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Published on: April 9, 2014
Implementing Same-Day Long-Acting Injectable PrEP: A Program Brief Highlighting Integrated and Rapid HIV Prevention
Crystal Walker1,2,3,4, Sonia Manjarrez Yanez1,2,3,4, Alex Gallardo1,2,3,4
1Crystal Walker, PhD, DNP, FNP-C, is an APRN and Associate Director of The Sexual Health Program at CommUnityCare Health Centers, Austin, Texas, USA.
A Southern U.S. community health center successfully implemented a same-day long-acting injectable PrEP (LAI-PrEP) program. This model rapidly transitioned patients from oral PrEP to LAI-PrEP, demonstrating feasibility and patient preference for HIV prevention.
Area of Science:
- Public Health
- HIV Prevention
- Implementation Science
Background:
- Oral pre-exposure prophylaxis (PrEP) is effective but adherence can be challenging.
- Long-acting injectable PrEP (LAI-PrEP) offers an alternative with potential for improved adherence.
- Implementing new HIV prevention modalities requires careful planning and execution.
Purpose of the Study:
- To detail the implementation of a same-day LAI-PrEP program at a community health center.
- To assess the feasibility and patient acceptance of rapid transition to LAI-PrEP.
- To identify key components for scaling up timely HIV prevention interventions.
Main Methods:
- Established interdisciplinary coordination among healthcare staff.
- Optimized clinical protocols for same-day LAI-PrEP initiation.
- Ensured access to sample medication for immediate patient use.
Main Results:
- Achieved successful same-day transition from oral PrEP to LAI-PrEP within 2 hours.
- Demonstrated the feasibility of the same-day LAI-PrEP model.
- Confirmed alignment of the program with patient preferences.
Conclusions:
- Same-day LAI-PrEP is a feasible and patient-centered model for HIV prevention.
- Effective implementation requires interdisciplinary collaboration and streamlined protocols.
- This model offers actionable insights for reducing HIV disparities and enhancing intervention uptake.
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