This paper describes the evaluation of 'gimme 5 minutes' a multimedia HIV testing campaign aimed at gay and bisexual men in London particularly targeting those of Black and South European Origin and those under the age of 25 years old using peer images. The text linked a summary of the key issues of a pre-test discussion with detailed information on how to access testing at a specified testing centre (campaign clinic). The number and demographics of men who reported sex with men (MSM) testing at the campaign clinic were monitored and compared with those testing at two other central London clinics. There was a 4.5-fold rise (p < 0.001) in MSM testing at the campaign clinic. Increases were proportionately greater in the sub-populations targeted with peer images: South European origin, 14-fold rise (p < 0.001), Black origin, 6.5-fold rise (p = 0.003), and MSM under 25 years old, 9.5-fold rise (p < 0.001). There were no significant changes in the number of MSM testing for HIV at the two other central London clinics studied. The results suggest that including detailed information about accessing testing services may be a vital ingredient in the success of media campaigns focusing on HIV testing.
Objectives: To identify the sexual health needs of young people in order to establish a service suited to these needs. Methods: A peer designed questionnaire piloted to a small group of young people was followed by a more widely distributed, amended questionnaire. The questionnaire survey was delivered to 744 pupils aged 11-18 years in six secondary schools and a pupil exclusion unit in central London. Factors encouraging or discouraging the use of young people's sexual health services were measured. Results: Several findings challenged existing models of care for young people's sexual health services. Notably, pupils wanted clinics to run more frequently than the usual once a week; the staff attributes that were most important were attitudinal rather than to do with sex, age, or physical appearance; and they did not mind if the waiting room contained older people. Many findings, however, agreed with existing data-young people wanted the clinic to be open after school; girls preferred to attend with a friend; a confidential, walk-in service was preferred. Conclusions: Large financial outlays are not necessary for the establishment of effective sexual health services for young people. Existing facilities and staff may be utilised with training of these staff to be sensitive to, and aware of, the needs of young people. Clinic opening times should coincide with school closing times. Although pupils stated a preference for female staff, this was not a high priority. More important was feeling that staff would listen to them and take their problems seriously, and that confidentiality would be maintained.
invited by reception staff to leave the clinic until they were sent another text when they were due to be seen. Patients in possession of a Smartphone could refresh a link to check their place in the queue at any time. IR1s and patient feedback were assessed before and after implementation Results Average no of symptomatic patients seen over a weekend was 70 with an average wait time of 89 min. In the 4 month period prior to the software implementation there were 6 IR1 forms received from staff about patient aggression. In the 4 month period after its introduction there were none. Two months post its introduction the average number of patient complaints about waiting times received was 1 from an average of 4 prior to its use. Conclusion The introduction of the queuing software has been an inexpensive and effective method of reducing complaints about patient waiting times and improving patient satisfaction with the service.
Bohr theory is employed to compute the ’’crucial depression’’ in kinetic energy for H2 when bonding occurs.
ABCD National Research Partnership, this project aimed to develop an audit tool to be used within a continuous quality improvement approach to enhance adherence to best-practice guidelines and improve the quality of Indigenous primary sexual health services. Methods The process of development of the tool involved engagement of a range of stakeholders including clinical experts, quality improvement practitioners and researchers; identification and review of best practice guidelines; development of key indicators that reflect quality of care; generation of audit items and questions; and construction of the tool, protocol and report. The tool was piloted in Western Australia, Northern Territory, Queensland and South Australia. Results The sexual health tool includes indicators that cover the basic elements of sexual health care including risk assessment, investigations, treatment, contact tracing and follow up. The protocol guides the use of the tool and the tailored report assists in identification of gaps, goal setting and planning of actions for improvement. Important elements of tool development are broad end user engagement, multidisciplinary and multi-jurisdictional consultation, effective leadership, sufficient resources and consensus building around selection of key elements of sexual health care. Conclusion The tool, which reflects the best practice for Indigenous primary sexual healthcare, is now available to Indigenous primary health care services through the National Centre for Quality Improvement in Indigenous Primary Health Care (One21seventy). Used in conjunction with the systems assessment tool, the tool will be used to identify evidence-practice gaps, determine systems-related facilitators and barriers to quality care enhance the quality of sexual health care delivered to, and ultimately reduce the burden of STIs among, Indigenous Australians.
