Enhancing STI and Sexual Health Clinic Infrastructure (ESSHCI)

The purpose of this NOFO is to strengthen clinic infrastructure and expand access to comprehensive sexual health services.* Strategy A (core strategy for Y1) will foster community engagement and strategic partnerships to support expansion of sexual health services. Associated activities: build community connections to engage priority populations and mobilize public health partners, and develop a community-informed, clinic-level plan to increase access to quality comprehensive sexual health services. Strategy B (core strategy for Y1-5) will strengthen clinic infrastructure and provision of comprehensive sexual health services. Associated activities: conduct clinic infrastructure assessment, implement a clinic-level plan to increase access to sexual health services, implement additional evidence-based approaches to enhance clinic sexual health services, and assess and improve the patient clinic experience. Strategy C (optional strategy for Y1-5) will fund a subset of proposed short-term activities each budget period to expand access to STI prevention and other sexual health services supporting a syndemic approach. NOFO outcomes include increased community involvement in clinic-level planning, increased engagement with public health partners, increased access to & capacity to provide comprehensive sexual health services, improved patient clinic experience, increased identification of new STIs, and increased linkage to prevention and care services for co-occurring conditions.*Sexual health services cover broad preventive and treatment approaches related to sexual health including taking a sexual history and risk assessment; education and counseling; testing and treatment for HIV and other STIs; hepatitis B and C screening; PrEP/nPEP for HIV prevention; contraception; condoms; and recommended vaccinations.