Barrier to Action Plan #2

However, buying condoms in stores can be challenging and some studies have shown that approximately 80% of stores place condoms behind locks or cases or put them behind the cashier’s counter (McCool-Myers, 2019). Another barrier that could potentially hinder convenience of condoms for public use is the issue of comfort and embarrassment. In one study, condom dispensers were strategically placed in subtle locations yet they found that comfort and embarrassment still influenced the public’s intent to access the dispensers (McCool-Myers, 2019). Physical and environmental barriers lead to embarrassment in purchasing condoms, which in turn negatively impacts condom use (McCool-Myers, 2019).

Evidence-Based Action Plan #3

Expedited partner therapy (EPT) is one evidence-based intervention that can be implemented at the population and individual level to reduce the rate of syphilis infection. EPT has the potential to decrease syphilis, because it allows health care providers to give prescriptions or medications to patients to take to their partners without examining the partners (ACOG, 2018). Research studies show that EPT can decrease infection rates when compared with the standard practice of referring sexual partners for exam and treatment (ACOG, 2018). EPT can be measured by administering surveys and questionnaires asking the patients whether or not they felt EPT was beneficial to their partner, was treatment/medication delivered to the partner, did the partner take the recommended prescription to treat the STD or was it refused, and was the medication effective in treating both the patient and the partner. Data should be collected to determine the effectiveness of EPT in achieving reduced syphilis infections.

Barriers to Action Plan #3

There are various legal, medical, practical, and administrative barriers that hinder the routine use of EPT (ACOG, 2018). These risks may be alleviated through patient education and written materials for partners that provide warnings and encourage visiting a health care provider. According to Hopson and Opiola-McCauley (2017), 73% of the medication was delivered to the partners, there were still a significant number of patients who did not deliver the medication for reasons including not being able to contact their partner, lack of transportation, not wanting to admit to cheating on partner, or keeping the medication for themselves (Hopson & Opiola-McCauley, 2017).

References

American College of Obstetricians and Gynecologists (ACOG). (2018). Expedited partner therapy. ACOG Committee Opinion No. 737. Obstetrics & Gynecology, 131(6), e190-e193. Retrieved from https://www.acog.org/-/media/Committee-Opinions/Committee-on-Gynecologic-Practice/co737.pdf?dmc=1&ts=20190620T1330174075

Andrzejewski, J., Liddon, N., & Leonard, S. (2019). Condom availability programs in schools: A review of the literature. American Journal of Health Promotion33(3), 457–467. Retrieved from https://search-ebscohost-com.chamberlainuniversity.idm.oclc.org/login.aspx?direct=true&db=s3h&AN=135528668&site=eds-live&scope=site

Centers for Disease Control and Prevention (CDC). (2016). Sexually transmitted disease surveillance 2015. Retrieved from https://www.cdc.gov/std/stats/archive/STD-Surveillance-2015-print.pdf

Hollier, A. (2018). Clinical guidelines in primary care (3rd ed.). Lafayette, LA: Advanced Practice Education Associates.

Hopson, L. M., & Opiola-McCauley, S. (2017). Expedited partner therapy: A review for the pediatric nurse practitioner. Journal of Pediatric Health Care31(5), 525–535. Retrieved from https://doi-org.chamberlainuniversity.idm.oclc.org/10.1016/j.pedhc.2017.01.001

Khanna, A. B., & Narula, S. A. (2016). Mobile health units: Mobilizing healthcare to reach unreachable. International Journal of Healthcare Management9(1), 58–66. Retrieved from https://doi-org.chamberlainuniversity.idm.oclc.org/10.1080/20479700.2015.1101915

Lipsitz, M. C., Segura, E. R., Castro, J. L., Smith, E., Medrano, C., Clark, J. L., … Cabello, R. (2014). Bringing testing to the people – benefits of mobile unit HIV/syphilis testing in Lima, Peru, 2007-2009. International journal of STD & AIDS25(5), 325–331. doi:10.1177/0956462413507443

McCool-Myers, M. (2019). Implementing condom distribution programs in the United States: Qualitative insights from program planners. Evaluation and Program Planning74(2019), 20–26. Retrieved from https://doi-org.chamberlainuniversity.idm.oclc.org/10.1016/j.evalprogplan.2019.02.006