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HSE to spend up to half a million on STI home-testing pilot project

The HSE currently provides public STI services through clinics around the country.

THE HSE HAS issued a tender worth up to €505,000 for the roll-out of a pilot project for an online STI testing service. 

In the first five weeks of this year, a total of 1,228 cases of HIV and STIs were reported by the Health Protection Surveillance Centre (HPSC) in Ireland. Out of these cases, 61 were HIV diagnoses. 

In 2018, a total of 14,053 STI cases were reported to the HPSC, with the most common being chlamydia, gonorrhoea and genital herpes. 

The HSE currently provides public STI services through clinics around the country. 

However, it said in the tender that there is an “inequity” in access to these services and that “services are struggling to cater for an increasing demand”. 

“Services are currently working at full capacity and the challenges reported include lack of staff resources and clinic time, increasing waiting lists and having to turn people away,” the HSE said. 

In November 2019, a national PrEP HIV prevention programme was rolled out by the HSE. 

The pre-exposure prophylaxis (PrEP) treatment is the most recent development in the field of HIV prevention. It involves HIV-negative people taking an oral dose of the medication to reduce the risk of becoming infected with HIV if sexually exposed to the virus. 

This service “may further increase the demand on public STI services”, according to the HSE. 

The HSE has now tendered for the roll out of a pilot project for an online STI testing service. The maximum budget available for the project is €505,000, inclusive of VAT. 

The aim of the pilot project is to “assess the feasibility, acceptability and impact of an online STI service, integrated into existing public STI clinics in Ireland”. 

Online STI testing will allow asymptomatic individuals to be “tested at a time and place that is convenient to them”. 

“This addresses many of the barriers to STI testing for service users, such as embarrassment, stigma, concerns about privacy, lack of local services,” the HSE said. 

Responding to a query regarding how the tests would be conducted, the HSE said it is proposed that the service users would apply for a test online before conducting the test at home. 

The test would then be posted back to the laboratory in a pre-paid envelope. It is anticipated that service users would receive their results within a few working days. 

“Where a result is positive, the service user will receive a call from one of the medical team and be referred into an STI clinic for treatment,” the HSE said. 

The HSE is proposing that the pilot programme be run from two large public STI clinic sites in Dublin, one large public STI clinic site in Cork and one small satellite STI clinic site in Kerry. 

The HSE’s Sexual Health and Crisis Pregnancy Programme will establish a steering group to support and oversee the roll-out, progression and completion of the pilot project. 

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17 Comments
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    Mute Whatever
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    Feb 6th 2020, 7:39 AM

    This is a fantastic initiative, well done

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    Mute Dave Barrett
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    Feb 6th 2020, 7:56 AM

    @Whatever: how is this good? Protected sex is way better than a kit. Is there not std clinics in place all ready. GP’s in place. Would it not be better to put that money to hire more people.

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    Mute Donncha Ó Coileáin
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    Feb 6th 2020, 8:07 AM

    @Dave Barrett: You can protect yourself all you want, but you can still get STIs. Even with 100% protection, you need to get tested.

    Home-testing kits offer a lot more value for money than hiring more people at the clinics. Though, more staff wouldn’t hurt either. Home-testing kits also offer the chance to be tested to those who, for seriously outdated reasons, think going to the STI clinic is something shameful and to be avoided at all costs.

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    Mute Dave Barrett
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    Feb 6th 2020, 8:32 AM

    @Donncha Ó Coileáin: whats shameful is getting a std in the first place.

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    Mute john doe
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    Feb 6th 2020, 8:55 AM

    @Dave Barrett: getting an sti is unfortunate but there is nothing shameful about sexuality or even promiscuity so long as all involved are willing and eager.

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    Mute Michael Burke
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    Feb 6th 2020, 9:19 AM

    @Dave Barrett: go back to your own century

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    Mute Bandit 600
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    Feb 6th 2020, 9:58 AM

    @Dave Barrett: exactly comments like yours the reason why many people wouldn’t go to their doctor or a clinic to get checked

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    Mute Davis Payne
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    Feb 6th 2020, 1:02 PM

    @Dave Barrett: what if your unfortunate enough to be the monogamous ONE in a relationship? You don’t know where you stand and clearly can’t trust your former partner (or partner if you’re the forgiving type) to be fully forth coming with facts?
    How has a person in that situation shamed themselves?

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    Mute Terry Cahill
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    Feb 7th 2020, 2:50 AM

    @Dave Barrett: Sorry…did you mean “what’s shameful IN getting “ ? Otherwise you are mentally defective.

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    Mute Ro-your-nan
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    Feb 6th 2020, 7:53 AM

    This initiative might sound ‘rash’ but it deserves ‘the clap’. I’ve been ‘itching’ to get one of these – bet there were still be a few ‘crabby’ comments made about this.

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    Mute John Mulligan
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    Feb 6th 2020, 6:19 AM

    A pox on all their houses!

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    Mute Justice Mickey
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    Feb 6th 2020, 7:30 AM

    @John Mulligan:
    No, it should be “a pox in all their houses”

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    Mute Mejo
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    Feb 6th 2020, 9:08 AM

    Welcome to our Weimar Republic!

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    Mute Davis Payne
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    Feb 6th 2020, 1:18 PM

    @Mejo: suspended twitter account eh? Says it all.
    I’m sure you’re Twitter wasn’t suspended for opened minded 21st century thinking.

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    Mute Mejo
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    Feb 6th 2020, 2:10 PM

    @Davis Payne: ‘it says it all’ would you like to elaborate Davis?

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    Mute Davis Payne
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    Feb 6th 2020, 12:58 PM

    A lot of people may be too embarrassed to go and get tested. If it helps a higher rate of detection that’s great.

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