Mor Zohar, Goor Yael, de Musquita Sarah Bueno, Shohat Tamy
Levinsky Clinic, Tel Aviv District Department of Public Health, Ministry of Health, Israel.
Harefuah. 2010 Aug;149(8):503-7, 551.
The Israeli Ministry of Health inaugurated two walk-in community sexually transmitted disease (STD) clinics in 2002. This review focuses on the Levinsky Clinic in Tel Aviv. The clinics were established as a response to the increase in N. gonorrhea morbidity during the late 1990's, especially in the Tel Aviv district and following the rise in trafficking of women into Israel. The target populations were later extended to include other individuals at risk of developing STD, such as prostitutes, drug addicts, men who have sex with men, persons who have multiple sex partners or individuals considering themselves to be at high-risk. The clinic is operated by a multi-professional team, including physicians, nurses, social and community workers, and volunteers. Each patient is interviewed by a nurse or social-worker to stratify her/his risk of acquiring STD. Laboratory tests and physical examinations are performed as indicated. The services are free of charge and the clients have the option to remain anonymous in order to hamper possible barriers in accessing the clinic. The medical and psycho-social services of the Levinsky Clinic are tailored for the target populations. Therefore, some of the services are provided by a mobile unit outreaching the streets, brothels, shelters for trafficked women and refugees, correctional facilities, gay venues and drug trade locations. The staff employs the harm reduction strategy, is sensitive to the status of the individual in the community, and attentive to the influence of the environment over the clients' ability to control their risks of acquiring STD. The staff encourages an open and direct conversation with the clients about sex and sexuality, in a non-judgmental and respectful fashion. Many of those interventions are provided by community workers, who are familiar with the unique social behaviors, language, values and life style of the vulnerable populations, and aware of the limitations in adopting safe sex practices.
2002年，以色列卫生部开设了两家无需预约的社区性传播疾病（STD）诊所。本综述聚焦于特拉维夫的莱温斯基诊所。这些诊所的设立是为应对20世纪90年代末淋病发病率的上升，尤其是在特拉维夫地区，以及随着流入以色列的妇女贩运活动增加而做出的举措。目标人群后来扩大到包括其他有感染性传播疾病风险的个体，如妓女、吸毒者、男同性恋者、有多个性伴侣的人或自认为处于高风险的人。该诊所由一个多专业团队运营，包括医生、护士、社会和社区工作者以及志愿者。每位患者由护士或社会工作者进行访谈，以分层评估其感染性传播疾病的风险。根据需要进行实验室检查和体格检查。服务是免费的，客户可以选择保持匿名，以避免在就诊时可能遇到的障碍。莱温斯基诊所的医疗和心理社会服务是针对目标人群量身定制的。因此，一些服务由一个移动小组提供，该小组深入街道、妓院、被贩运妇女和难民的庇护所、惩教设施、同性恋场所和毒品交易地点。工作人员采用减少伤害策略，对个人在社区中的状况敏感，并关注环境对客户控制感染性传播疾病风险能力的影响。工作人员鼓励以非评判和尊重的方式与客户就性和性行为进行开放和直接的对话。许多此类干预措施由社区工作者提供，他们熟悉弱势群体独特的社会行为、语言、价值观和生活方式，并意识到在采取安全性行为方面的局限性。
