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Updated: Aug 6, 2026

An Affordable HIV-1 Drug Resistance Monitoring Method for Resource Limited Settings
Published on: March 30, 2014
Health Care Providers' Experiences With and Perceived Barriers to Implementation of Long-Acting Injectable HIV
Elena Beideck1, Ryan Gould2, Douglas Krakower1,3,4
1Division of Infectious Diseases, Department of Internal Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
None:
IntroductionLong-acting injectable cabotegravir (CAB-LA) is highly efficacious as PrEP and could increase PrEP coverage, though uptake has been limited.MethodsWe surveyed healthcare professionals regarding experiences with CAB-LA implementation in the United States. We used descriptive statistics to summarize perceived barriers and Fisher's exact tests to assess for factors associated with CAB-LA availability and use.ResultsAmong respondents, 71% (51/72) reported their clinic site offered CAB-LA though only 44% (20/45) reported having prescribed it. The most common perceived barriers were concerns about insurance coverage (38/45, 84%), logistics (35/45, 78%), lack of requests (32/45, 71%), concern for missed injections (17/25, 68%), and cost (16/25, 64%). A majority (30/45, 67%) felt that lack of training was a barrier. Availability and prescribing did not vary by demographic or patient panel characteristics (p-values>0.05).ConclusionsHealthcare professionals' perceived barriers to CAB-LA uptake suggest need for improved implementation strategies, specifically surrounding cost, logistics, and education.
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