Sexual Health

[Promoting sexual health at a local scale. The exemple of the Antenne santé sexuelle Onex].

TL;DR

The 'Antenne santé sexuelle Onex' is a recent integrated local initiative combining free, confidential interviews and sustained networking to improve sexual health care access and remove barriers to care in an underserved area.

Key Findings

Multiple categories of barriers prevent people from accessing sexual health care.

  • Barriers identified include geographical obstacles, financial constraints, taboos surrounding sexuality, and experienced or anticipated discrimination.
  • The authors describe these as persistent barriers requiring innovative solutions from the healthcare system.
  • The initiative targets an explicitly 'underserved area' ('territoire précaisé'), suggesting socioeconomic vulnerability is a key contextual factor.

The 'Antenne santé sexuelle Onex' was established as a collaborative initiative between municipal and university hospital services.

  • The initiative is a collaboration between the Social, Health and Childhood Service ('Service social, santé et enfance') of the town of Onex and the Sexual Health and Family Planning Unit ('Unité de santé sexuelle et planning familial') of the University Hospitals of Geneva (HUG).
  • The article describes it as a 'recent integrated initiative', indicating it is newly established.
  • The collaboration represents a partnership between local municipal government health services and a major academic hospital system.

The Antenne provides free and confidential consultations as a core mechanism for improving local sexual health care access.

  • Services are delivered through 'free, confidential interviews' ('entretiens gratuits et confidentiels'), directly addressing financial and privacy-related barriers.
  • The model also includes 'sustained networking' ('travail de réseau soutenu') as a complementary strategy.
  • The combination of free access and confidentiality is intended to specifically reduce the barriers of financial cost, taboo, and anticipated discrimination.

The initiative develops tools specifically designed to reduce healthcare avoidance ('renoncement aux soins') in a precarious local territory.

  • The French term 'renoncement aux soins' refers to the phenomenon of individuals foregoing needed care, which the Antenne explicitly aims to address.
  • The initiative operates at a local ('à l'échelle locale') scale, emphasizing community-level intervention.
  • Tool development is described as an ongoing activity of the Antenne, suggesting a capacity-building and adaptive approach.

What This Means

This research describes a new community-based sexual health initiative called the 'Antenne santé sexuelle Onex,' located in Onex, a municipality near Geneva, Switzerland. The program was created through a partnership between the town's social and health services and the University Hospitals of Geneva's sexual health and family planning unit. It offers free, confidential appointments to local residents and works to build connections between healthcare providers and community organizations. The initiative specifically targets an area where residents face multiple overlapping barriers to accessing sexual health services, including cost, geography, social stigma around sexuality, and fear of discrimination. This research suggests that a locally embedded, free, and confidential service model—combined with active networking among local health and social actors—can help address the persistent gap in sexual health care access for vulnerable populations. By bringing specialized sexual health services directly into the community rather than relying solely on hospital or clinic-based care, the Antenne aims to reach people who might otherwise forgo necessary care. The article highlights that financial and confidentiality concerns are major drivers of healthcare avoidance in sexual health, and that removing these barriers locally may meaningfully improve health outcomes. The practical implication of this model is that municipalities and hospital systems can collaborate to decentralize sexual health services into underserved neighborhoods, potentially serving as a replicable model for other communities facing similar challenges. The initiative is described as recent, meaning its long-term outcomes have not yet been fully evaluated, but the article presents it as a promising integrated approach to reducing health inequalities in sexual health care.

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Citation

Lendais Jossen M, Walder A, Briand B, Arsever S. (2025). [Promoting sexual health at a local scale. The exemple of the Antenne santé sexuelle Onex].. Revue medicale suisse. https://doi.org/10.53738/REVMED.2025.21.904.237