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Preexposure Prophylaxis Implementation in a Reproductive Health Setting: Perspectives From Planned Parenthood
Brittany Wilbourn1, Damon F Ogburn2, Cara B Safon3
1The George Washington University, Washington, DC, USA.
Planned Parenthood staff are positive about providing pre-exposure prophylaxis (PrEP) for HIV prevention to cisgender women. Addressing structural, provider, and patient barriers, alongside culturally competent training, is key to successful PrEP implementation.
Area of Science:
- Public Health
- Implementation Science
- Reproductive Health
Background:
- Reproductive health settings are ideal for delivering pre-exposure prophylaxis (PrEP) for HIV prevention to cisgender women.
- Implementation of PrEP in these settings has been slow.
- Planned Parenthood clinicians and leaders offer valuable insights for accelerating PrEP adoption.
Purpose of the Study:
- To explore perspectives of Planned Parenthood staff on PrEP implementation.
- To identify barriers and facilitators to providing PrEP.
- To understand training needs for PrEP delivery.
Main Methods:
- Individual interviews were conducted with clinical staff, leadership, and managers.
- The Consolidated Framework for Implementation Research guided the exploration of Planned Parenthood's inner setting.
- Verbatim transcripts underwent thematic analysis.
Main Results:
- Participants expressed positive attitudes towards PrEP implementation, despite variable knowledge.
- Barriers and facilitators were identified at structural, provider, and patient levels.
- Culturally competent communication training was a desired component.
Conclusions:
- Planned Parenthood has unique strengths that can facilitate PrEP implementation.
- Overcoming identified barriers is crucial for optimizing PrEP delivery to cisgender women.
- Targeted training addressing communication is essential.
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