{"id":4561,"date":"2026-09-01T12:46:53","date_gmt":"2026-09-01T10:46:53","guid":{"rendered":"https:\/\/noaksark.org\/mosaik\/?p=4561"},"modified":"2026-09-01T13:15:27","modified_gmt":"2026-09-01T11:15:27","slug":"community-outreach-who-is-reached-by-the-initiative","status":"publish","type":"post","link":"https:\/\/noaksark.org\/mosaik\/en\/2026\/09\/01\/community-outreach-who-is-reached-by-the-initiative\/","title":{"rendered":"Community outreach: Who is reached by the initiative?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Who does community outreach reach? A comparison of fixed\u2011site versus outreach HIV\/STI testing in Sk\u00e5ne, Sweden<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Introduction<\/strong><br>On Friday 28 August 2026, Master\u2019s student <strong>Veronica Namaganda<\/strong> presented findings from her summer research conducted with Noaks Ark Mosaik. The study, supervised by Dr. Niclas Winqvist (Lund University, Faculty of Medicine), compares user profiles at fixed\u2011site testing and community outreach HIV\/STI testing in Sk\u00e5ne. Importantly, the analysis draws on programme data collected through Noaks Ark Mosaik and the COBATEST Network Database, situating the research within routine community\u2011based service data rather than a small, convenience academic sample.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Background<\/strong><br>Community outreach testing is widely promoted as a strategy to increase access to HIV\/STI services among populations who may face barriers to conventional clinic\u2011based care. However, evidence on who is actually reached by outreach versus fixed\u2011site testing remains limited, particularly when analyses rely on routine service data. Understanding these differences is essential for assessing equity in testing provision and for tailoring services to underserved groups, including migrants and other marginalised populations in Sk\u00e5ne.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Study aims and methods<br><\/strong>The primary aim was to characterise and compare the sociodemographic and testing\u2011related profiles of individuals tested via community outreach and those tested at a fixed site. The study used programme data generated by Noaks Ark Mosaik\u2019s routine testing activities and harmonised variables from the COBATEST Network Database. Analyses focused on indicators relevant to access and vulnerability (e.g., migration background, age, gender, prior testing history), and compared distributions across the two testing modalities. The use of COBATEST data ensures comparability with other community testing programmes and anchors findings in routine operational metrics.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Key findings<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Outreach and fixed-site testing reach different populations.<\/strong>&nbsp;The two approaches are complementary rather than interchangeable.<\/li>\n\n\n\n<li><strong>Outreach predominantly reaches migrants and people facing greater healthcare access barriers.<\/strong>&nbsp;80% of outreach users were foreign nationals, with more reporting no or uncertain access to healthcare.<\/li>\n\n\n\n<li><strong>Outreach reaches more first-time testers.<\/strong>&nbsp;People accessing outreach were more likely to report that they had never tested for HIV before.<\/li>\n\n\n\n<li><strong>Motivation for testing differs by setting.<\/strong>&nbsp;Office testing was largely&nbsp;<strong>risk-triggered<\/strong>, with 76% reporting a risk exposure, while outreach was mainly&nbsp;<strong>proactive\/routine<\/strong>, with 78% reporting no specific risk and testing simply to know their status.<\/li>\n\n\n\n<li><strong>Outreach brings people to testing who would otherwise be less likely to seek the service.<\/strong>&nbsp;82% reported using the service because it was available through the outreach setting.<\/li>\n\n\n\n<li><strong>Fixed-site testing continues to serve important populations<\/strong>, including younger, Swedish-born users and relatively more MSM and gender-diverse users.<\/li>\n\n\n\n<li><strong>Foreign nationality was the strongest predictor of outreach testing<\/strong>, reinforcing the role of outreach in reaching migrant populations.<\/li>\n\n\n\n<li><strong>Disclosure was lower during outreach<\/strong>, potentially reflecting language barriers, shorter engagement time and privacy considerations. However, the sensitivity analysis showed that the main findings remained, suggesting the differences were&nbsp;<strong>not explained simply by differential disclosure<\/strong>.