PrEP PERSISTENCE SUPPORT AND MONITORING IN AREAS OF HIGH HIV BURDEN IN THE MIDWESTERN UNITED STATES

Moira C. McNulty*, Jared Kerman, Samantha A. Devlin, Maria Pyra, Laura Rusie, Kate Curoe, Liz Thompson, Joseph A. Mason, Eleanor E. Friedman, A. Ziggy Uvin, C. Hendricks Brown, John Schneider, Rupa Patel

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Monitoring pre-exposure prophylaxis (PrEP) metrics can guide service delivery yet does not occur routinely. We developed a survey to understand current practices for monitoring PrEP at PrEP-providing organizations in Illinois and Missouri. The survey was distributed from September through November 2020; 26 organizations participated. Most respondents indi-cated ongoing efforts to screen for PrEP eligibility (66.7%), link to care (87.5%), and retain clients in care (70.8%); 70.8% reported collecting data on PrEP initiation, 41.7% on retention in care, and 37.5% on missed visits. Barriers to monitoring PrEP metrics included lack of IT support (69.6%), manual processes (69.6%), and lack of staff resources (65.2%). Most respondents offered clients support for PrEP retention and adherence and wanted to expand interventions for PrEP persistence, yet fewer monitored corresponding metrics. To enhance PrEP implementation, organizations should improve monitoring and evaluation of PrEP metrics along the entire continuum and respond with appropriate services to support clients.

Original languageEnglish (US)
Pages (from-to)235-246
Number of pages12
JournalAIDS Education and Prevention
Volume35
Issue number3
DOIs
StatePublished - 2023

Funding

was provided through the Third Coast Center for AIDS Research, an NIH-funded center (P30 AI117943). Moira McNulty received support from the National Institutes of Health (K23MH118969). Funding statement. Funding was provided through the Third Coast Center for AIDS Research, an NIH-funded center (P30 AI117943). Moira McNulty received support from the National Institutes of Health (K23MH118969).

Keywords

  • EHE
  • Ending the HIV Epidemic
  • HIV
  • PrEP
  • PrEP care continuum
  • adherence
  • persistence
  • pre-exposure prophylaxis

ASJC Scopus subject areas

  • General Medicine

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