Envision SRH provides innovative, accessible resources and learning support for sexual and reproductive health care providers through a Reproductive Justice lens that is sex positive and trauma informed.
Envision SRH appreciates the bedrock principle that comprehensive reproductive health begins and ends with a person’s control over their own reproduction. Adherence to this principle informs equitable interactions. Envision SRH offers concrete tools for providers to engage in these interactions successfully by presenting the PATH framework. Developed iteratively over many years, based on input from countless patients and health care providers, PATH incorporates both novel and time-honored counseling skills and is centered around a series of effective questions. Use of the PATH framework facilitates listening and encourages providers to continuously check their own biases.
Sexual health is frequently an undefined default state, devoid of positive connotations, that describes the absence of infection, cancer, sexual violence, coercion, unwanted pregnancy, or abnormal pregnancy. In contrast, when considered from a sex-positive position, the definition of sexual health includes the acknowledgment that consensual, satisfying sexual activity stemming from sexual agency is health supporting and contributes to well-being.
To support comprehensive sexual health, Envision SRH describes sexual agency as encompassing the ability to: know what one wants; initiate sexual activity; say yes; say no; and, often overlooked, say maybe. Sexual self-knowledge stems from understanding accurate anatomy, the clitoral complex, and control of pelvic muscles. Knowledge of one’s sexual self allows fluency in the language of one’s own arousal and freedom to apply that fluency with agency in partnered and solo sex.
In an ideal world, healthcare providers contribute “the science” to interactions with patients, while patients bring their lived experiences and preferences based on their own values. In this perfect equation, patients ask questions free of judgement or stigma, and providers offer care based upon patients' values and resist bringing their own preferences into counseling conversations. Envision SRH believes that this ideal equation is both the goal and the means to achieving patient-centered care. The PATH questions were developed by Envision SRH as a way to help accomplish patient-centered care, beginning with a conversation that helps a person clarify their own attitudes about reproduction.