Implementation of an STI Testing and Education Project at a Free Clinic

Abstract

Purpose The purpose of this project was to make STI testing more accessible to high-risk populations, to increase knowledge regarding STI risk factors, and to reduce the stigma surrounding STIs. This preventive health measure ultimately aimed to reduce STI rates and complications. Background While STI rates have been on the rise nationally, there has simultaneously been a decline in STI prevention services during the Covid-19 pandemic. There are significant disparities in STI rates based on socioeconomic status. Underserved populations not only have higher rates of STIs but also face barriers to follow-up and treatment. Clinica Amistad, the site of implementation, primarily serves Tucson’s immigrant, Hispanic, and uninsured population. Methods Plan-Do-Study-Act was used as the model for implementation. Pima County Health Department (PCHD) supplied STI testing on five dates during the study period and grant funding was used to cover STI tests ordered on other clinic dates during the study period. Providers completed a survey at the end of the study period. Quantitative data, including number of STI tests completed, number of positive results, number of educational materials distributed, and responses from the provider survey were analyzed and descriptive statistics reported. Results 103 patients received STI education and screening forms, and 8.65% of these patients decided to undergo testing through the PCHD. Between PCHD and Labcorp testing, 15 patients were tested for STIs, with a total of 43 STIs tested for. Four providers responded to the provider survey, with most significant findings being that the providers would have liked more information prior to the project, the project resulted in increased conversations about STIs, providers feel confident engaging in STI prevention in treatment, and providers are in favor of acquiring grant funding to continue to provide STI testing. Conclusions There is a need for STI testing at Clinica Amistad; however, there may not be capacity or demand to perform routine screening on all adults but instead on those who are high-risk or symptomatic for STIs. The principal investigator recommends that Clinica Amistad continue to screen patients and test those in need using grant funding.