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Planning for HIV preexposure prophylaxis introduction: lessons learned from contraception
Sinéad Delany-Moretlwe1, Saiqa Mullick, Robyn Eakle
1Wits RHI, University of the Witwatersrand, Johannesburg, South Africa.
Current Opinion in HIV and AIDS
|November 18, 2015
Summary
Lessons from contraceptive introduction offer guidance for pre-exposure prophylaxis (PrEP) for HIV prevention. A strategic approach focusing on user needs, method mix, and delivery systems is crucial for successful PrEP implementation.
Area of Science:
- Public Health
- HIV Prevention
- Reproductive Health
Background:
- New approaches to HIV prevention are urgently needed.
- Pre-exposure prophylaxis (PrEP) is a novel HIV prevention technology with uncertain acceptance and impact.
- Modern contraception use has yielded significant public health achievements despite imperfect implementation.
Purpose of the Study:
- To summarize key lessons from contraceptive development and introduction.
- To identify implications for the introduction of pre-exposure prophylaxis (PrEP).
Main Methods:
- Review of lessons learned from contraceptive development and introduction.
- Application of the WHO strategic approach to contraception introduction.
- Identification of transferable lessons for PrEP introduction.
Main Results:
- Contraception's success highlights the importance of a broad method mix, not just single technologies.
- Effective service delivery systems and providers are critical for new technology adoption, not just the technology itself.
- Ignoring user preferences and social context can hinder the benefits of new health methods.
Conclusions:
- A strategic approach to PrEP introduction is essential for successful HIV prevention programs.
- This approach should encompass the technology/user interface, method mix, delivery strategies, and socio-cultural context.
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