Title | Pre-exposure Prophylaxis Implementation in Family Planning Services Across the Southern United States: Findings from a Survey Among Staff, Providers and Administrators Working in Title X-Funded Clinics. |
Publication Type | Publication |
Year of Publication | 2021 |
Authors | Sales JM, Escoffery C, Hussen SA, Haddad LB, McCumber M, Kwiatkowski E, Filipowicz T, Sanchez M, Psioda MA, Sheth AN |
Journal | AIDS Behav |
Volume | 25 |
Issue | 6 |
Pagination | 1901-1912 |
Date Published | 2021 Jun |
ISSN | 1573-3254 |
Keywords | Ambulatory Care Facilities, Anti-HIV Agents, Family Planning Services, Female, HIV Infections, Humans, Pre-Exposure Prophylaxis, Sex Education, United States |
Abstract | <p>To improve women's access to pre-exposure prophylaxis (PrEP) in family planning (FP) clinics, we examined readiness to provide PrEP, and barriers and facilitators at the clinic level to integrate PrEP services into Title X-funded FP clinics across the Southern US. Title X-funded FP clinics across DHHS regions III (Mid-Atlantic), IV (Southeast), and VI (Southwest), comprising the Southern US. From February to June, 2018, we conducted a web-based, geographically targeted survey of medical staff, providers and administrators of Title X-funded FP clinics in DHHS regions III (Mid-Atlantic), IV (Southeast), and VI (Southwest). Survey items were developed using the Consolidated Framework for Implementation Research to assess constructs relevant to PrEP implementation. One-fifth of 283 unique Title X clinics across the South provided PrEP. Readiness for PrEP implementation was positively associated with a climate supportive of HIV prevention, leadership engagement, and availability of resources, and negatively associated with providers holding negative attitudes about PrEP's suitability for FP. The Title X FP network is a vital source of sexual health care for millions of individuals across the US. Clinic-level barriers to providing PrEP must be addressed to expand onsite PrEP delivery in Title X FP clinics in the Southern US.</p> |
DOI | 10.1007/s10461-020-03120-9 |
Alternate Journal | AIDS Behav |
PubMed ID | 33483899 |
PubMed Central ID | PMC8085117 |
Grant List | U24 HD089880 / HD / NICHD NIH HHS / United States P30 AI050409 / AI / NIAID NIH HHS / United States K23 AI114407 / AI / NIAID NIH HHS / United States K23HD078153 / NH / NIH HHS / United States K23AI114407 / NH / NIH HHS / United States K23 HD078153 / HD / NICHD NIH HHS / United States U24HD089880 / NH / NIH HHS / United States |