Client Perspectives on the Development of a Rapid PrEP Initiative at a Sexual Health Center in New Orleans, Louisiana.
Aish LovettRose LuderRebecca A LillisIsolde ButlerJulia SirenSamuel GomezKevin KamisOluyomi ObafemiSarah E RowanStefan BaralMeredith Edwards ClementPublished in: Journal of the International Association of Providers of AIDS Care (2024)
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.
Keyphrases
- men who have sex with men
- hiv testing
- hiv positive
- quality improvement
- healthcare
- primary care
- end stage renal disease
- palliative care
- human immunodeficiency virus
- pain management
- patient reported outcomes
- patient reported
- affordable care act
- hiv aids
- loop mediated isothermal amplification
- clinical practice
- quantum dots