Community Inclusion in PrEP Demonstration Projects: Lessons for Scaling Up

Gates Open Research

article

Sushena Reza-Paul¹  Lisa Lazarus¹  Smarajit Jana³  Protim Ray³  Nelly Mugo⁴  Kenneth Ngure⁶  Morenike Oluwatoyin Folayan⁷  Florita Durueke⁸  John Idoko⁹  Luc Béhanzin^1,10  Michel Alary^1,10  Daouda Gueye^1,15  Moussa Sarr^1,16  Wanjiru Mukoma^1,17  Jordan K. Kyongo^1,17  Rutendo Bothma^1,18  Robyn Eakle^1,18  Gina Dallabetta^2,20  Josie Presley^2,20  Robert Lorway¹ 

[1] Centre for Global Public Health, Rady Faculty of Health Sciences, Community Health Sciences, University of Manitoba;Ashodaya Samithi;Durbar Mahila Samanawaya Committee;Center for Clinical Research, Kenya Medical Research Institute;Department of Global Health, University of Washington;Department of Community Health, Jomo Kenyatta University of Agriculture and Technology;Department of Child Dental Health, Obafemi Awolowo University;New HIV Vaccine and Microbicide Advocacy Society;Department of Medicine, University of Jos;Centre de recherche du CHU de Québec, Université Laval;Dispensaire IST, Centre de santé communal de Cotonou 1;École Nationale de Formation des Techniciens Supérieurs en Santé Publique et en Surveillance Épidémiologique, Université de Parakou;Département de médecine sociale et préventive, Université Laval;Institut national de santé publique du Québec;Institut de Recherche en Santé;Westat, Inc;LVCT Health;Wits Reproductive Health and HIV Institute;Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine;Bill & Melinda Gates Foundation

关键词: pre-exposure prophylaxis;    demonstration projects;    HIV;    prevention;    sex work;    serodiscordant couples;   

DOI  :  10.12688/gatesopenres.13042.2

学科分类：电子与电气工程

来源: American Journal Of Pharmtech Research

【 摘 要 】

Pre-exposure prophylaxis (PrEP) has emerged as a new HIV prevention strategy. A series of demonstration projects were conducted to explore the use of PrEP outside of clinical trial settings. Learning from the failures in community consultation and involvement in early oral tenofovir trials, these PrEP projects worked to better engage communities and create spaces for community involvement in the planning and roll out of these projects. We describe the community engagement strategies employed by seven Bill & Melinda Gates Foundation-funded PrEP demonstration projects. Community engagement has emerged as a critical factor for education, demand generation, dispelling rumors, and supporting adherence and follow up in the PrEP demonstration project case studies. The increasing global interest in PrEP necessitates understanding how to conduct community engagement for PrEP implementation in different settings as part of combination HIV prevention.

【 授权许可】

CC BY