Background1 in 7 MSM in London are HIV positive, 1 of 5 of whom are unaware of this because they have never tested, or acquired HIV since their last test. Our service took the opportunity presented by World AIDS Day to promote the importance of regular HIV testing in MSM by staging a HIV testing world record attempt in a local gay bar.Aims/ObjectivesTo promote the importance of HIV testing, and to see if the outreach was successful in targeting a less tested population of MSM.MethodsThe promotion was determined by the “opportunities to view” key messages. Individuals tested in the bar completed a form collecting age, gender, orientation, time since last HIV test, unprotected anal (UAI) or vaginal sex. Similar information was collected from 100 patients walking into the generic service for an HIV test on the same day. Age groups <25, 26–30, 31–39, >40 were chosen.ResultsThere were 890 000 opportunities to view the key messages. 467 individuals tested in the gay bar, but only 441 forms were sufficiently complete for this analysis. MSM in the gay bar were younger than the clinic (54% and 44% respectively <30; p=0.027), and more likely to have never tested (18% and 6%; p=0.007). In the gay bar, only 9/89 (10%) of MSM aged 31–39 had never tested, only 2/9 (22%) reporting UAI. This contrasted to the 15%–24% of 54 MSM in the other age groups that had never tested, 60%–77% of whom reported UAI. Only five MSM attending clinic had never tested, 4 (80%) of whom were <25 (see abstract P7 table 1).Abstract P7 Table 1Demographic characteristics of individuals accepting HIV testingGay Bar (n=441)Clinic (n=100)Male379 (86%)91 (91%)MSM355 (80%)80 (80%)<25 years167 (38%)15 (15%)MSM <25131 (37%)12 (12%)No previous test101 (23%)15 (15%)Never tested, reporting UAI/UVI52 (51%)9 (60%)MSM never tested, reporting UAI39 (62%)2 (100%)DiscussionAs well as promoting the benefits of regular testing to the wider gay community, the event was successful in reaching a less tested, but nonetheless high risk population of MSM, in particular, those <25.
Results In 2011, 98 case notes were reviewed. The rate of infection was 28.2%.In 2013, 89 case notes were reviewed. The overall rate of infection fell to 14.6%. However, 46% had never attended our GUM clinic and among these the infection rate was 22%. The comparative rate in MSM attending clinic was 8.7%. Of those new to our services 19% had never attended any GU service and of these 82% had never tested for HIV. Conclusion Our outreach team tested a significant number of patients with a high burden of infection who had never accessed services. However, the team is taken from conventional clinics; due to staff shortages in the clinic, patients are turned away. A balance needs to be found between financial constraints and reducing infection in hard-to-reach populations. Collaboration with voluntary organisations and saunas will be the key to our success. We are currently setting up a Chem-Sex clinic to target evolving at risk populations.
Background/introduction Although not advertised patients can phone our integrated sexual health services for advice and receive a call-back within 24 h. This service takes up significant resources without being funded. Aim(s)/objectives Review the reasons for advice calls and establish their outcomes. Methods A notes review was conducted of 50 calls received at each of the 3 main clinical sites in Central London over a 2 week period in July 2014. Data was collected regarding the reason for the phone call, call outcome and attendance within 6 weeks following the call. Results The majority 129/150(86%) of calls were from existing patients. The majority of phone advice was related to contraception n = 44/160(28%), advice on sexually transmitted infections n = 22/160(14%) and patients with symptoms n = 31/160 (19%). 24/44(66%) of the contraception calls were for intrauterine device (IUD) advice (pre-and post-insertion). 50/150(33%) patients were advised to attend the clinic of whom 39/50(78%) did attend. 66/150(44%) patients were given reassurance of whom 12/66(18%) attended anyway related to their call. Discussion The phone advice service was largely used by existing users and almost 40% attended the service after the phone call. To make more effective use of resources we have designed frequently answered questions (FAQ) page on our website to address the most commonly asked questions. Phone advice is now only available to patients on post-exposure prophylaxis (PEP) and post-procedure eg. IUD insertion. P122 WALK-IN PRIMARY-CARE CENTRES ARE ACCEPTABLE TO MEN WHO HAVE SEX WITH MEN (MSM)Tamuka Gonah*, Jodie Scrivener, Isata Gando, Rageni Sangha, Daniel Richardson. Brighton and Sussex University Hospital, Brighton, Sussex, UK 10.1136/sextrans-2015-052126.165Background Locally we have the highest HIV prevalence outside London and high rates of STIs in MSM. We operate a primarycare centre adjacent to a main line railway station which delivers both primary care and sexual health services. The aim of this study was to assess the acceptability of MSM in this setting. Method Patient satisfaction survey was offered to MSM attending both services between June and October 2014. Results 70/80(87.5%) surveys were returned. The median age of participants was 26(16-68) years. 62/70(89%) described themselves as MSM and 7/70 bisexual. 65/70(93%) attended for a sexual health screen. MSM liked the service due to ease of access (47%), proximity to work (23%) and opening-hours (23%). MSM highly rated welcome by reception staff (73% rated 5/5) and welcome by health-care-worker (HCW) (93% rated 5/5). 69/70(99%) stated they felt comfortable discussing their sexuality with the HCW. 46/70(66%) strongly agreed that the clinic environment was friendly to MSM. 29-freetext comments were received: 14/28(48%) were positive and 10/28(35%) offered service improvement suggestions: MSM suggested that streamlining appointment-booking and results via internet/ mobile-phones and more evening appointments would improve the current service for them. Of con...
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