PrEP for key populations: results from the first PrEP demonstration project in the Democratic Republic of the Congo

Details

• Alternative Title:
  AIDS Care
• Personal Author:
  Franks, Julie ; Teasdale, Chloe ; Olsen, Halli ; Wang, Chunhui ; Mushimebele, Nadine ; Mazala, Richted Tenda ; Tchissambou, Tania ; Bazola, Faustin Malele ; Bingham, Trista ; Djomand, Gaston ; Mukinda, Elie ; Ewetola, Raimi ; Abrams, Elaine ; Reidy, William
• Description:
  Oral pre-exposure prophylaxis (PrEP) is recommended for persons at substantial risk for HIV, including female sex workers (FSW), men who have sex with men (MSM), people who inject drugs (PWID), and transgender women (TGW). We report on a PrEP demonstration project at seven clinics in the Democratic Republic of the Congo. Routinely collected data were abstracted to assess PrEP uptake, scheduled visit attendance, and self-reported adherence. Between February and May 2018, 469 eligible clients were offered daily oral PrEP; 75.1% accepted: 78.7% FSW, 20.5% MSM, and 0.9% TGW. Two percent also identified as PWID. Attendance was 64.5% at one-month visits; 82.1% at three-month visits; and among 47.7% of clients who initiated PrEP at least six months before data abstraction, 85.8% at six-month visits. Among 66.3% of clients with at least one adherence assessment, 39% self-reported low adherence. Results demonstrate the acceptability of PrEP delivered in healthcare settings serving FSW, MSM, PWID, and TGW.
• Subjects:
  Anti-HIV Agents Democratic Republic Of The Congo Female HIV Infections Homosexuality, Male Humans Male Pre-Exposure Prophylaxis Sexual And Gender Minorities Sex Workers Transgender Persons

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• Keywords:
  Democratic Republic Of Congo Female Sex Workers HIV Prevention Key Populations Men Who Have Sex With Men People Who Inject Drugs Pre-exposure Prophylaxis
• Source:
  AIDS Care. 34(3):359-362
• Pubmed ID:
  34495772
• Pubmed Central ID:
  PMC10627785
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  34
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:04770a464cff4716c0d5976d5d81e5cd9a96dc7805d44e6f3db8481365799487f1fb1c13c9e81bceabb13a4e9904a93bfd82687fb37e96a8213fe4003e814173
• Download URL:
  https://stacks.cdc.gov/view/cdc/135034/cdc_135034_DS1.pdf
• File Type:
  [PDF - 152.38 KB ]