부산대학교 도서관

Background: The delivery of PrEP at health facilities has limited reach and access. Private pharmacies often fill a gap in overburdened health systems and are frequently a preferred venue among clients. Pilot studies indicate that delivering oral HIV preexposure prophylaxis (PrEP) at private pharmacies may help increase access to this highly effective HIV prevention product among individuals with HIV risk. We assessed the anticipated acceptability of delivering PrEP at private pharmacies in Kenya. Methods: We used client data from studies that offered PrEP in 5 retail pharmacies in Kisumu and Kiambu Counties and pharmacy provider data from 20 pharmacies that measured the performance of HIV self-testing in Kisumu County. Eligible clients were ≥18 years who reported behaviors associated with HIV risk and met PrEP eligibility criteria. They completed a questionnaire that assessed acceptability using questions informed by the Theoretical Framework of Acceptability (TFA). We measured select acceptability component constructs using 5-point Likert items, analyzed using descriptive statistics and classified statements which >80% of participants agreed or strongly agreed as "acceptable". Results: From November 2020 to June 2022, 575 pharmacy clients were screened for HIV risk and enrolled 287 (50%), all of whom initiated PrEP at enrollment. Ninety eight percent liked pharmacybased PrEP at enrollment, 96 % agreed that receiving PrEP at the pharmacy was easy, 99% would recommend pharmacy PrEP, and 98% would like to continue getting PrEP at a pharmacy. Fig.1. These findings remained consistent across all follow-up periods. Forty providers completed the questionnaire; 42% (n=17) were pharmacy owners, 60% (n=24) were male, and the median time in pharmacy practice was 6 years (IQR 4-10). Nearly all providers (97-100%) liked the idea of delivering PrEP and thought that this model could reach people with HIV risk, Fig. 1. Most (96-99%) did not think it would be hard to deliver PrEP or that this would interfere with their other priorities. Conclusion: Pharmacy clients and providers in this study found the idea of pharmacy-delivered PrEP services to be highly acceptable. Additional research is needed to develop and test the costs and costeffectiveness of this model. [ABSTRACT FROM AUTHOR]