexual contacts where an STI is identified, negotiate contact tracing and follow up contacts for testing and treatment in line with standard protocols 
Develop holistic health care plan for each client with sexual health problems 
Support and counsel clients with STIs to assist in treatment and prevention of infection 
Ensure records of STI management and contact tracing are kept confidential and secure 
Maintain current, complete, accurate and relevant records for each client interaction 
Promote safe sex practices or other STI risk reduction strategies and distribute condoms as appropriate 
Discuss common methods of birth control with clients, explaining the methods, their advantages and disadvantages 
Discuss transmission of STIs and complications with the client as appropriate 
Discuss symptoms of pregnancy with clients and identify as appropriate 
Provide information on healthy lifestyle and risks during pregnancy 
Provide clients with information which is age and culturally appropriate and aligned with their specific needs 
Employ a range of interpersonal techniques to ensure own values are not imposed on clients and information is provided in a non-judgmental way 
Provide referral where own personal and professional abilities do not match client needs 
Monitor sexual and reproductive health in line with schedule and criteria incorporated in care plan for each client 
Evaluate intervention/ongoing sexual and/or reproductive health care against standing order/written care protocols and client level of comfort and compliance with health care practices 
Ascertain degree of improvement of client's holistic health and compare with expectations under the health care plan 
Undertake clinical re-assessment and/or review of treatment/medication regime as required where client fails to progress in accordance with expectation 
Provide client with clear information about their level of improvement in relation to the health care plan and their level of compliance 
Encourage clients to maintain sexual and reproductive health by active involvement with the care plan 

Forms

Assessment Cover Sheet

HLTAHW515B - Provide sexual and reproductive health care
Assessment task 1: [title]

Student name:

Student ID:

I declare that the assessment tasks submitted for this unit are my own work.

Student signature:

Result: Competent Not yet competent

Feedback to student

 

 

 

 

 

 

 

 

Assessor name:

Signature:

Date:

Assessment Record Sheet

HLTAHW515B - Provide sexual and reproductive health care

Student name:

Student ID:

Assessment task 1: [title] Result: Competent Not yet competent

(add lines for each task)

Feedback to student:

 

 

 

 

 

 

 

 

Overall assessment result: Competent Not yet competent

Assessor name:

Signature:

Date:

Student signature:

Date: