Background:
The identification of individuals with asymptomatic sexually transmitted infections (STI) requires screening promotion. Individuals engaging in high-risk sexual activity face many barriers to accessing preventive health services. Barriers may include: cost, location, perceived lack of confidentiality, or interaction with inexperienced or uncomfortable health care providers. Offering a wide range of low-cost sexual health services can encourage screening behaviors and provide opportunities for behavior change intervention

Objective:
1)To screen men and women for asymptomatic infections.
2)To treat asymptomatic or exposed persons for STI.
3)To provide behavioral counseling for prevention of STI.
4)To reduce barriers to sexual health care for disadvantaged populations


Method:
Chase Brexton Health Services, Inc. employs six registered nurses (RN) whom manage walk-in STI services nine hours per week at a cost of $32 per visit. The promotion of screening for sexually transmitted infection prevention and education by RNs presents a unique opportunity to engage individuals involved in high-risk sexual activities with a low-cost intervention. RNs are qualified to provide these services and encourage wellness to populations not traditionally targeted for services. The RNs function under the direct supervision of licensed prescribing providers. Protocols and standing orders guided by CDC recommendations are utilized to maximize efficiency. Visits include behavioral education, partner notification, treatment, and screening for bacterial & viral STI, as well as Hepatitis immunization.

Result:
An increased demand for services by high-risk groups including MSM, adolescents, and women indicates a greater awareness of the benefits of STI screenings. The service has increased by 66% the number of clients it serves and is now offered 3 nights per week.

Conclusion:
Case finding, partner notification, and treatment activities have improved opportunities for targeted prevention of STI in a high-risk population.

Implications:
A multi-disciplinary low-cost approach to STI prevention and treatment can assist highly prevalent communities to lower rates of transmission.