Rural Project Examples: Sexual and reproductive health
Salud es Vida Cervical Cancer Education
Updated/reviewed January 2023
- Need: Hispanic women have the highest incidence rates of cervical cancer among any ethnicity in the United States.
- Intervention: The development of a lay health worker (promotora) curriculum that provided information on cervical cancer, HPV, and the HPV vaccine to Hispanic farmworker women living in rural southern Georgia and South Carolina.
- Results: Significant increases in post-test scores relating to cervical cancer knowledge and increases in positive self-efficacy among promotoras.
Strong African American Families-Teen Program
Updated/reviewed April 2019
- Need: There is a lack of interventions that addresses teenager behavioral problems, particularly for rural African American adolescents.
- Intervention: Rural, locally trained leaders administered five 2-hour meetings for teenagers and their primary caregivers. Trainings focused on reducing risks that prevent positive development, specifically sexual risk-taking that can lead to HIV and other STIs.
- Results: Teens reported reduced conduct problems, depressive symptoms, and substance abuse. Families were strengthened, and SAAF-T reduced unprotected intercourse and increased condom efficacy.
Other Project Examples
Pacific AIDS Education and Training Center-Nevada
Updated/reviewed February 2023
- Need: To improve and increase prevention and care services for HIV, STDs, hepatitis C, and other infectious diseases.
- Intervention: PAETC-NV provides clinical and didactic trainings, conferences, technical assistance, capacity building, webinars, and other services to providers and healthcare organizations statewide.
- Results: In 2022, PAETC-NV trained more than 1,400 healthcare providers across Nevada to increase clinical capacity in the care, screening, and prevention of HIV, other sexually transmitted diseases, COVID-19, and hepatitis C.
Rapid HCV Testing as an HIV Testing Strategy in Rural Areas
Updated/reviewed November 2022
- Need: To provide HIV testing in rural areas while navigating around HIV stigma.
- Intervention: A pilot study to provide HCV (Hepatitis C Virus) rapid tests and then offer an HIV rapid test as well.
- Results: An increase in the number of people tested for HCV and HIV.
Remote Area Medical®
Updated/reviewed January 2021
- Need: A lack of basic medical, dental, and vision care for people living in isolated, impoverished, and underserved areas.
- Intervention: Free pop-up medical clinics that provide care through a highly efficient system that serves as many patients as possible, utilizing a corps of volunteers made up of licensed medical professionals and laypeople.
- Results: Community members in rural and other underserved areas are provided with necessary healthcare and health education, including dental and vision services, at no cost to the patients or taxpayers.
It's a Girl Thing: Making Proud Choices
Updated/reviewed November 2019
- Need: Teen pregnancy and sexually transmitted diseases, including HIV, in young girls were concerns for members of Union Parish, Louisiana.
- Intervention: Union General Hospital, a Critical Access Hospital, created the program It's a Girl Thing: Making Proud Choices to teach prevention, self-confidence, and personal responsibility to teen girls.
- Results: Teen pregnancy rates in Union Parish have dropped by 18%, exceeding the program's initial goal of 5%. Graduation rates have also increased the longer girls remain in the program.
Sexual Assault Nurse Exams through the National TeleNursing Center
Updated/reviewed April 2019
- Need: Clinicians in rural areas are often unprepared to treat sexual assault victims after an assault.
- Intervention: The National TeleNursing Center (NTC) in Massachusetts uses telemedicine to connect Sexual Assault Nurse Examiners to clinicians in remote areas, offering them guidance through examinations.
- Results: Clinicians report that the help gives them confidence through the examination process and NTC has assisted in the care of over 300 patients.
For examples from other sources, see: