SH:24 - agile, digital innovation to deliver sex and reproductive health 24 hours a day - from concept to a commissioned service.
PHE ePoster Library. Holdsworth G. Sep 13, 2016; 137980; 226
Dr. Gillian Holdsworth
Dr. Gillian Holdsworth
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Abstract
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Abstract Lambeth and Southwark experience the worst rates of sexual ill health in England and an innovative, efficient and cost-effective model to improve service access was needed. SH:24, a social enterprise, brought users and providers together to explore alternative ways of increasing access to STI tests, information, signposting and promoting self-management of sex and reproductive health through provision online. SH:24 adopted a design led approach - user and stakeholder views have informed all stages of service development. The service has been delivered in phases - STI testing, information and support, treatment and contraception. Collaboration between public health, specialist sexual health, an academic department and service development has ensured integration of the service with clinics and a robust and comprehensive evaluation of a complex intervention. In year one SH:24 processed over 12,000 orders with a 75% sample return rate. Results are delivered by SMS and although 95% of users are asymptomatic - the positive diagnostic rate is 11%. Users who test positive are fast tracked into local clinics for treatment. Service users are more likely to be young, female and ethnically white and to have used a service before. Agile and design led service development has created a service which promotes self management and enables users to access the services they need 24/7. Users expect rapid access to services, results and treatment using technologies which they are familiar with in their daily lives. External funding details Service development funded by Guy's and St Thomas' Charity
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