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.

TitlePre-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 TypePublication
Year of Publication2021
AuthorsSales JM, Escoffery C, Hussen SA, Haddad LB, McCumber M, Kwiatkowski E, Filipowicz T, Sanchez M, Psioda MA, Sheth AN
JournalAIDS Behav
Volume25
Issue6
Pagination1901-1912
Date Published2021 Jun
ISSN1573-3254
KeywordsAmbulatory 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>

DOI10.1007/s10461-020-03120-9
Alternate JournalAIDS Behav
PubMed ID33483899
PubMed Central IDPMC8085117
Grant ListU24 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