Pre-exposure Prophylaxis: The Delivery Challenge

Frontiers in Public Health

Willem D. F. Venter¹ 

关键词: pre-exposure prophylaxis;    PrEP;    HIV;    prevention;    operational;    service delivery;   

DOI  :  10.3389/fpubh.2018.00188

学科分类：卫生学

来源: Frontiers

【 摘 要 】

HIV pre-exposure prophylaxis (PrEP), despite its efficacy, has been slow in uptake throughout the world. This article discusses the operational and service delivery complexity, based on early real-world experience, with some recommendations on how this promising intervention could be made more available. Currently, access to PrEP is made complex by restricting delivery to dedicated health facilities, as well as requirements around HIV testing and toxicity monitoring. Expanding to verticalized services that focus on well-defined populations where HIV testing and treatment programmes already exist, has proven relatively simple. Providing PrEP outside of this environment has yet to be demonstrated at any scale, and will likely require innovative thinking addressing the regulatory and clinical environment, so as to ensure easier access to this promising HIV prevention tool.

【 授权许可】

CC BY