Sexual health: 24 hours a day
Transforming sexual health with technology
Gillian Holdsworth, Paula Baraitser
2
17,000 people turned away
each year
1. Finding a
service:
The 6 pain points in getting a sexual health test
Finding
time:
Waiting
in clinic:
Embarrassment:
Waiting for
results:
Finding treatment:
Access and testing:
Sexual health:
24 hours a day
Understanding impact
Results
Intervention
Group
(n=1031)
Control Group
(n=1032)
Risk Ratio
(95% CI)
P value
Primary Analysis 1.87
(1.63, 2.15)<0.0001
SH:24 doubled the rate of STI testing
Self reported completion of an STI test at 6 weeks, verified by patient health
records
Number of simple STI tests performed at Camberwell Sexual Health Centre and
SH:24 by quarter.
Innovation Adoption Life Cycle
Migration:
ConvenienceNormalisation
Self efficacy
Triage in clinic and signpost online:
Age group Clinic users Signposted online users
Spontaneous online users
Age group
16-19 201 (8.9%) 55 (6.2%) 194 (4.6%)
20-24 472 (20.8%) 205 (23.0%) 1282 (30.1%)
25-29 509 (22.5%) 262 (29.4%) 1605 (37.6%)
35-34 366 (16.2%) 146 (16.4) 650 (15.2%)
Gender
Female 1344 (59.3%) 416 (46.7) 2746 (64.4)
Male 922 (40.7%) 474 (53.3) 1516 (35.6)
Ethnicity
Black/British 941 (41.5%) 270 (30.3%) 768 (18%)
Moving users from clinic to online:
Changes to clinic activity as a result of triage in clinic and signpost online
Complex care STI test only
70%
75%
17%
12%
Monday
AM Walk-in Clinic 8.30–11
PM Appointments only
Tuesday
AM Appointments only
PM Walk-in Clinic 2-4
Wednesday
AM Appointments only
PM Young person only Walk-in 2-4
Thursday
Appointments all day.
Friday
AM Walk-in Clinic 8.30–11
PM Appointment only
Saturday
Not open
Sexualhealthclinic
MondayAMWalk-inClinic8.30– 11.00PMAppointmentsonlyTuesdayAMAppointmentsonlyPMWalk-inClinic2.00- 4.00WednesdayAMAppointmentsonlyPMYoungpersononlyWalk-in(18andunder)- 2.00- 4.30ThursdayAppointmentsallday.FridayAMWalk-inClinic8.30– 11.00PMAppointmentonlySaturdayNotopen
1busanhour,takes1hour
1busanhour,takes1hour
1trainanhour,takes20minutes
1train/busanhour,takes20-40minutes
How would you integrate online services into this system?
Are all areas the same?
Test and treat at home:Free up capacity in specialist clinics
0
2
4
6
8
10
12
14
16
18
24 to 48hours
48 to 72hours
72 to 96hours
96 to 120hours
120+ hours 7+ days
Time from diagnosis to treatment
Changing sexual health conversations:Supporting people around their sexual health
Hello, thank you for your order. When reviewing
your file I noticed that you had a test with us recently.
Is there anything concerning you and causing
you to re-test so soon?
Well, I had unprotected sex 2 weeks ago and was
warned to get checked. So I thought it was better to get checked for peace of mind.
Thank you.
QUIZ
1. Online services pull simple STI testing out of clinics?
2. The proportion of young people using online services is higher in London than in rural areas?
3. Most people using online services are asymptomatic?
4. 76% of people can prick their finger and drop 16 drops of blood into a tiny container?
Sexual health:
24 hours a day