259557 Male Reproductive Health Project: The impact of clinic and staff interventions on male client volume and STI testing

Tuesday, October 30, 2012 : 4:30 PM - 4:50 PM

David Fine, PhD , Cardea Services, Seattle, WA
Elizabeth Rink, PhD , Community Health, Montana State University, Bozeman, MT
David Johnson, MPH , Office of Population Affairs, Rockville, MD
Sarah Goldenkranz, MPH , Research and Evaluation, Cardea, Seattle, WA
Alfonso Carlon , Cardea Services, Cardea Center for Health and Human Services, Austin, TX
April Aravelo , Cardea Services, Seattle, WA
     
Background: >95% of U.S. family planning (FP) clinic clients. Male Reproductive Health Project (2008-13) is implementing empirically-based interventions to increase male FP clients and testing for sexually transmitted infections (STI).

Objectives: Assess impact of staff, clinic and community interventions on male FP client census and STI services (chlamydia (CT) and HIV testing).

Methods: Beginning 2009, interventions at 2 Planned Parenthood of Montana clinics included: outreach via FP clinics' female clients and with agencies serving men, clinic efficiency assessments, staff training, and modifying clinic environments. From 2004-2010, the 2 experimental and 4 comparison clinics had 3,860 and 2,019 male visits, respectively. CT and HIV testing analyzed by client characteristics, time period (pre-intervention:2004-2008; post:2009-2010) and condition (experimental/comparison (E/C) status). Multivariate models developed.

Results: Sample was 91% white; 14% adolescents, 38% aged 20-24 y, and 23% 25-29. Across time periods, experimental sites increased male visits 92% (pre-intervention: mean=437 visits/y; post: mean=838 visits/y); comparison clinics increased 50% (pre: mean=252 visits/y; post: mean=379 visits/y) (p<0.05). CT testing at experimental sites increased 46% (pre: 54% visits tested; post: 74% visits tested); comparison sites increased 19% (pre: 42%; post: 50% tested)(p<0.05). HIV testing increased comparably over time for both conditions. Client CT testing predicted by: intervention period (AOR=1.37), experimental condition (AOR=1.70), new client (AOR=4.44), Title X funding (AOR=4.55). Overall CT positivity=14%.

Conclusions/Implications: Practical interventions can successfully increase male FP clients and improve STI services to men. STI prevention and testing services enhanced client wellness. PPMT is expanding these innovations to all their clinics.

Learning Areas:
Administer health education strategies, interventions and programs
Conduct evaluation related to programs, research, and other areas of practice
Epidemiology
Provision of health care to the public
Social and behavioral sciences

Learning Objectives:
Describe community, clinic, and staff interventions to increase male RH client census and services. Compare changes in FP clinic services and client STI outputs and outcomes between clinics that received the intervention and those that did not. Explain trends in STI morbidity among different sub-populations of male RH clients seen at FP clinics.

Keywords: Male Reproductive Health, Research

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal or co-principal investigator on multiple federal, foundation, and local grants focusing on family planning, reproductive health and sexually transmitted infections. My scientific interests include using healthcare agency routine information systems to describe and assess program performance.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4417.0: HPV, other STIs, and public health