255. HIV Pre-Exposure Prophylaxis Implementation for Adolescents: Provider Perspectives of Multi-Level Barriers and Facilitators

Johnson, Amy K.; Green, Evelyn; Phillips, Gregory; Macapagal, Kathryn; Stonehouse, Patrick; Greene, George J.

doi:10.1016/j.jadohealth.2019.11.258

Cited by 2 publications

(1 citation statement)

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“…14 In the USA, figures on awareness among women (general population and at high risk) attending FP services varied considerably across studies. [15][16][17] O'Connell and Critini explored the feasibility of integrating routine PrEP counselling in a highvolume FP clinic with no previous PrEP experience using a Women's PrEP Counselling Checklist (WPCC) tool developed to structure and standardise each counselling session. Clients who received WPCC-guided counselling had significantly higher knowledge scores and more enhanced PrEP acceptability than their peers receiving unguided counselling.…”

Section: Client-level Barriers and Facilitators Affecting Prep Servic...mentioning

confidence: 99%

Integrating pre-exposure prophylaxis of HIV infection into family planning services: a scoping review

Gotsche

Steyn

Narasimhan

et al. 2022

BMJ Sex Reprod Health

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IntroductionThe aim of this review was to map evidence of integrating pre-exposure prophylaxis (PrEP) for HIV prevention into family planning services. A comprehensive package, using a combination of PrEP and contraceptive delivery, could reduce the number of new HIV infections and/or unintended pregnancies for at-risk women and adolescent girls.MethodsA scoping literature search was conducted between August 2020 and October 2020. After developing the review question, electronic databases (MEDLINE, Embase, Cochrane Library, Global Health, Web of Science) were systematically reviewed. All types of articles published from 2012 to August 2020 in English were included. The intended outcome was to identify barriers and enablers of integrating services at the client-level and provider-level.Results38 articles met inclusion criteria, with 16 from low-and middle-income countries and 22 from high-income countries. Barriers at the client-level included a lack of risk perception associated with low uptake and continuation of PrEP and pill burden; and at the provider-level, barriers included a lack of studies on cost-effectiveness of integrating services and provider training and knowledge. Facilitators included the initiation of PrEP and contraception at the same time and by the same provider or HIV self-testing.ConclusionMapping and synthesising current evidence, this review identified key barriers and facilitators for the integration of PrEP into family planning services for women and adolescent girls. In order to address these factors, more implementation research in a variety of settings is needed to meet women’s sexual and reproductive health needs globally.

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Section: Client-level Barriers and Facilitators Affecting Prep Servic...mentioning

confidence: 99%

Integrating pre-exposure prophylaxis of HIV infection into family planning services: a scoping review

Gotsche

Steyn

Narasimhan

et al. 2022

BMJ Sex Reprod Health

View full text Add to dashboard Cite

show abstract

Adult Stakeholders’ Perspectives on the Content, Design, and Dissemination of Sexual and Gender Minority Adolescent-Centered PrEP Campaigns

Owens

Valadez-Tapia³

et al. 2023

Sex Res Soc Policy

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255. HIV Pre-Exposure Prophylaxis Implementation for Adolescents: Provider Perspectives of Multi-Level Barriers and Facilitators

Cited by 2 publications

References 0 publications

Integrating pre-exposure prophylaxis of HIV infection into family planning services: a scoping review

Integrating pre-exposure prophylaxis of HIV infection into family planning services: a scoping review

Adult Stakeholders’ Perspectives on the Content, Design, and Dissemination of Sexual and Gender Minority Adolescent-Centered PrEP Campaigns

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