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The Ashodaya PrEP project: Lessons and implications for scaling up PrEP from a community-led demonstration project among female sex workers in Mysore, India.
- Source :
- Global Public Health; Jun2020, Vol. 15 Issue 6, p889-904, 16p
- Publication Year :
- 2020
-
Abstract
- To inform PrEP roll out, Ashodaya Samithi, a sex workers' collective, conducted a community-led prospective demonstration project among female sex workers in Mysore and Mandya, India. Following a community preparedness phase and pre-screening, participants were recruited for clinical screening and enrolment, provided PrEP as part of combination HIV prevention, and followed for 16 months. Adherence was measured by self-reported pill intake and by tenofovir blood level testing among a subset of participants. Of the 647 participants enrolled, 640 completed follow-up. Condom use remained stable and no HIV seroconversions occurred. Self-reported daily PrEP intake over the last month was 97.97% at the end of the study. Tenofovir blood levels >40 ng/mL (consistent with steady state dosing) were detected among 80% (n = 68/85) and 90.48% (n = 76/84) of participants at month 3 and 6, respectively. Our study holds important insights for rolling out PrEP in community settings as part of targeted HIV prevention interventions. [ABSTRACT FROM AUTHOR]
- Subjects :
- HIV prevention
CONDOMS
HIV
PATIENT aftercare
LONGITUDINAL method
MEDICAL screening
PREVENTIVE medicine
SCIENTIFIC observation
SEX work
QUESTIONNAIRES
RESEARCH funding
SELF-evaluation
TIME
WOMEN'S health
SAMPLE size (Statistics)
SOCIOECONOMIC factors
EVALUATION of human services programs
DATA analysis software
TENOFOVIR
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 17441692
- Volume :
- 15
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Global Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 143382087
- Full Text :
- https://doi.org/10.1080/17441692.2020.1724316