Sexual Health

Sexual Health Needs Assessment

This Needs Assessment describes the sexual health needs of residents of the London borough of Wandsworth. It draws on evidence gathered through epidemiological analysis and has informed the development of the Sexual Health Strategy with a focus on prevention.

Executive Summary

 Unplanned Pregnancy 

• Teenage Conception rate similar to England and London, following a substantial decline in the last decade.
• Over two thirds (70.1%) of women use user dependent methods of contraception (UDM), this is higher than England (62%). Lower percentage of women using LARC compared to England.
• All age abortions rate similar to England.

 Sexually Transmitted Infections

• STI diagnosis is higher than England and London.
• STI rate is twice that of England.
• Gonorrhoea rate is three times the England rate.
• Syphilis rate 4 times that of England – mainly in men who sex with men and associated with risky behaviour.
• Genital herpes rate twice that of England.
• Genital warts rate was highest in England in 2016.
• Young people, LGBTQI and Black people experience a disproportionately high rate STIs.
• New STI rate of diagnosis in young people twice that of England.
• High rate of chlamydia diagnosis in young people.
• 40.5% of those tested had Chlamydia.
• 12% of 15-year-olds in Wandsworth partake in 3 or more risky behaviours (including smoking, drinking, and cannabis, use of other drugs, poor diet and low physical activity).


• High prevalence area for HIV and new diagnosis rate is double that of England.
• Estimates suggest approximately 181 people are unware they have HIV.
• Between 2014 and 2016, almost a third (32%) of people diagnosed with HIV were diagnosed late.


• The most deprived population experience the poorest sexual health, with a clear gradient in Wandsworth in STI rates between the most and least deprived areas.

Read the full document: LBW Sexual Health Needs Assessment 2018

See here for the Sexual Health Strategy and Action Plan.
Document Information

Published: 2018
For Review: 2022
Public Health Topic Lead: Hannah Gill, Public Health Lead