Preexposure Prophylaxis Implementation in a Reproductive Health Setting: Perspectives From Planned Parenthood Providers and Leaders

Authors

Brittany Wilbourn, The George Washington University, Washington, DC, USA.
Damon F. Ogburn, Centers for Disease Control and Prevention, Hyattsville, MD, USA.
Cara B. Safon, Boston Medical Center, Boston, MA, USA.
Rachel W. Galvao, University of Pennsylvania, Philadelphia, PA, USA.
Trace S. Kershaw, Yale School of Public Health, New Haven, CT, USA.
Tiara C. Willie, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Tamara Taggart, The George Washington University, Washington, DC, USA.
Abigail Caldwell, Planned Parenthood of Southern New England, New Haven, CT, USA.
Clair Kaplan, Planned Parenthood of Southern New England, New Haven, CT, USA.
Nicole Phillips, Planned Parenthood of Southern New England, New Haven, CT, USA.
Sarah K. Calabrese, The George Washington University, Washington, DC, USA.

Document Type

Journal Article

Publication Date

4-12-2022

Journal

Health promotion practice

DOI

10.1177/15248399221086616

Keywords

HIV; attitudes; clinical services; implementation; knowledge; preexposure prophylaxis; women’s health

Abstract

Integrating pregnancy and HIV prevention services would make reproductive health care settings an optimal venue for the promotion and delivery of preexposure 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 health care 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-min 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. Although participants identified ways that Planned Parenthood uniquely enabled PrEP implementation, barriers must be overcome to optimize promotion and delivery of PrEP to cisgender women.

APA Citation

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; and Calabrese, Sarah K., "Preexposure Prophylaxis Implementation in a Reproductive Health Setting: Perspectives From Planned Parenthood Providers and Leaders" (2022). GW Authored Works. Paper 802.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/802

Department

Prevention and Community Health