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2018 ; 6
(ä): 188
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Pre-exposure Prophylaxis: The Delivery Challenge
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Front Public Health
2018[]; 6
(ä): 188
PMID30035106
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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.