Successful Program Research Articles

Growth and Performance of Self Help Group’s - An Exploratory Study

Today there are Mainstream Micro Finance Institutions like National Agricultural Bank for Rural Development (NABARD), Small Industries Development Bank of India (SIDBI) etc., which are creating micro credit, in rural areas by extending micro finance to Self Help Group (SHG’s) with the help of formal credit institutions, making it an effective poverty reducing strategy and simultaneously promoting rural development. SHG’s were initiated to empower the economically disadvantaged people, who were neglected by formal credit and savings institutions. Micro finance has shown that poor people, when given access to timely and responsive financial assistance, use the proceeds to not only increase their assets and income, but also repay their debts. NABARD, through its Micro Credit Innovations, is the facilitator and mentor of microfinance initiatives in the country. The model of Self help group- bank linage programme (SBLP) has evolved as a cost-effective mechanism for providing financial services to the unreached and deserving poor households. The initiative started as a pilot to link around 500 SHGs of poor to the formal financial institutions during the year 1992-93.The success of the pilot program has shown that Micro Finance can go beyond poverty reduction, to addresses issues of health, education, gender and over all development The present paper is a comparative study of the agency wise i.e. commercial banks, regional rural banks, and cooperative banks, performance in the SHG’s - bank linkage program in Telangana, from2014-18,. The paper also presents an in-depth, analysis of the number of self-help groups, Amount of savings outstanding, amount of loan outstanding of the SHGs, , and total loans disbursed to them through SBLP, generating micro credit to reduce poverty and boost rural development. Key words: NABARD, Micro Finance, SHG’s, SBLP, poverty reduction, rural Development,

Maternal and perinatal death surveillance and response in Bangladesh: A case study on measuring impact through health information systems

The health sector in Bangladesh is thriving, and the Maternal and Perinatal Death Surveillance and Response (MPDSR) program has been in place to investigate the causes of maternal and perinatal death. This study aimed to investigate the availability of information systems for measuring the status of an MPDSR program and the planning process and actions developed based on real-time information. This study delved into innovative information systems that can be used to monitor and measure the impact of health programs. The study included both the primary and secondary data. A total of six key informant interviews were conducted to explore the enablers and strengths of information systems. Secondary data were collected from government websites and MPDSR action plans. This study highlights the potential and challenges of governmental health information systems in notifying maternal and neonatal deaths. While the current notification rates are not up to national standards, it is encouraging to see health managers develop action plans and address this issue. The MPDSR information system is a valuable tool to help health managers measure changes in maternal and perinatal mortality rates and design locally targeted interventions. However, several obstacles must be addressed, such as insufficient data, lack of monitoring, and irregularities in MPDSR review meetings. By finding ways to overcome these challenges, we can unlock the full potential of MPDSR and improve maternal and neonatal health outcomes. The success of an MPDSR program relies on how the information is utilized to take action and measure the outcome. Advanced information systems, such as health dashboards, scorecards, and administrative data, can play a vital role in measuring the progress and impact of a program. The primary challenge lies in capturing all deaths, including their causes, and having the capacity to analyze the data effectively to develop action plans for health managers.

Optimization of breeding program design through stochastic simulation with evolutionary algorithms.

The effective planning and allocation of resources in modern breeding programs is a complex task. Breeding program design and operational management have a major impact on the success of a breeding program and changing parameters such as the number of selected/phenotyped/genotyped individuals in the breeding program will impact genetic gain, genetic diversity, and costs. As a result, careful assessment and balancing of design parameters is crucial, taking into account the trade-offs between different breeding goals and associated costs. In a previous study, we optimized the resource allocation strategy in a dairy cattle breeding scheme via the combination of stochastic simulations and kernel regression, aiming to maximize a target function containing genetic gain and the inbreeding rate under a given budget. However, the high number of simulations required when using the proposed kernel regression method to optimize a breeding program with many parameters weakens the effectiveness of such a method. In this work, we are proposing an optimization framework that builds on the concepts of kernel regression but additionally makes use of an evolutionary algorithm to allow for a more effective and general optimization. The key idea is to consider a set of potential parameter settings of the breeding program, evaluate their performance based on stochastic simulations, and use these outputs to derive new parameter settings to test in an iterative procedure. The evolutionary algorithm was implemented in a Snakemake workflow management system to allow for efficient scaling on large distributed computing platforms. The algorithm achieved stabilization around the same optimum with a massively reduced number of simulations. Thereby, the incorporation of class variables and accounting for a higher number of parameters in the optimization framework leads to substantially reduced computing time and better scaling for the desired optimization of a breeding program.

