Maintaining access to HIV pre-exposure prophylaxis in a pandemic: a service evaluation of telephone-based pre-exposure prophylaxis provision

Lindsay Henderson*, Jo Gibbs, Jacqueline Quinn, Sharmini Ramasami, Claudia Estcourt

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)
35 Downloads (Pure)

Abstract

Objectives: The objective was to perform a survey-based service evaluation of our telephone PrEP clinic (Tele-PrEP), which was instituted during the COVID-19 pandemic, to inform future service delivery. Methods: We administered parallel, web-based, anonymous surveys to PrEP-users who had a Tele-PrEP appointment between 13.11.2020 and 17.12.2020 and all healthcare professionals (HCPs) conducting Tele-PrEP clinics. We used descriptive statistics to summarise demographic and qualitative data, and thematically categorised free text responses using the Framework for a Systems Approach to Healthcare Delivery. Results: 62/117 (53%) PrEP-users and 8/9 (89%) HCPs completed the surveys. Tele-PrEP was rated ‘excellent’ or ‘good’ by 61/62 (98%) PrEP-users. All HCPs felt that Tele-PrEP allowed them to assess patients safely and confidently. 10/62 (16%) PrEP-users and 1 (11%) HCP expressed a preference for face-to-face care. Using the Framework for a Systems Approach to Healthcare Delivery we identified key areas important to respondents who highlighted the rapid changes as a result of COVID-19, which required an increase in dedicated resources. HCPs valued teamwork, support/supervision and convenience in achieving quality care for the patient, who in turn, valued convenient, holistic and individualised management to meet their sexual healthcare needs. Conclusion: Tele-PrEP is feasible and acceptable. While most respondents rated the service highly, others identified a need/preference for face-to-face appointments.

Original languageEnglish
Pages (from-to)718-721
Number of pages4
JournalInternational Journal of STD and AIDS
Volume33
Issue number7
Early online date23 Apr 2022
DOIs
Publication statusPublished - Jun 2022

Keywords

  • HIV pre-exposure prophylaxis
  • Patient experience
  • pre-exposure prophylaxis
  • Remote access to care
  • Tele-medicine

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Pharmacology (medical)
  • Infectious Diseases

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