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“Belt and braces approach; added benefit and…extra reassurance”: A Multi-Stakeholder Examination of the Challenges to Effective Provision of Pre-Exposure Prophylaxis (PrEP) for HIV Prevention Among Men Who Have Sex with Men (MSM) in Northern and Central England.

Hillis, A, Germain, J, Hibbert, MP, Hope, V and Van Hout, MC (2021) “Belt and braces approach; added benefit and…extra reassurance”: A Multi-Stakeholder Examination of the Challenges to Effective Provision of Pre-Exposure Prophylaxis (PrEP) for HIV Prevention Among Men Who Have Sex with Men (MSM) in Northern and Central England. AIDS Care. ISSN 0954-0121

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“Belt and braces approach; added benefit and…extra reassurance” A Multi-Stakeholder Examination of the Challenges to Effective Provision of Pre-Exposure Prophylaxis (PrEP) for HIV Prevention.pdf - Accepted Version
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Abstract

Pre-exposure prophylaxis (PrEP) involves HIV negative individuals taking antiretroviral drugs to reduce the probability of infection if exposed and is available through the IMPACT trial in England. This study aimed to explore MSM and service provider (SP) perspectives on provision and accessibility of PrEP in Northern and Central England. 20 MSM and 25 SP from four Northern cities and one city in the West Midlands region were recruited for semi-structured interviews (December 2018 to October 2019). Interviews were analysed using Interpretative Phenomenological Analysis. Three key themes emerged: ‘Selfsourcing PrEP’; ‘Service delivery learnings’; and ‘Impact of using PrEP’. Problems with equity of access and accessibility were noted, and recommendations for the future of PrEP programming and equitable service delivery were also presented. The study highlighted divergence in PrEP service experience from patients and providers, with results informing policy, practice and professional training.

Item Type: Article
Additional Information: This is an Accepted Manuscript of an article published by Taylor & Francis in AIDS Care on 14/1/21, available online: http://www.tandfonline.com/10.1080/09540121.2021.1871721
Uncontrolled Keywords: 1117 Public Health and Health Services, 1701 Psychology
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Public Health Institute
Publisher: Taylor & Francis (Routledge)
Date Deposited: 27 Jan 2021 13:10
Last Modified: 04 Sep 2021 06:11
DOI or Identification number: 10.1080/09540121.2021.1871721
URI: https://researchonline.ljmu.ac.uk/id/eprint/14215

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