Evaluation of Home-Based Sexual Health Care Implementation Among Men Who Have Sex with Men Using the RE-AIM Framework
This study evaluates the implementation of home-based sexual health care for men who have sex with men, emphasizing the importance of a systematic approach for effective integration. The research focuses on developing and implementing home-based care to address inequities in access to universal human rights. The use of online counseling, self-sampling for STIs/HIV tests, and peer-driven testing methods are highlighted as key components. The RE-AIM framework is employed to assess reach, maintenance, efficacy, adoption, and implementation aspects of the program, targeting various populations including health care providers, migrant organizations, peers, schools, and societal groups.
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O.05 Evaluating the implementation of home-based sexual health care among men who have sex with men Using the RE-AIM framework CJD (Hanneke) Goense hanneke.goense@ggdzl.nl c.goense@maastrichtuniversity.nl
DISCLOSURE OF INTERESTS - No (potential) conflict of interests Relations that could be relevant for the meeting1 Company names Sponsorship or research funds2 Payment or other (financial) remuneration3 Shareholder4 Other relation, viz 5 -
KEY MESSAGE To effectively embed home- based sexual health care, a systematic implementation approach is crucial
OBJECTIVE Universal human right Inequities in access1 Systematically developed and implemented home- based care offer 1. Sighem van, A., et al (2022). HIV Monitoring Report Human Immunodeficiency Virus (HIV) Infection in the Netherlands.
HOME-BASED SEXUAL HEALTH CARE 2, 3 Online sexual health counselling Self-sampling STI/HIV tests 2. Theunnissen, K. (2016). Peer-driven testing for Chlamyida trachomatis in sexual and social networks: the value for chlamydia control. 3. Leenen, J. (2021). Optimizing sexually transmitted infection care in men who have sex with men: Thinking outside the box.
Reach Maintenance Efficacy RE-AIM framework Implementation Adoption
R M REACH E I A R) Proportion of reached population Health care providers (e.g., GGD, GP, hospital) Migrant organisations Peers Schools Societal organisations LHBTIQA+ Youth Peers organisations Migrants Meeting-places (e.g., sauna, bar, cinema, cruising) MSM (Limburg) Low SES Young Non- identifiying Social media platforms for MSM Regional news, paper-and- online General social media platforms Datingapps and websites for MSM Media
R M EFFICACY E I A E) Impact on never-tested subgroups Previous HIV test (n=297) Yes, regular 18% No 42% Yes, not regular 40% < 25 9% practical (15% clinic) 27% young (18% clinic) 53% non-urban (47% clinic) 35% sex with both (20% clinic)
R M ADOPTION, IMPLEMENTATION E I A A) Adoption by health care providers I) Fidelity of implementation Co-creation Implemented with minor revisions Dynamic process Highly acceptable
R M MAINTENANCE E I A M) Institutionalisation of intervention Maximising impact Sustain dissemination Monitoring and evaluation
TAKE HOME MESSAGE To effectively embed home- based sexual health care, a systematic implementation approach is crucial
TEAM LIMBURG4ZERO Academische Werkplaats Publieke Gezondheid Chantal Laheij Tamara Kleine Ine de Bock Maastricht University Health Promotion Nicole Dukers-Muijrers Rik Crutzen Sarah Stutterheim Regional stakeholders COC Limburg Community advisory board SEKSHAG GPs GPs throughout Limburg Mondriaan Gay saunas Sex cinemas GGD Limburg Noord Elaine Gommans Cynthia Heckmann Luuk Levels Sebastiaan Pronk Maastricht University Social Medicine Hanneke Goense Ymke Evers Christian Hoebe Supported by Aidsfonds Soa aids Nederland Maastricht UMC+ GGD Zuid Limburg Angelique Lahaut Roland van Hooren Rocxanne Theuerzeit Monique Steenland Jacky Mendelsohn Emily Suijlen MUMC+ Dep. Medical Microbiology Inge van Loo Rosalie Heuts MUMC+ HIV treatment centre Dirk Posthouwer Robin Ackens
