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Impact of PrEP Training for Family Planning Providers on HIV Prevention Counseling and Patient Interest in PrEP in Atlanta, Georgia

Jessica M, Sales.1; Carrie, Cwiak.2; Lisa B, Haddad.2; Ashley, Phillips.1; Leah, Powell.1; Ilyssa, Tamler.1; Anandi N, Sheth.3

JAIDS Journal of Acquired Immune Deficiency Syndromes: April 11, 2019 - Volume Publish Ahead of Print - Issue - p
doi: 10.1097/QAI.0000000000002057
Brief Report: Implementation Science: PDF Only

Background: Safety net family planning clinics provide vital care for women in high HIV burden areas and may be ideal PrEP delivery sites. Yet, many family planning providers lack knowledge about PrEP.

Setting: Four safety net family planning clinics in Atlanta, Georgia.

Methods: We provided a 1.5-hour PrEP informational training for 28 providers working in these sites. To assess the training’s impact on PrEP counseling, we enrolled 500 female patients post-training (47%<28 years; 69% Black; 12% Hispanic) and determined their PrEP indication based on CDC guidelines. We conducted a post-visit survey to assess provider counseling and patients’ interest in PrEP and acceptance of off-site PrEP referral.

Results: From pre- to post-training, provider PrEP knowledge and confidence to identify women who may benefit from PrEP significantly increased. Only 19% of women knew about PrEP before the visit. Among 376 sexually-active women, 29% had risk consistent with PrEP indication. Among PrEP-indicated women, 66% reported the provider discussed PrEP, 29% were interested in taking PrEP, but only 18% accepted off-site PrEP referral. Most (76%) were more willing to take PrEP if provided by the family planning clinic.

Conclusion: After a brief PrEP training, most women with HIV risk indicators received PrEP counseling during their visits. Once counseled, women expressed interest if it were offered at the family planning clinic rather than through off-site referral. Findings highlight the potential impact that PrEP capacity building within safety net family planning clinics in high HIV burden areas may have on PrEP scale up for women.

1Rollins School of Public Health, Emory University

2Department of Gynecology and Obstetrics, Division of Family Planning, Emory University School of Medicine

3Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine

Correspondence: Jessica M. Sales, PhD email: phone: 404-727-6598 fax: 404-727-1369 Emory University Rollins School of Public Health Department of Behavioral Sciences and Health Education 1518 Clifton Road, Room 570 Atlanta, GA, 30322

Acknowledgments of funding and conflicts of interest: Support for this research was provided to J. Sales by an Investigator Sponsored Grant from Gilead Sciences, Inc. (CO-US-276-4060). A. Sheth also receives grant funding from Gilead Sciences. A. Sheth receives funding from the National Institutes of Health (K23AI114407). L. Haddad’s effort is supported by the National Institutes of Health (K23HD078153).

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