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Rural Project Examples: Sexual and reproductive health

Effective Examples

Salud es Vida Cervical Cancer Education
Updated/reviewed January 2020
  • 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 provides 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

Rapid HCV Testing as an HIV Testing Strategy in Rural Areas
Updated/reviewed November 2020
  • 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.
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.
funded by the Health Resources Services Administration 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.
Remote Area MedicalĀ®
Updated/reviewed November 2018
  • Need: A lack of basic medical, dental, and vision care for people living in isolated, impoverished, and underserved areas.
  • Intervention: Free mobile 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.