Fundamentals of Sexual and Reproductive Health Care Delivery
SRH care encompasses a broad range of services aimed at helping people define and achieve their highest level of health (Exhibit 3). The QFP update offers recommendations on how to deliver high-quality SRH services commonly provided in primary care, women’s health, and other outpatient settings.
The specific services offered in any given setting depend on community needs, provider scope, facility capacity, and the legal and regulatory environment. Providers who do not offer fullscope SRH care should screen for the need and desire for SRH services, share the limits of their practice, and refer or connect patients to other settings where they can obtain quality services, as indicated. Given the definition of SRH and the range of services it encompasses, it is important to note that SRH care is not just for people who can or want to become pregnant; rather, it should be accessible and welcoming for all people, regardless of gender, sexuality, disability, or age.
This section explains how the equity principles, described in Exhibit 2, can be integrated into program design and clinical care. It offers guidance about overarching approaches to care and discusses processes for screening individuals for various aspects of SRH care.
Exhibit 3. What Services Are Considered Part of SRH Care?
- Services intended to help people achieve their reproductive desires, such as contraception, pregnancy testing and counseling, achieving healthy pregnancy, and family building and adoption
- Prevention and detection of disease, including screening, testing, treatment, vaccination and prophylaxis for STI
- Provision of or referral to pregnancy-related care, including abortion, prenatal care, and treatment of pregnancy loss
- Gender-affirming care
- Screening for health issues that can affect SRH, such as hypertension, mental health conditions, and substance abuse, and either treatment or referral, when indicated