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Practical Methodology of Cognitive Tasks Within a Navigational Assessment

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'PrEP'ing Memphis: A qualitative process evaluation of peer navigation support.

Latrice C Pichon¹, Michelle Teti², Joshua E Betts³

¹The University of Memphis School of Public Health, Division of Social and Behavioral Sciences, 3825 Desoto Avenue, 209 Robison Hall, Memphis, TN 38152, USA.

Evaluation and Program Planning

|August 22, 2021

Summary

Effective HIV pre-exposure prophylaxis (PrEP) navigation involves client engagement and overcoming barriers like assessing readiness and stigma. These insights inform statewide PrEP implementation and local HIV prevention efforts.

Keywords:

HIV prevention MSM Memphis PrEP navigation Process evaluation

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Area of Science:

Public Health
HIV Prevention
Health Services Research

Background:

HIV pre-exposure prophylaxis (PrEP) navigation strategies aim to increase PrEP uptake through education, linkage, and ongoing client engagement.
The Tennessee Department of Health implemented Project PrIDE, a CDC-funded demonstration project (2016-2019) in Memphis, focusing on PrEP navigation within community-based organizations and the Shelby County Health Department.
A process evaluation identified facilitators and barriers to implementing PrEP navigation activities in Memphis.

Purpose of the Study:

To evaluate the implementation of PrEP navigation activities within Project PrIDE.
To identify facilitators and barriers encountered during PrEP navigation in Memphis.
To inform future statewide PrEP navigation scale-up and local HIV prevention initiatives.

Main Methods:

Qualitative study utilizing thematic analysis of in-depth interviews.
Fourteen interviews were conducted with PrEP navigators across two evaluation years (2018 and 2019).

Main Results:

Facilitators included meeting clients at testing events, assisting with initial appointments, building rapport with patients and clinic staff, and consistent client engagement.
Barriers included challenges in assessing client readiness for PrEP, difficulties in tracking client navigation status, and negative client experiences related to clinic and social stigma.

Conclusions:

Findings from Project PrIDE provide valuable insights for scaling up PrEP navigation services statewide.
The study informs priority setting and resource allocation for the local Ending the HIV Epidemic (EHE) initiative in Memphis.
Addressing client readiness, navigation tracking, and stigma are crucial for successful PrEP implementation.