Pre-exposure Prophylaxis (PrEP) Implementation in a Reproductive Health Setting: Perspectives from Planned Parenthood Providers and Leaders

Integrating pregnancy and HIV prevention services would make reproductive healthcare settings an optimal venue for the promotion and delivery of pre-exposure prophylaxis (PrEP) to cisgender women. However, these settings have been slow to adopt PrEP. Planned Parenthood clinicians and leaders possess...

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Bibliographic Details
Published in:Health promotion practice 2022-04, Vol.24 (4), p.764-775
Main Authors: Wilbourn, Brittany, Ogburn, Damon F., Safon, Cara B., Galvao, Rachel W., Kershaw, Trace S., Willie, Tiara C., Taggart, Tamara, Caldwell, Abigail, Kaplan, Clair, Phillips, Nicole, Calabrese, Sarah K.
Format: Article
Language:English
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Summary:Integrating pregnancy and HIV prevention services would make reproductive healthcare settings an optimal venue for the promotion and delivery of pre-exposure prophylaxis (PrEP) to cisgender women. However, these settings have been slow to adopt PrEP. Planned Parenthood clinicians and leaders possess critical insight that can help accelerate PrEP implementation in reproductive healthcare settings and elements of the Consolidated Framework for Implementation Research (i.e., relative priority of the intervention to staff, implementation climate, available resources to implement the intervention, and staff access to knowledge and information about the intervention) can shed light on elements of Planned Parenthood’s inner setting that can facilitate PrEP implementation. In this study, individual 60-minute interviews were conducted with clinical care team members (n=10), leadership team members (n=6), and center managers (n=2) to explore their perspectives on PrEP implementation and associated training needs. Transcripts were transcribed verbatim and thematically analyzed. Despite having variable PrEP knowledge, participants (100% women, 61% Non-Hispanic White) expressed positive attitudes toward implementing PrEP. Barriers and facilitators toward providing PrEP were reported at the structural, provider, and patient levels. Participants desired PrEP training that incorporated culturally competent patient-provider communication. While participants identified ways that Planned Parenthood uniquely enabled PrEP implementation, barriers must be overcome to optimize promotion and delivery of PrEP to cisgender women.
ISSN:1524-8399
DOI:10.1177/15248399221086616