A stepped-wedge randomized trial and qualitative survey of HIV pre-exposure prophylaxis uptake in the Eswatini population

Author:

Geldsetzer Pascal12ORCID,Bärnighausen Kate23ORCID,Hettema Anita4ORCID,McMahon Shannon A.25ORCID,Dalal Shona6,Chase Rachel P.2ORCID,Oldenburg Catherine E.789,Kohler Stefan2ORCID,Chen Simiao2ORCID,Dlamini Phiwayinkhosi4ORCID,Mavuso Mxolisi4,Hughey Allison B.4ORCID,Matse Sindy10,Bärnighausen Till21112

Affiliation:

1. Division of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94035, USA.

2. Heidelberg Institute of Global Health (HIGH), Heidelberg University, 69120 Heidelberg, Germany.

3. School of Public Health, University of the Witwatersrand, Braamfontein, 2000 Johannesburg, South Africa.

4. Clinton Health Access Initiative, Mbabane H100, Eswatini.

5. Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA.

6. Department of Global HIV, Hepatitis and STI Programmes, World Health Organization, CH-1211 Geneva 27, Switzerland.

7. Department of Ophthalmology, University of California, San Francisco, San Francisco, CA 94115, USA.

8. Francis I. Proctor Foundation, University of California, San Francisco, San Francisco, CA 94122, USA.

9. Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA 94158, USA.

10. Eswatini National AIDS Programme, Ministry of Health, Government of the Kingdom of Eswatini, Mbabane H100, Eswatini.

11. Africa Health Research Institute, Somkhele, Mtubatuba 3935, South Africa.

12. Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.

Abstract

Promoting HIV pre-exposure prophylaxis at primary care clinics in Eswatini led to an increase in uptake among at-risk adults.

Funder

World Health Organization

Alexander von Humboldt-Stiftung

National Center for Advancing Translational Sciences

Bob L. Herd Foundation

Publisher

American Association for the Advancement of Science (AAAS)

Subject

General Medicine

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