Health
US Sees New Home-Based STD Tests and Treatments Amid Falling Infection Rates
Last year, US authorities approved the first at-home test capable of detecting three common infections in women — gonorrhea, chlamydia, and trichomoniasis — as well as the first home-based kit for the virus that causes cervical cancer. Experts say these new options for testing and treatment could help reduce infection rates nationwide.
The Food and Drug Administration (FDA) also approved two new drugs for gonorrhea in 2025, marking the first new treatment options for the disease in decades. Gonorrhea has been increasingly resistant to antibiotics, and the new oral medications provide an alternative to the standard injectable treatment. Nuzolvenc, developed through a public-private partnership, comes in granules that dissolve in water, while Bluejepa, produced by GlaxoSmithKline, is a tablet also approved for urinary tract infections.
“Sexual health can be stigmatised, and people can be hesitant about testing,” said Dr. Ina Park, a sexual health specialist at the University of California. “Now we have a lot of options for patients who may be wary of going into a provider’s office.”
The new home-based tests aim to make testing more convenient and faster. Visby Medical launched its three-in-one test for women following FDA approval in March 2025. The urine-based kit includes a vaginal swab and a small electronic device that processes the results and sends them to an online app. A telehealth consultation with a medical provider is included, allowing patients to discuss results and receive prescriptions within hours. The entire process can take as little as six hours, compared with several days under traditional lab-based testing, said Dr. Gary Schoolnik, Visby’s chief medical officer.
In May, the FDA approved Teal Health’s home-based HPV test. The Teal Wand allows women to collect samples at home and ship them to a laboratory for processing. Updated federal guidelines now endorse self-collection for HPV screening for the first time.
Provisional CDC data for 2024 showed a third consecutive year of declining gonorrhea cases, along with decreases in adult chlamydia and infectious syphilis. Experts attribute the trend to a combination of factors, including changes in sexual activity, increased use of preventative antibiotics, and the rise of at-home testing.
Some experts, however, caution that home testing could make national infection tracking more challenging. High costs may also limit access: Visby’s test costs $150 and is not covered by most insurance. Public health funding cuts may further restrict access to testing and treatment for underserved populations.
“I’m optimistic that more testing options and new drugs will help reduce infection rates,” Dr. Park said. “The risk is that cuts to public health could prevent the people who need these tools most from accessing them.”
The new approvals mark a shift toward patient-centered sexual health care, combining convenience, speed, and broader access to treatment options, even as challenges remain in ensuring equitable availability.
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Uzbekistan to Launch Nationwide State Medical Insurance System in 2026
Uzbekistan will begin introducing a nationwide state medical insurance system from 2026, part of a broader overhaul of the country’s healthcare financing and service delivery. The reform will introduce digital referrals, a national health insurance fund, and a guaranteed package of essential medical services funded through the state budget. Officials say the changes aim to improve efficiency, expand access, and reduce informal payments.
“State health insurance is a social protection system designed to guarantee access to quality healthcare services,” said Zokhid Ermatov, executive director of the State Health Insurance Fund.
Discussions about state medical insurance in Uzbekistan began in 2017, but implementing such a system required years of preparation. The State Health Insurance Fund was formally established in December 2020, and pilot programmes launched in the Syrdarya region in 2021 tested new financing mechanisms, regulatory frameworks, and digital health systems. In November 2025, the Cabinet of Ministers approved regulations governing how medical care funded through the state budget will be provided in public and private medical institutions, with the rules set to come into force on January 1, 2026.
At the centre of the new model is stronger primary healthcare. Patients will first visit their assigned family clinic, where doctors provide consultations, prescribe tests, and determine whether specialist care is needed. If necessary, patients will receive an electronic referral to hospitals or specialists. Emergency and urgent care will remain available without referrals.
The reform introduces a patient-centred financing model, where healthcare providers are paid by the State Health Insurance Fund based on services delivered. Primary healthcare will be funded through capitation payments, while hospital treatment will follow case-based payments, a structure designed to improve efficiency and treatment outcomes.
A fully digital referral system will allow patients to choose hospitals from a list of institutions contracted with the State Health Insurance Fund using a government portal or mobile app. Referrals will remain valid for 60 days, and waiting lists and hospitalisations will be managed through a unified electronic health information system.
The insurance system guarantees essential healthcare services, including family doctor consultations, diagnostic tests, outpatient treatment, preventive screening, some medicines, hospital care, and certain rehabilitation services. Patients will not be charged additional fees for services included in the approved package.
Funding for the program will come primarily from the state budget, ensuring citizens do not pay direct insurance contributions. Priority access will be given to socially vulnerable groups, including children with disabilities, orphans, pensioners, pregnant women, unemployed citizens, and low-income families. The State Health Insurance Fund will allocate resources across regions to strengthen medical services and reduce inequalities.
International organisations have praised Uzbekistan’s approach, noting that general tax financing and universal coverage can improve financial protection and ensure predictable healthcare funding. Jessika Yin, Health Policy Adviser at the World Health Organization in Uzbekistan, said the reforms align with global trends toward universal health coverage.
If implemented successfully, Uzbekistan’s state medical insurance system could represent a major step toward universal healthcare, ensuring that people receive care without facing financial hardship.
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