Article Text

Download PDFPDF

S08.2 Self-testing and e-STI: the Dutch experience with home-based and internet-based services and transformation into effective implementation
Free

Abstract

The main STI-healthcare providers in the Netherlands are GPs and sexual health clinics (SHCs). SHCs offer free-of-charge STI-care for key-populations. At the same time, Internet-based STI-test and home-sampling offers increase, offering new opportunities for a blended, more efficient, low threshold service. Currently, SHCs and national partners are reshaping sexual healthcare for young people and other key-populations, using a stepped-care model (SCM). The SCM is based on the principal that not all individuals need the same level of STI-care: some may be helped by online self-assessment tools (sense.info, Advies.chat) and a home sampling-kit and others need support by a professional.

NoMoreC and Limburg4zero are regional e-STI services for MSM, developed by SHCs, and co-created with MSM communities, healthcare professionals and other stakeholders, based on a scientific/theoretical framework. NoMoreC targets high-risk MSM for HCV-prevention and offers anonymous, low cost, home-sampled HCV-testing. Limburg4zero provides home-sampling for HIV/STI testing as an extension of regular STI-care including peer-to-peer sharing, and e-counselling on e.g. chemsex and PrEP.

Opportunities

  • Community involvement is essential to reach the right target groups

  • Personalized e-STI advice and test-options provide a viable alternative for those preferring autonomic testing, and can saves costs

  • The HCV-test service appeared especially suitable for MSM using PrEP who arrange their own STI-care

  • e-STI should deliver prevention messages for those who tested negative

Challenges

  • Quality assurance of test procedures (e.g. quality of the test, which test is offered) is a topic that should be high on the agenda

  • Implementation is only effective when based on a clear theoretical/scientific framework

  • Sustainability of regional e-STI initiatives is challenging; most are financed by research grants and broader/sustainable expansion may need governmental funding

  • Tracking linkage-to-care is challenging in interventions with anonymous participation

  • Return rates of home-sampling kits may be improved through digital innovations

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.