“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

Alyson Hillis*, Jennifer Germain, Matthew Peter Hibbert, Vivian Hope, Marie Claire Van Hout

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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 men who have sex with men (MSM) and service provider (SP) perspectives on provision and accessibility of PrEP in Northern and Central England. Twenty MSM and 25 SPs 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 (IPA). Three key themes emerged: “Self-sourcing 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.

Original languageEnglish
Pages (from-to)736-745
Number of pages10
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume33
Issue number6
DOIs
Publication statusPublished - 2021
Externally publishedYes

Bibliographical note

Funding Information:
This work was supported by Sexually Transmitted Infection Research Foundation: [grant number 10.13039/501100004302].

Publisher Copyright:
© 2021 Informa UK Limited, trading as Taylor & Francis Group.

Keywords

  • HIV prevention
  • MSM
  • Pre-exposure prophylaxis
  • service delivery
  • sexual health

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