Increasing Prep Service Uptake And Retention Intervention Strategy Pdf

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We sought to review possible reasons for inequitable uptake of PrEP in the South and identify implementation approaches to increase PrEP uptake in the South. Published literature, data on the locations of PrEP service providers, recent data on PrEP utilization from pharmacy prescription databases, HIV surveillance data and government data on healthcare providers and health literacy indicate a confluence of factors in the South that are likely limiting PrEP uptake. A variety of approaches are needed to address the complex challenges to PrEP implementation in the South.

Metrics details. HIV incidence in adolescent girls and young women remains high in sub-Saharan Africa. Progress towards uptake of HIV prevention methods remains low.

Published on Authors of this article:. This is a significant issue because 8 of the 10 states with the highest rates of new HIV infections are in the South. This study will develop and test an engaging, interactive, and cost-effective mobile messaging intervention to improve engagement in PrEP care for BMSM aged 18 to 35 years living in Jackson, MS. Methods: This research protocol will be conducted in 2 phases.

Implementation Strategies to Increase PrEP Uptake in the South

Cognitive barriers and interventions regarding patients and providers included knowledge, attitudes, and beliefs about PrEP. Healthcare systems barriers included lack of communication about, funding for, and access to PrEP. The intersection between PrEP-stigma, HIV-stigma, transphobia, homophobia, and disparities across gender, racial, and ethnic groups were identified; but few interventions addressed these barriers. We recommend multilevel interventions targeting barriers at multiple socioecological domains. Las barreras cognitivas y las intervenciones con respecto a los pacientes y proveedores incluyeron el conocimiento, las actitudes y las creencias sobre la PrEP. Research regarding low access, uptake, and adherence to PrEP in the US has focused mostly on breakdowns in the healthcare systems implementing PrEP, lack of provider awareness and willingness to prescribe PrEP [ 9 , 14 ], and unfavorable patient and community attitudes about PrEP [ 15 , 16 ]. Our aim therefore is to comprehensively review this literature, focusing on how barriers to PrEP uptake might affect both individual actors and healthcare systems.

Improving PrEP Implementation Through Multilevel Interventions: A Synthesis of the Literature

PLoS Med 14 4 : e This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Competing interests: The authors have declared that no competing interests exist. These disparities have resulted in a life expectancy gap of up to 10 years between HIV-positive men and women [ 2 — 5 ].

Javascript is currently disabled in your browser. Several features of this site will not function whilst javascript is disabled. Received 16 March Published 28 July Volume Pages — Review by Single anonymous peer review.

Published on Authors of this article:. This is a significant issue because 8 of the 10 states with the highest rates of new HIV infections are in the South. This study will develop and test an engaging, interactive, and cost-effective mobile messaging intervention to improve engagement in PrEP care for BMSM aged 18 to 35 years living in Jackson, MS. Methods: This research protocol will be conducted in 2 phases.

The National Department of Health has used a phased approach to rollout, allowing for a dynamic learn-and-adapt process which will lead ultimately to scale-up.

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  1. Jennifer E.

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