Evaluating the Implementation of Home-Based Sexual Health Care Among Men Who Have Sex with Men: Limburg4zero

• DOI: 10.1007/s10461-024-04579-6
• Publication Date: 2025-01-08T16:58:33Z
• Authors: Cornelia Johanna ...; Ymke J. Evers; Jonas Manait; Christian J. P. A...; Inge H. M. van Loo; Dirk Posthouwer; Robin Ackens; Roland van Hooren; Rocxanne Theuerzeit; Rik Crutzen; Sarah E. Stutterheim; Nicole H. T. M. D...
• Keywords: Health psychology

Abstract Home-based sexual health care (including self-sampling testing) could reduce barriers to clinic-based testing. This study systematically evaluated the implementation of home-based (‘Limburg4Zero’) among men who have sex with (MSM) in a mixed urban–rural region Netherlands. We assessed outcomes (contextual domains, population reached, effectiveness, adoption by providers (HCP), fidelity, and maintenance) using practical, robust sustainability model. used mixed-methods research design that combined survey in-depth interview data from our priority implementers insights community advisory board field notes monthly meetings implementers. Of 1076 requested tests, 906 MSM received (self-sampling STI/HIV) test kit information. Most participants (median age 31) had university or college degree Western ethnicity. The return rate for laboratory testing was 67%. more often never tested HIV before (39%) compared STI clinic attendees (28%). Adoption HCP highly acceptable, although perceived pragmatic technical challenges were experienced. Key elements service implemented as designed, co-created adjustments optimization during implementation. Maintaining innovation long term desirable, future recommendations efficient continuation should be considered. Implementation has demonstrably increased accessibility previously been tested. Therefore, systematic approach is crucial foster impact care.