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Collaborative PrEP Implementation Strategies for Latino Men Who have Sex with Men: A Health Center-Community Consensus Process.
- Source :
-
Journal of Community Health . Dec2023, Vol. 48 Issue 6, p994-1003. 10p. - Publication Year :
- 2023
-
Abstract
- Community-based organizations (CBOs) deliver services in culturally-responsive ways, and could effectively partner with health centers to deliver HIV pre-exposure prophylaxis (PrEP) to Latino men who have sex with men (LMSM). However, few such models exist. We conducted a planning study in collaboration with three CBOs serving LMSM to identify optimal PrEP delivery strategies for health centers and CBOs to implement jointly. We established a Community Expert Panel (CEP) of eight client-facing CBO and health center staff. Over 6 months, the panel met monthly to identify collaborative strategies for PrEP delivery, using a modified Delphi method consisting of the following steps: (1) brainstorming strategies; (2) rating strategies on acceptability, appropriateness and feasibility; (3) review of data from qualitative focus group discussions with CBO clients; and (4) final strategy selection. The panel initially identified 25 potential strategies spread across three categories: improving communication between health centers and CBOs; using low-barrier PrEP options (e.g. telemedicine), and developing locally-relevant, culturally-sensitive outreach materials. Focus groups with CBO clients highlighted a desire for flexible options for PrEP-related care and emphasized trust in CBOs. The final package of strategies consisted of: (1) a web-based referral tool; (2) telemedicine appointments; (3) geographically-convenient options for lab specimen collection; (4) tailored print and social media; and (5) regular coaching sessions with CBO staff. Through a community-engaged process, we identified a package of PrEP delivery strategies that CBOs and health centers can implement in partnership, which have the potential to overcome barriers to PrEP for LMSM. [ABSTRACT FROM AUTHOR]
- Subjects :
- *HIV prevention
*CONSENSUS (Social sciences)
*HEALTH facilities
*BRAINSTORMING
*FOCUS groups
*HISPANIC Americans
*SOCIAL media
*COMMUNITY health services
*PRE-exposure prophylaxis
*HUMAN services programs
*INTERPROFESSIONAL relations
*RESEARCH funding
*COMMUNICATION
*MEN who have sex with men
*COLLECTION & preservation of biological specimens
*DELPHI method
*TELEMEDICINE
Subjects
Details
- Language :
- English
- ISSN :
- 00945145
- Volume :
- 48
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- Journal of Community Health
- Publication Type :
- Academic Journal
- Accession number :
- 172842195
- Full Text :
- https://doi.org/10.1007/s10900-023-01266-w