Sexually transmitted infection (STI) services, including screening, treatment, and counseling among youth, remain suboptimal. In the midst of increasing incidence of bacterial STIs, alarming STI disparities, and persistently low testing rates among youth, solution-focused and action-oriented research with youth is needed. To identify solutions to STI testing barriers, we conducted three participatory ideation workshops with 18 youth, 10 key stakeholders who work with youth, and 8 social design graduate students. In response to prompt questions asking "How might we" address a testing barrier, participants generated as many ideas as they could on small pieces of paper. The brainstorming sessions produced 702 brainstorm idea sheets that were then qualitatively analyzed through pile sorting by three team members (including two youth) with each pile representing a priori themes (from the "How might we" probe) or emergent themes. Ten themes were identified corresponding to three domains: (1) improving the testing experience (improving transparency in the testing process, increasing trust in privacy, alternative testing options, and providing incentives/rewards for testing), (2) addressing the clinic space (multi-service spaces, appealing physical clinical space, and providing waiting room activities), and (3) reframing STI testing (normalizing STI testing, the clinic as a supportive environment, and youth leadership to promote and support STI testing). These findings move beyond identifying barriers and motivators to STI testing among youth and focus on the generation of possible solutions. By engaging youth in the development of solutions to STI testing, solutions that may be better-utilized and more acceptable to youth may be developed.
This chapter develops a model of service-learning that focuses on serving the information and communication technology (ICT) needs of community organizations, and contrasts it with the traditional service-learning model used in universities, questioning if it is a more effective way of meeting nonprofits’ ICT needs. The authors evaluate their model’s utility from the perspective of a technology empowerment “stepstool” where nonprofit organizations can move from simply using existing technology better, to shaping the technology, to creating their own technology. The chapter then goes on to discuss attempts to implement versions of this model at the University of Wisconsin, discussing their strengths and weaknesses, and paying particular attention to the limitations of doing this work within an institutional framework. The current service-learning project has found working on social media projects to be more beneficial to the students and the nonprofits than more complex projects, but doing so goes against the community-identified need and request for more mission-critical assistance. To fully serve communities, the higher education context of service learning must change to make community outcomes the main priority, build courses around community projects rather than vice versa, provide students with the necessary professional skills preparation to do high quality service-learning, and design community projects around the community calendar, not the higher education calendar.
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