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These relate to the need to identify emergent inequalities when primary prevention interventions are being delivered, to explore perceived barriers and facilitators to engaging hard to reach populations and to tailor recruitment strategies to overcome these barriers.
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Engaging hard-to-reach groups and providing practitioners with the support to address wider systemic barriers required adjunct primary care and community engagement interventions [ 7].
While there is overall evidence that the EIS model is a cost-effective [ 31] means of engaging hard-to-reach young people, it would seem not all groups are being reached in ways that minimise stigma and trauma.
The 'problems' that outreach work in Keep Well hoped to address, however, were less explicit than the overarching notion of the need for a novel approach to reaching and engaging hard-to-reach groups.
We help to translate strategy into something practical by designing innovative new services to engage hard to reach groups and by making existing services more exciting, cheaper or more sustainable.
It was decided in the Tees Valley that HHCs would be delivered through a selection of community pharmacies as a method to engage hard to reach populations that would not necessarily access this type of service through a GP practice.
Other programs for SUMSM, such as support groups, economic incentive programs, and mobile harm reduction services, could be implemented and tested in community settings to engage hard to reach populations [ 75– 75].
There is a need to understand the balance of both positive and negative cancer beliefs across socioeconomic groups to direct campaigns that engage hard-to-reach groups effectively.
Furthermore, particularly in resource-poor settings, skilling up non-specialist and non-medical personnel to deliver psychosocial support to women survivors of DVA may help engage hard-to-reach populations in a sustainable service framework.
The potential of our methods to elicit and potentially collude with stories of power and oppression does not suggest that we should shy away from attempting to engage hard-to-reach young men in the 'pleasure project'.
It is an ideal technique to engage hard-to-reach groups in Sudan such as men who has sex with men, sex workers, injecting drug users), or uniformed services personnel.
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