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Implementing Differentiated and Integrated PrEP Services for Adolescent Key Populations: What Works and What Is the Way Forward?

PrEP knowledge, access, and use involve different steps that to be implemented require the robust interaction of policymakers, providers, and the community. These steps include adolescents and young people being aware of prevention options and realistically assessing HIV risk. For this, information needs to be available to the right people in the right ways using the right messaging; and guaranteed access and connection to health services, while healthcare workers must be trained to assess prevention needs, eligibility, and interest in PrEP. Furthermore, healthcare workers should provide timely testing for HIV, prescribing of PrEP, and support for the effective use of the prophylactics during the initial period and seasons of risk. For this cascade to be implemented, the relevant policies and guidelines must be in place, and the interventions extend from the community to the health facility and policymakers. Although these steps in the PrEP cascade may be common, implementing services for adolescents and young key populations requires differentiated and integrated PrEP services, which include demand creation strategies , other services such as contraception, management of STIs and provision of a care continuum to facilitate PrEP access, link to PrEP care, increase in the willingness to use PrEP, and make pills available on the same day.

December 2023

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Resource Type:

Journal Article
Journal Article

Citation:

PrEP knowledge, access, and use involve different steps that to be implemented require the robust interaction of policymakers, providers, and the community. These steps include adolescents and young people being aware of prevention options and realistically assessing HIV risk. For this, information needs to be available to the right people in the right ways using the right messaging; and guaranteed access and connection to health services, while healthcare workers must be trained to assess prevention needs, eligibility, and interest in PrEP. Furthermore, healthcare workers should provide timely testing for HIV, prescribing of PrEP, and support for the effective use of the prophylactics during the initial period and seasons of risk. For this cascade to be implemented, the relevant policies and guidelines must be in place, and the interventions extend from the community to the health facility and policymakers. Although these steps in the PrEP cascade may be common, implementing services for adolescents and young key populations requires differentiated and integrated PrEP services, which include demand creation strategies , other services such as contraception, management of STIs and provision of a care continuum to facilitate PrEP access, link to PrEP care, increase in the willingness to use PrEP, and make pills available on the same day.

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Authors: Dourado, I ; Mullick, S; Magno, L ; Grangeiro, A

Health Risks(s):

  • HIV

Product type(s):

  • HIVtreatment

Topic(s):

  • Advocacy
  • Policy
  • Social

Region(s)

  • Africa
  • LAC

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