Barn Owls as a Nature-Based Solution for Pest Control: A Multinational Initiative Around the Mediterranean and Other Regions

Pest rodents cause extensive damage to crops worldwide. Up to 40% of global crop production is lost annually to pests and diseases, with rodents accounting for 15–30% of this loss amounting to billions of dollars each year. The current method of controlling rodent populations involves the extensive use of chemical rodenticides. While effective in the short term, these chemicals pose serious environmental and health risks, leading to secondary poisoning of non-target species and other long-term negative ecological consequences, underscoring the need to adopt more sustainable pest-control measures. Nature-Based Solutions (NbSs), on the other hand, are increasingly recognized for addressing environmental challenges such as climate change, biodiversity loss, and sustainable development, and they include actions that protect, sustainably manage, and restore ecosystems. In this context, Barn Owls (Tyto alba) are highly effective as a natural pest-rodent control agents in agro-ecosystems. The species has a wide distribution and adaptability to various environments, and its diet consists predominantly of small mammals, with rodents making up from 50–60% up to even 90–95% of the diet according to different geographical regions. Each Barn Owl family can consume thousands of rodents annually, creating a high potential to reduce crop damage and infestations. Deploying nest boxes in agricultural areas can significantly increase Barn Owl populations, ensuring continuous and effective rodent control. Limitations of this solution must also be taken into consideration such as predation on rodents and small mammals that are not pests, and possible competition with other nocturnal birds of prey. Ιn the current paper, we aim to introduce the concept of owls as a NbS for pest rodent control and outline the main challenges, pitfalls, advantages, and disadvantages of implementing this solution in a new geographical region, and all the necessary in-between steps (scientific, societal, administrative, educational) that have to be followed for a successful implementation. So far, several countries have successfully implemented Barn Owl nest box schemes, with Israel and Cyprus achieving reduction in the use of pesticides by 45% and 58%, respectively, whereas the project is spreading to other Mediterranean countries (Jordan, Palestine Authority, Greece, Morocco, Spain), in palm plantations in Malaysia and USA, and in the vineyards of Napa Valley in California. The success of Barn Owl nest box programs relies on integrating scientific research, societal needs, supportive policy frameworks, and education. Barn Owl nest box programs are both bottom-up and top-down initiatives, in need of the participation of farmers and local communities to establish and deploy the Barn Owl solution. Continuous research is also necessary to explore systematically Barn owl trophic ecology, foraging and breeding ecology, interactions with agricultural landscape, and land uses in temporal and spatial scales, and challenges such as habitat suitability, availability of nesting sites, and regional ecological conditions must also be addressed.

Commentary: Strengthening System Readiness for Health Interventions: Lessons for Implementing Interventions and Implementation Support in Low-And Middle-Income Countries.

In low- and middle-income countries (LMICs), barriers such as low system readiness, contextual mismatches, and resource limitations impede effective implementation of evidence-based interventions. This commentary offers insights into overcoming these challenges with a case study of the PRISM project, designed to reduce behavioral and psychological symptoms of dementia in older adults living in Thailand. The case highlights how combining two evidence-based models - the Reducing Disability in Alzheimer's Disease clinical intervention and the Getting To Outcomes implementation science process enhances program success. Using interviews with stakeholders across various health system levels, we identify factors critical to successful program implementation: (1) integrating interventions into policy frameworks, (2) empowering local implementers, (3) fostering collaborative learning, and (4) adapting interventions to local contexts. The case demonstrates that building system readiness through local engagement and ownership is central to scaling up health programs in LMICs. This commentary's contribution lies in its emphasis on the role of implementation science as a vehicle for translating research into practice. It presents a practical, adaptive model for embedding interventions into routine health systems, thereby offering a pathway for successfully scaling up evidence-based programs in LMICs. Such findings provide lessons for overcoming barriers to implementation in resource-limited environments.

Determinants of the effectiveness of education and training in Indonesian migrant workers

This study explores the effectiveness of education and training programs for Indonesian migrant workers, who often seek employment abroad due to limited opportunities and low wages in their home country. The increasing numbers of migrant workers, combined with their significant economic contributions, highlight the need for effective training to enhance their self-reliance and reduce the likelihood of returning to overseas work. Employing a mixed-methods approach, the research identifies key determinants of program success, including financial literacy, self-management, motivation, and social support. The findings reveal that while macro-level policies are still insufficient, effective mapping and guidance at the micro level show promising results. Successful training programs positively impact the workers' independence, with those who acquire essential skills more likely to pursue entrepreneurship upon returning to Indonesia, rather than seeking further employment abroad. The study underscores the importance of incorporating financial and digital literacy, along with entrepreneurship training, into the curriculum to foster long-term economic independence for Indonesian migrant workers.

