YRS promotes reproductive health, encouraging all female clients to undergo a pelvic exam to allow screening for cervical cancer, STDs, and other reproductive infections.
Pap smears are provided to about 60 clients per month and so far almost 4% have received results suspicious for cervical cancer (they are referred - and receive financial assistance if needed - for follow-up tests and treatments).
The most common STDs that have been found at this clinic are:
- Gonorrhea (almost 7% of those tested)
- Trichomoniasis (over 3% of those tested)
- Just over 50% also have indications of other unspecified cervical infection
The most common infections found are non-sexually transmissible:
- Candidiasis (about a third of clients tested)
- Bacterial vaginosis (about a third of clients tested)
Family Planning services are available here. A consultation session includes in-depth counseling on the full range of methods (including demonstration of condom use). The methods provided from the clinic are injection, pill, IUD and condoms. Check-up for implants is available, but not insertion/removal (patients are referred to other facilities). Rapid testing for pregnancy is also available here.
Other reproductive health related services provided at the YRS center include breast examination for early signs of cancer (with clients taught the SADARI method of breast self-exam) and prenatal care (including planning for a safe delivery). Counseling, referral and support services cover issues relating to HIV/AIDS, drug abuse, unintended pregnancy, and violence against women and children.
Aside from Reproductive Health services, many clients are also treated for respiratory infections, gastro-intestinal infections, skin and joint diseases, cardiovascular disorders, ENT, anemia, and fatigue. Referrals are made for other treatments as required.
Since January 2005, the clinic has opened one night a week to serve those who work in the evenings. The clinic is normally housed on the fourth floor of the market and is closed at night, when the upper floors are empty and locked. However, a new program began in 2005 whereby the clinic moves down to a small beauty salon on the ground floor of the market on Friday evenings from 7 to 11 pm.
In an exciting initiative, YRS has set up a new health center location to attract higher-paying clients, as a fund-raising initiative to subsidize low-income clients at the market location. This new branch is located at Jalan Tukad Buaji 37A in Panjer, Denpasar, and has been open for business since January 2007 offering quality services for the general public, on an appointment-only basis so far, covering its own operational costs while building a reputation. We hope that in 2008 this location may begin to provide some funds for the market-based programs, or that we will find a way to move this branch to a busier commercial location (if donated free or at an affordable low rate).
This project is made possible through funding by:
