Client Perspectives on the Development of a Rapid PrEP Initiative at a Sexual Health Center in New Orleans, Louisiana-Reference-Cited by-同舟云学术

Client Perspectives on the Development of a Rapid PrEP Initiative at a Sexual Health Center in New Orleans, Louisiana

Published:2024-01 Issue: Volume:23 Page:
ISSN:2325-9582
Container-title:Journal of the International Association of Providers of AIDS Care (JIAPAC)
language:en
Short-container-title:J Int Assoc Provid AIDS Care

Author:

Lovett Aish¹^ORCID,Luder Rose²,Lillis Rebecca A.¹,Butler Isolde³,Siren Julia³,Gomez Samuel³,Kamis Kevin⁴,Obafemi Oluyomi⁴,Rowan Sarah E.⁴⁵,Baral Stefan⁶,Clement Meredith E.¹^ORCID

Affiliation:

1. Section of Infectious Diseases, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA

2. Louisiana State University Health School of Medicine, New Orleans, LA, USA

3. CrescentCare Federally Qualified Health Center, New Orleans, LA, USA

4. Public Health Institute at Denver Health, Denver, CO, USA

5. Division of Infectious Diseases, University of Colorado School of Medicine, Aurora, CO, USA

6. Department of Epidemiology, Johns Hopkins School of Public Health, Baltimore, MD, USA

Abstract

Uptake of PrEP remains suboptimal, especially in the Southern United States. Same-day or “Rapid PrEP Initiatives” (RPIs) in sexual health centers (SHCs) could facilitate access and overcome barriers to PrEP. We studied the adaptation of an RPI from Denver, Colorado to an SHC in New Orleans, Louisiana. Through focus group discussions (FGDs) with local SHC staff and PrEP providers, we developed a preliminary RPI model. In 5 FGDs with SHC clients referred for or taking PrEP, we gathered adaptation recommendations and feedback on model acceptability, feasibility, and utility. Providers and clients voiced unanimous support for the RPI. Clients favored the ease of same-day PrEP initiation and emphasized a desire for navigational support, financial counseling, and integration of PrEP care with their other clinical needs. Clients recommended that SHC providers discuss PrEP and HIV with all patients, regardless of providers’ perception of risk. Next steps include small-scale implementation and evaluation.

Funder

International Association of the Providers of AIDS Care

Duke University Center for AIDS Research

Publisher

SAGE Publications

Link

https://journals.sagepub.com/doi/pdf/10.1177/23259582241258559

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