L'angioplastie du Tronc commun gauche en ambulatoire : Comment s'y prendre ?

The steady development of same-day discharge (SDD) PCIs in recent years means that, by 2024, we will be able to tackle increasingly complex lesions, including those of the left main artery. This strategy is supported by the literature, but requires an appropriate patient selection (based on medical and social criteria) and precise assessment of the anatomical complexity of the lesion and the foreseeable risks of the PCI. Strict adherence to pre-established service protocols for patient preparation and follow-up, as well as the establishment of clinical and paraclinical criteria for discharge to a conventional hospital unit, are essential to the success of an SDD PCI program.

Fostering leadership development and growth of nurse leaders: Experiences from Midwest Nursing Research Society Leadership Academy

Leadership development and growth of nurse leaders is critically important for the thriving of the nursing profession. Formal leadership training programs are helpful in building leadership knowledge and skills. The Midwest Nursing Research Society (MNRS) launched the Leadership Academy (LA), a new initiative to foster leadership development among MNRS members and intentionally create a steady pool of members prepared to step into MNRS leadership positions. Mentoring by an experienced board member is a key component. The purpose of this article was to describe the experiences of a mentor and mentee dyad through the MNRS LA and discuss their perspectives on fostering leadership development and growth. The success of a leadership development program has a far-reaching impact on novice and potential future leaders. A tailored leadership mentoring relationship helps increase one’s self-confidence in being a leader and provides individualized leadership development opportunities. Engagement of both the mentee and mentor in the leadership mentoring relationship is a key to ensure an optimized leadership mentoring experience.

Implementing a Virtual Discharge Nurse Pilot: Utilizing the Pathway to Excellence® Framework.

The virtual nurse (VN) pilot was developed to assist bedside nurses in administrative tasks, including discharges and education, from a remote location. Bedside nurse vacancies have increased, leading to a shortage of resources for the care team and less time for nurses to provide hands-on care to patients. A survey showed 77% of nurses spend more than 3 hours per shift on admissions, discharges, and patient education. A pilot was conducted on a 45-bed unit with the VN focusing on discharges and patient education. During the pilot, the VN completed 1375 tasks, increasing patient and nurse satisfaction while reducing turnover and adverse events. With the program's early success, the VN role is expanding into additional units.

Growing transnational partnership educational provision via a Learning Development strategy: possibilities and pitfalls

Educational provision within transnational partnerships arrangements has come under increased scrutiny in recent years. This lightning talk focused on the creation of a Professional Development Series (PDS) initiative in the transnational educational partnership work at London Metropolitan University designed to strengthen cooperative, dialogic practice and to embed a strong communities of practice approach (Wenger, 1998) within partnership work. The PDS programme ran in the autumn of 2023 with hourly sessions roughly twice a month. It sought to bring together partnership educators from all backgrounds (including frontline teaching educators, library staff educators and educators in quality and governance) and included education-focused sessions (‘Evaluating the quality of learning and teaching’ and ‘Supporting learners who are struggling with their studies’), research-focused sessions (‘Understanding research ethics’ and ‘Exploring quantitative research’), graduation-focused sessions (‘Embedding employability in HE curricula’), and a session dedicated to partnership work (‘Working successfully in partnerships’). Conroy’s lightning talk outlined the starting points and principles underlying the PDS before discussing how to design and run Learning Development initiatives in transnational education, including points around initial reconnaissance work, pragmatics, tone, and how to foster dialogue and interaction within session spaces. Attention then turned to evaluating what may amplify or diminish the success and impact of such programmes and finally raised discussion points intended to spur debate among conference delegates around the boundaries, parameters, and desirable points of emphasis for Learning Development initiatives in transnational educational provision.

Community-based infant hearing screening: Outcomes of a rural pilot programme.

