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Erschienen in: Sexuality Research and Social Policy 3/2021

15.08.2020

Integrating Pre- and Post-exposure Prophylaxes Programs for HIV Prevention Guidelines in Manila, Philippines

verfasst von: Arjee J. Restar, Anthony Surace, Harry Jin, Alberto Edeza, Adedotun Ogunbajo, William C. Goedel, Alexander Adia, Susan Cu-Uvin, Don Operario

Erschienen in: Sexuality Research and Social Policy | Ausgabe 3/2021

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Abstract

Introduction

Successful implementation and promotion of biomedical HIV prevention strategies like pre- and post-exposure prophylaxes (PrEP/PEP) necessitate healthcare workers possessing sufficient knowledge of and positive attitudes toward PrEP/PEP.

Methods

Using semi-structured qualitative interviews conducted between July and August 2017, we examined PrEP/PEP awareness and attitudes among 15 healthcare workers as key informants in Manila, Philippines, where HIV is a rapidly expanding national public health crisis.

Results

Most key informants had heard about PrEP (n = 11) and PEP (n = 14). High medication cost and low PrEP/PEP awareness were identified as major barriers for PrEP/PEP implementation. Others expressed concerns for viral resistance and greater risk compensation. Concerns about infrastructural issues such as problems with logistics and funding inequities were identified as potential barriers.

Conclusion

Healthcare workers demonstrated awareness of PrEP/PEP and endorsed supportive attitudes toward PrEP/PEP but raised logistic and infrastructural concerns about implementation.

Policy Implications

In order for PrEP/PEP to be feasible in the Philippines, public funding, provider education, and standardized national prescription protocols, guidelines, and policies are needed. Such recommendations and support should take into account concerns of and address prescribing barriers among future PrEP/PEP providers.

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Metadaten
Titel
Integrating Pre- and Post-exposure Prophylaxes Programs for HIV Prevention Guidelines in Manila, Philippines
verfasst von
Arjee J. Restar
Anthony Surace
Harry Jin
Alberto Edeza
Adedotun Ogunbajo
William C. Goedel
Alexander Adia
Susan Cu-Uvin
Don Operario
Publikationsdatum
15.08.2020
Verlag
Springer US
Erschienen in
Sexuality Research and Social Policy / Ausgabe 3/2021
Print ISSN: 1868-9884
Elektronische ISSN: 1553-6610
DOI
https://doi.org/10.1007/s13178-020-00490-6

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