Investigating barriers and enablers to the routine provision of HIV PrEP in community pharmacies in London

Author:

Alter Marsha1ORCID,lakhani Shivali1ORCID,Alaa Aos1ORCID,Karki Manisha1ORCID,Riboli-Sasco Eva1ORCID,El-Osta Austen1ORCID

Affiliation:

1. Imperial College London

Abstract

Abstract

Background The UK's integration of Pre-exposure Prophylaxis (PrEP) into community pharmacies presents a promising avenue for enhancing HIV prevention. Despite its effectiveness, PrEP's accessibility remains hindered by various barriers within community settings. In this study, we aimed to explore the perspectives of pharmacy team members regarding the barriers and facilitators to the routine provision of HIV PrEP in UK community pharmacies, as well as their recommendations to mitigating these challenges. Methods A mixed-method study utilising an online survey and semi-structured interviews with community pharmacists and non-pharmacist team members across the UK. A convenience sample of 110 pharmacy team members participated in the study, including both pharmacists and non-pharmacist. Two pharmacy technicians and eight pharmacists took part in semi-structured interviews. Data collection involved a cross-sectional online survey and semi-structured interviews. The survey assessed demographic characteristics, knowledge and attitudes towards PrEP provision, while interviews explored in-depth perceptions, experiences and recommendations. Results A significant proportion of respondents expressed a lack of confidence and knowledge regarding PrEP, with training identified as a critical need for facilitating PrEP provision. Additionally, the study highlighted the potential of community pharmacies to increase PrEP accessibility due to their geographical reach and the trust placed in pharmacists. Conclusion The study highlights the necessity for targeted training programs and public health campaigns to equip community pharmacies for effective PrEP provision. Enhancing pharmacists' competencies and public awareness could significantly impact HIV prevention strategies in the UK.

Publisher

Research Square Platform LLC

Reference27 articles.

1. Organization WH HIV/ AIDS - Pre-exposure prophylaxis. https://www.who.int/hiv/topics/prep/en/

2. HIV.gov. Pre-Exposure Prophylaxis. (2020) ; https://www.hiv.gov/hiv-basics/hiv-prevention/using-hiv-medication-to-reduce-risk/pre-exposure-prophylaxis

3. Emtricitabine-Tenofovir Concentrations and Pre-Exposure Prophylaxis Efficacy in Men Who Have Sex with Men;Anderson PL;Sci Transl Med,2012

4. Antiretroviral prophylaxis for HIV prevention in heterosexual men and women;Baeten JM;N Engl J Med,2012

5. Update to Interim Guidance for Preexposure Prophylaxis (PrEP) for the Prevention of HIV Infection: PrEP for injecting drug users;MMWR Morb Mortal Wkly Rep,2013

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