Participatory approaches to delivering clinical sexually transmitted infections services: a narrative review

Rayner Kay Jin Tan; Gifty Marley; Eneyi E. Kpokiri; Tong Wang; Weiming Tang; Joseph D. Tucker

doi:10.1071/SH22039

REVIEW (Open Access)

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Participatory approaches to delivering clinical sexually transmitted infections services: a narrative review

Rayner Kay Jin Tan

^A ^B ^C ^# ^* , Gifty Marley ^A ^B ^# , Eneyi E. Kpokiri ^D , Tong Wang ^A ^B , Weiming Tang ^B ^E and Joseph D. Tucker

^A ^D ^E

+ Author Affiliations

- Author Affiliations

^A University of North Carolina Project-China, Guangzhou, China.

^B Dermatology Hospital of Southern Medical University, Guangzhou, China.

^C Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.

^D Clinical Research Department, Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK.

^E Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

^* Correspondence to: Rayner.tan@med.unc.edu

^# These authors contributed equally to this paper

Handling Editor: Jason Ong

Sexual Health - https://doi.org/10.1071/SH22039
Submitted: 4 March 2022 Accepted: 14 June 2022 Published online: 9 August 2022

© 2022 The Author(s) (or their employer(s)). Published by CSIRO Publishing. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND)

Abstract

Although sexual health programming and clinical sexually transmitted infections (STIs) services have traditionally been developed through ‘top-down’ approaches, there is emerging evidence that participatory approaches benefit the development and implementation of such services. Although other studies have already highlighted the benefits of participation in research and implementation of clinical STIs services delivery, this narrative review focuses on how community participation in clinical STIs services delivery has been operationalised and on the various aspects of clinical STIs services delivery in which participatory processes have been implemented. A PubMed search was conducted in January 2022 using the search terms that reflected the topic of participatory processes in clinical STIs services delivery to identify relevant papers. Only peer-reviewed papers published in English were reviewed, and no timeframe was selected. After reviewing existing studies, we identified how community participation has been incorporated across stages of clinical STIs service delivery, including planning, developing, delivering, evaluating, and scaling up, as well as gaps and challenges faced in implementing such approaches. This review highlighted how a wide range of participatory processes characterised by varying depths of participation have been used in the above processes. Challenges such as funding, socio-cultural barriers, technical barriers and the digital divide, issues of quality assurance, and standardising the measurement of participation remain, which may impede the uptake of participatory processes in clinical STIs services.

Keywords: co-creation, community engagement, community health, community interventions, community participation, health services, methodological issues, patients’ views.

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