Community-based universal newborn hearing screening (UNHS) has not been fully realised in South Africa despite the availability of contextually relevant early hearing detection and intervention guidelines. Research has confirmed the feasibility of implementing UNHS programmes in urban contexts; however, limited information exists for rural contexts. The aim of the study was to describe the outcomes in terms of coverage rate, referral rate and follow-up rate of a 1-year UNHS pilot programme implemented at three primary health care (PHC) clinics in the Limpopo province. A descriptive retrospective review of 2 302 audiological records of infants who underwent NHS between July 2014 to June 2015 was conducted. The mean age at first-stage screen was 112 days (16 weeks). The coverage rate was 87% for the infants screened at 3- and 10- days clinic visits and 27% for infants screened at the 6-week immunisation visit. The first-stage referral rate was 33.9% and 8.3% for the overall second stage referral for diagnostic audiology services. The follow-up rate for rescreens at the clinical level was 77%, while for initial diagnostic assessments, it was 26%. Although not all benchmarks were met within the first year of implementation, the high coverage- and low referral rates, especially in the last 6 months, are the first steps in improving the outcomes of the screening programme.Contribution:The findings confirm the feasibility of implementing community-based UNHS programmes in rural areas in South Africa. Regular monitoring and evaluation contribute to the success of screening programmes.

Correlation between functional tests and biomarker in return to sport tests of athletes with injuries to the knee region

A sports injury is a condition where damage occurs to the body tissue caused by sports activities. Data in the United States shows a high incidence rate of sports injuries which reaches 1.5 million per year, with half being serious injuries. Injuries to the lower limbs can generally lead to decreased performance, often preventing athletes from continuing as professionals. The Sports Physiotherapist is responsible for aiding recovery and improving the athlete’s performance so that they can return to their sport. Assessing an athlete’s ability to return to sport (RTS) requires tests that can predict their ability after injury. There is currently no consensus from the literature on the decision to return to sport given the lack of standardization and objective criteria. This research is a quantitative descriptive research in the form of a correlation study to analyze the relationship between the functional test model and the bilogical test of the success of the post-injury sports therapy program. Bivariate analysis shows that that the sit and reach test, and the hexagonal test are correlated with TGF Beta 1 results. Where the value r = 0,194 p = 0,160 yng means that there is no meaningful relationship between the Single Leg stance and the Beta 1 TGF.

Pendampingan Teknis Teknologi Tepat Guna Budidaya Udang Vaname Skala Kecil di Desa Pengambengan, Jembrana, Bali

Pacific white shrimp (Penaeus vannamei) is one of Indonesia's fishery commodities with high economic value in the domestic and foreign markets. They are applying appropriate technology through small-scale shrimp farming aimed to transfer technology in partner villages from traditional to intensive systems. This program was an effort to improve the welfare of the fishery community in Desa Pengambengan, Jembrana, Bali. This program was carried out in May‒July 2022, and it involved the Mina Jaya Fish Cultivator Group as the target community. The activity program was carried out through several stages, including audience activity, counseling, technical assistance, and monitoring and evaluation. The activity succeeded in increasing the knowledge and skills of the target community regarding vaname shrimp cultivation in detail. Technical assistance for cultivation activities has increased community understanding of small-scale intensive shrimp cultivation, minimizing errors and increasing program success. Monitoring and evaluation are carried out to determine the sustainability of activities in the target community. This community service activity has succeeded in increasing the productivity of Pacific white shrimp cultivation and technology transfer from the traditional system to a small-scale intensive system.

The relationship government, community, companions and economic empowerment of coastal women in Sampang Regency – Indonesia

The purpose of the research to study the role of stakeholders in empowerment economy Woman the coast in Sampang Regency Indonesia. Stakeholder involvement in empowerment programs economy Woman Coast is a very important role in the success of the program. This study uses a qualitative method with a descriptive research type. The location used in this study is in the coastal area of Sampang Regency. Data collection techniques are carried out using observation, interviews and documentation. While the data analysis technique uses a model Creswell. The results of the study state from the three stakeholders are government, community and companions Still not optimal. This is seen from the role of government in empowering coastal women's economy, both in organizing and implementing programs, has been quite good, but women's response Coast as program targets are still less. Besides less response is also very lacking in program sustainability so that the program that has been implemented not enough give optimal results. In addition, the activities of the assistants are only limited to the implementation of program activities. The role of assistants in understanding the success of empowerment programs and creating new entrepreneurs is still lacking.

