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Online HIV prophylaxis delivery: Protocol for the ePrEP Kenya pilot study.

Catherine Kiptinness1, Paulami Naik2, Nicholas Thuo1

  • 1Partners in Health Research and Development, Center for Clinical Research, Kenya Medical Research Institute, Nairobi, Kenya.

Frontiers in Public Health
|March 13, 2023
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Summary

Online pharmacies in Kenya can improve access to HIV prevention medications like pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP). This pilot study explores delivering these crucial HIV medications through an online pharmacy to reach more people.

Keywords:
HIV preventionKenyaPEPPrEPdifferentiated service deliveryimplementation sciencetelehealth

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Area of Science:

  • Public Health
  • Digital Health
  • HIV Prevention

Background:

  • Online pharmacies in Kenya offer sexual health products, presenting an opportunity to expand access to HIV pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP).
  • Current evidence on operationalizing online PrEP/PEP delivery and the populations reached is limited.

Purpose of the Study:

  • To evaluate the feasibility and acceptability of delivering daily oral PrEP and PEP via an online pharmacy in Kenya.
  • To assess PrEP and PEP initiation, transition, and continuation rates within this novel service delivery model.

Main Methods:

  • The ePrEP Kenya Pilot will deliver PrEP/PEP via MYDAWA, an online pharmacy, for 18 months in Nairobi.
  • Clients will self-screen for HIV risk, purchase HIV self-tests, and attend telemedicine consultations for eligibility screening and counseling.
  • Eligible clients receive free PrEP/PEP prescriptions with a delivery fee, with outcomes including initiation, transition, and continuation rates measured.

Main Results:

  • This section is not available in the provided abstract.

Conclusions:

  • Online pharmacy platforms can be leveraged to increase access to essential HIV prevention tools like PrEP and PEP.
  • Findings will inform guidelines for online PrEP/PEP service delivery in Kenya and similar high-prevalence settings.