Preexposure Prophylaxis Implementation in a Reproductive Health Setting : Perspectives From Planned Parenthood Providers and Leaders

Integrating pregnancy and HIV prevention services would make reproductive health care settings an optimal venue for the promotion and delivery of preexposure prophylaxis (PrEP) to cisgender women. However, these settings have been slow to adopt PrEP. Planned parenthood clinicians and leaders possess critical insight that can help accelerate PrEP implementation in reproductive health care settings and elements of the Consolidated Framework for Implementation Research (i.e., relative priority of the intervention to staff, implementation climate, available resources to implement the intervention, and staff access to knowledge and information about the intervention) can shed light on elements of Planned Parenthood's inner setting that can facilitate PrEP implementation. In this study, individual 60-min interviews were conducted with clinical care team members (n = 10), leadership team members (n = 6), and center managers (n = 2) to explore their perspectives on PrEP implementation and associated training needs. Transcripts were transcribed verbatim and thematically analyzed. Despite having variable PrEP knowledge, participants (100% women, 61% non-Hispanic White) expressed positive attitudes toward implementing PrEP. Barriers and facilitators toward providing PrEP were reported at the structural, provider, and patient levels. Participants desired PrEP training that incorporated culturally competent patient-provider communication. Although participants identified ways that Planned Parenthood uniquely enabled PrEP implementation, barriers must be overcome to optimize promotion and delivery of PrEP to cisgender women.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:24

Enthalten in:

Health promotion practice - 24(2023), 4 vom: 15. Juli, Seite 764-775

Sprache:

Englisch

Beteiligte Personen:

Wilbourn, Brittany [VerfasserIn]
Ogburn, Damon F [VerfasserIn]
Safon, Cara B [VerfasserIn]
Galvao, Rachel W [VerfasserIn]
Kershaw, Trace S [VerfasserIn]
Willie, Tiara C [VerfasserIn]
Taggart, Tamara [VerfasserIn]
Caldwell, Abigail [VerfasserIn]
Kaplan, Clair [VerfasserIn]
Phillips, Nicole [VerfasserIn]
Calabrese, Sarah K [VerfasserIn]

Links:

Volltext

Themen:

Anti-HIV Agents
Attitudes
Clinical services
HIV
Implementation
Journal Article
Knowledge
Preexposure prophylaxis
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Women’s health

Anmerkungen:

Date Completed 07.07.2023

Date Revised 12.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1177/15248399221086616

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM339438088