Right-Siting Care and Decongesting Specialist Outpatient Clinics - A Singapore Case Study

Abstract Issue Globally, Specialist Outpatient Clinics (SOCs) face a growing burden due to rising chronic diseases. This strain on resources leads to long appointment wait times (LAWTs), delaying diagnoses and treatments. This is particularly of concern in countries with rapidly ageing populations such as Singapore. Description The Right-Site Care Program is a healthcare transformation initiative implemented by individual healthcare clusters within Singapore to improve access to timely SOC care by directing patients to the most appropriate care level (right-siting). This transitions stable chronic disease patients to primary care providers (PCPs) for ongoing management. A standardised approach utilises evidence-based guidelines for patient selection, followed by identification and transfer of suitable patients to PCPs. This multi-center program offers a real-world example of healthcare system optimisation for chronic disease management. Results A multi-source data analysis, including program reports and peer-reviewed studies from participating healthcare clusters, was conducted to evaluate program impact. The analysis focused on LAWTs, patient outcomes and implementation challenges. Right-siting yielded mixed results across various conditions. Right-sited patients had better survival rates, likely due to closer monitoring and management of chronic conditions with higher total outpatient attendance frequencies. (1) Improvements were particularly significant for diabetes mellitus patients who successfully transitioned to PCPs. (2) However, challenges such as patient scepticism about PCP competence and a preference for specialist care have been identified. (3) Lessons learned Right-siting care can improve patient outcomes for certain chronic diseases. The program’s impact varied across different chronic diseases, highlighting the need for tailored strategies. Educational interventions addressing patient concerns can facilitate smoother patient transitions and program success. Key messages • Right-siting care shows promise, with improved patient outcomes for conditions like diabetes mellitus. • Patient education is crucial to overcome patient scepticism and preference for specialists.

KardioNet Digital - a structured care model involving digital tools for intersectoral communication and a patient-focused strategy for treatment of heart failure

Abstract Introduction Inefficiencies and discontinuities in care at the interfaces within Germany's healthcare system, especially between acute and outpatient care, present significant challenges in managing patients with heart failure (HF). The management complexity of HF has increased with the advent of new digital tools, though patient acceptance of these tools remains contentious. The prevention of loss of diagnostic and therapeutic information for this complex disease is crucial for cross-sectoral communication (hospital - office-based cardiologist - general practitioner) and quality of care. Purpose Our goal was to examine the impact of digital app-supported coordination of HF management across different healthcare providers from hospital discharge to the ambulatory sector and to assess patients' acceptance of a structured care program. A patient-focused digital strategy, supported by a Heart Failure Nurse (HFN), aimed to facilitate structured follow-up and patient empowerment, focusing on patient-reported outcomes and experiences (refer to Table 1). Results Out of 401 patients screened during their hospital stay for HF, only 57 (14.9% male, 12.6% female) participated in the KardioNet Digital (KND) program. NYHA classifications were I (3.5%), II (49.1%), III (40.4%), and IV (7.1%); Diagnoses included CMP (26, 45.6%), CAD (19, 33.3%), valvular HF (8, 14.0%), and others (4, 7.0%). The mean age was 55.03 years, with a notable difference in participation based on age (≥70 years: 9.5% male, 33.3% female; <70 years: 90.5% male, 66.7% female). Age was a significant determinant of program participation. Patients who regularly used the app benefited from several features: A total of 35 alerts (17 patients) were triggered for reasons such as bodyweight increase (2kg or more) and device-induced alerts (i.e. false shock delivery, 3x slow-VT, Syncope), leading the HFN to contact the patients. This early intervention prevented rehospitalization due to decompensation of heart failure in 11 patients (64.7%) and addressed device-related alarms for organizing an emergency hospital visit by HFN. Despite substantial incentives, such as support from an HFN and expedited appointments with specialists for follow-up therapy, refusal rates were high (refer to Table 2). Conclusion A structured, digitally supported cross-sectoral care model for heart failure patients can potentially improve care coordination and outcomes. However, the success of such programs critically depends on patient willingness and the seamless integration into existing healthcare structures. Despite valuable incentives, we observed low acceptance of the program. Even among motivated participants (14.1%), there is a significant need for substantial support and education on digital literacy for the widespread implementation of digital tools in real-world settings for the treatment of heart failure.Workflow of structured digital supportReasons for Declining Participation