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Interpretation and implications<\/strong><br>The findings underscore the value of community\u2011based outreach as a mechanism for improving equity in HIV\/STI testing. By reaching people with migration backgrounds and those less connected to routine healthcare, outreach contributes to earlier detection and linkage to care for groups at elevated risk or with reduced access. For Noaks Ark Mosaik, the results validate the organisation\u2019s model of integrating service delivery with evidence generation: routine outreach activities not only provide care but also produce actionable data that can inform service design and resource allocation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Operationally, the study suggests several practical implications: (1) sustain and expand outreach efforts targeted at migrant communities and other underserved groups; (2) strengthen data collection and routine monitoring within outreach to track reach and outcomes over time; and (3) use programme data to iteratively refine outreach locations, times and partnership strategies to maximise reach and acceptability.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Limitations<\/strong><br>As an analysis of routine programme data, the study is subject to limitations inherent to operational datasets, including variable completeness and potential selection biases. While COBATEST harmonisation mitigates some comparability issues, causal inferences about why individuals choose outreach versus fixed\u2011site testing cannot be drawn from cross\u2011sectional programme data alone. Future mixed\u2011methods work could elucidate motivations and barriers in greater depth.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Conclusion<\/strong><br>Veronica Namaganda\u2019s study provides timely, practice\u2011rooted evidence that community outreach testing in Sk\u00e5ne reaches populations who are less likely to access fixed\u2011site services, notably people with migration backgrounds. The research exemplifies Noaks Ark Mosaik\u2019s approach to community\u2011led evidence generation, demonstrating how routine service activities can yield robust insights to guide equitable public health practice.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Acknowledgements<\/strong><br>This work was conducted with support from a <strong>Lund University<\/strong> grant and supervised by <strong>Dr. Niclas Winqvist<\/strong>. <br>We thank <strong>Veronica Namaganda<\/strong> for her rigorous analysis and presentation, and the Noaks Ark Mosaik staff for providing the programme data and for their ongoing collaboration.<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"1600\" data-id=\"4580\" src=\"https:\/\/noaksark.org\/mosaik\/wp-content\/uploads\/sites\/6\/2026\/09\/WhatsApp-Image-2026-09-01-at-13.11.08.jpeg\" alt=\"\" class=\"wp-image-4580\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"729\" height=\"1024\" data-id=\"4588\" src=\"https:\/\/noaksark.org\/mosaik\/wp-content\/uploads\/sites\/6\/2026\/09\/WhatsApp-Image-2026-08-29-at-09.32.18-edited-729x1024.jpeg\" alt=\"\" class=\"wp-image-4588\" srcset=\"https:\/\/noaksark.org\/mosaik\/wp-content\/uploads\/sites\/6\/2026\/09\/WhatsApp-Image-2026-08-29-at-09.32.18-edited-729x1024.jpeg 729w, https:\/\/noaksark.org\/mosaik\/wp-content\/uploads\/sites\/6\/2026\/09\/WhatsApp-Image-2026-08-29-at-09.32.18-edited-214x300.jpeg 214w, https:\/\/noaksark.org\/mosaik\/wp-content\/uploads\/sites\/6\/2026\/09\/WhatsApp-Image-2026-08-29-at-09.32.18-edited-768x1079.jpeg 768w, https:\/\/noaksark.org\/mosaik\/wp-content\/uploads\/sites\/6\/2026\/09\/WhatsApp-Image-2026-08-29-at-09.32.18-edited-71x100.jpeg 71w, https:\/\/noaksark.org\/mosaik\/wp-content\/uploads\/sites\/6\/2026\/09\/WhatsApp-Image-2026-08-29-at-09.32.18-edited-547x768.jpeg 547w, https:\/\/noaksark.org\/mosaik\/wp-content\/uploads\/sites\/6\/2026\/09\/WhatsApp-Image-2026-08-29-at-09.32.18-edited.jpeg 1030w\" sizes=\"auto, (max-width: 729px) 100vw, 729px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1976\" height=\"1482\" data-id=\"4586\" src=\"https:\/\/noaksark.org\/mosaik\/wp-content\/uploads\/sites\/6\/2026\/09\/WhatsApp-Image-2026-08-29-at-09.32.18-4.jpeg\" alt=\"\" class=\"wp-image-4586\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1840\" height=\"1380\" data-id=\"4585\" src=\"https:\/\/noaksark.org\/mosaik\/wp-content\/uploads\/sites\/6\/2026\/09\/WhatsApp-Image-2026-08-29-at-09.32.18-2.jpeg\" alt=\"\" class=\"wp-image-4585\" \/><\/figure>\n<\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Who does community outreach reach? A comparison of fixed\u2011site versus outreach HIV\/STI testing in Sk\u00e5ne, Sweden IntroductionOn Friday 28 August 2026, Master\u2019s student Veronica Namaganda presented findings from her summer research conducted with Noaks Ark&#8230;<\/p>\n","protected":false},"author":33,"featured_media":4591,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4561","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-okategoriserad"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.3 (Yoast SEO v28.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Community outreach: Who is reached by the initiative? - Noaks Ark Mosaik - Sk\u00e5ne &amp; Blekinge<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/noaksark.org\/mosaik\/en\/2026\/09\/01\/community-outreach-who-is-reached-by-the-initiative\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Community outreach: Who is reached by the initiative?\" \/>\n<meta property=\"og:description\" content=\"Who does community outreach reach? 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