Sustainability of a dual language program during and beyond COVID-19 challenges

ABSTRACT This study evaluates the Dual Language Program (DLP) implemented at a Title I public school in Baltimore City during the 2019–2020 and 2020–2021 school years. Building on previous research, the DLP's implementation, sustainability, and effects on students’ learning outcomes were examined. Utilizing a mixed-methods approach, the study’s second phase included participants from the school’s mainstream, English-only program (MP), enriching the overall understanding of the school community’s perception of the program. Data were collected through surveys, classroom observations, and standardized assessments—the DIBELS and the iReady Diagnostic assessments. Findings showed challenges with curriculum standardization and prevalent misconceptions about bilingualism. Nevertheless, the program's successes were evident in DLP students’ enhanced engagement, parental involvement, and community support. Despite the challenges of the COVID-19 pandemic, the DLP demonstrated its capacity for scaleability and sustainability. During the 2020–2021 school year, regardless of virtual learning, DLP students not only maintained but, in the case of Cohort 1, showed greater growth in reading skills compared to MP students, with Cohort 3 DLP students improving to reach statistically similar performance levels to their MP peers. Findings indicate that the DLP has the potential to serve as a sustainable educational program, fostering both dual language proficiency and academic outcomes.

Challenges of Lack of Human Resources in Training Management at SPNF Sanggar Medan City Learning Activities

The background of the research is based on the formulation of the problem, namely the challenges faced by the Learning Activity Studio (SKB) in Medan City from the perspective of training management due to limited resources. This study uses a qualitative approach with a descriptive analysis method. The subjects in this study are leaders and employees at SPNF SDKB in Medan City who are selected through purposive sampling techniques. Data collection was carried out through observation and interviews directly to respondents. Data analysis is carried out qualitatively consisting of data reduction, data presentation, and conclusion drawing. The results of the analysis show that the development of human resources in a SKB is very necessary to improve the quality and success of the training program, namely further efforts are needed in the development of more varied training programs and more activities, as well as improving human resource competencies so that the company can survive and develop in accordance with environmental demands. To increase training management resources, SKB can consider strategies such as internal and external training, as well as the use of technology to improve training access and efficiency.

The challenge of designing meaningful performance measures for evaluating the success of conservation translocations

AbstractConservation translocation is a valuable management tool for conserving and restoring biodiversity. Conservation managers and researchers strive for translocation success and spend considerable time and energy planning for a positive outcome. However, many translocations fail. Defining what makes a translocation ‘successful’ can be challenging. Criteria for success must be relevant to the objectives of the translocation, should be measurable and have realistic timeframes for achievement. How we evaluate these criteria is highly dependent on our ability to monitor a species effectively, which may be complicated by its behaviour, the release methods used, or the release environment, including sympatric species. Well‐planned, but ultimately ineffective, monitoring strategies may render some criteria difficult or impossible to evaluate. Finally, poorly defined success criteria may result in apparently successful translocations failing to achieve their stated goals, or translocations that meet their success criteria but ultimately fail. Here, we discuss the challenges faced when defining and evaluating the success of a fauna reconstruction program on Dirk Hartog Island in Western Australia. Our achievement of success criteria within prescribed timeframes has been mixed, highlighting ways to better define and measure success. We discuss how we have adapted to new knowledge as the translocations progressed and propose frameworks for defining performance measures and guiding decision‐making in response to failures in achieving success criteria.

Acceptability and Feasibility of Implementing a Home-Based HIV Pre-Exposure Prophylaxis Program in an Urban Clinic.

Personal and structural barriers to HIV pre-exposure prophylaxis (PrEP) care result in its underutilization and premature discontinuation. A home-based PrEP program comprised of telemedicine visits and/or self-administered lab testing may address some of these barriers. Our objective was to assess the acceptability and feasibility of a home-based PrEP program among stakeholders at an urban HIV and primary care clinic. We used the consolidated framework for implementation research to evaluate determinants of successful implementation of the program. We surveyed and interviewed PrEP patients and their health care team. In a baseline survey of PrEP users (n = 112) administered between May 2021 and August 2022, 65% expressed interest in switching to the home-based PrEP program. Seventeen patients over the course of follow-up through December 2023 started home-based PrEP, including 12 patients who completed both a telemedicine visit and a self-administered lab kit, and 5 patients who completed only a telemedicine visit. Of these, over 80% had positive feedback on the telemedicine visits. Survey results demonstrated excellent acceptability and feasibility of the lab kits. Patients indicated in interviews that the home-based PrEP program provided the strong advantage of convenience. Despite mixed feelings from PrEP providers on telemedicine visits (n = 5), most felt that the program made PrEP care delivery easier for patients and would encourage their patients to use the program if it were a good fit. Barriers to program success included shipping delays and staff turnover during program implementation. In conclusion, uptake of the home-based program was low but program participants expressed high acceptability.