Optimizing HIV PrEP Implementation in the Primary Care Setting

<p>Despite compelling evidence behind the efficacy of pre-exposure prophylaxis (PrEP) in preventing human immunodeficiency virus (HIV) acquisition and its introduction in 2012, the prescription of PrEP has remained low (Silapaswan, Krakower, & Mayer, 2016). At the Asian and Pacific Islander Wellness Center (API), an urban primary care clinic in San Francisco, suboptimal PrEP implementation was related to a lack of standardized practice and routine HIV risk screening for PrEP provision. A doctorate of nursing (DNP) project was implemented to initiate a standardized HIV risk screening protocol for identifying HIV risk and PrEP eligibility to increase PrEP implementation at API. The impact of this protocol demonstrated an increase in the PrEP implementation cascade, particularly in HIV risk identification, PrEP offer, and evaluation of at-risk patients for PrEP uptake (initiation). During implementation of the HIV risk screening protocol, however, inconsistent clinical staff compliance with the routine screening tool led to an inadequate increase in PrEP offer for patients who tested positive for a sexually transmitted infection (STI). This indicates a need for further reinforcement of standardized practice and clinical staff education on the importance of combining HIV risk screening and PrEP, with emphasis on the significant risk for HIV infection associated with positive STI, to effectively promote patient outcomes. Implications for further research include validation of the HIV PrEP screening tool used in the HIV risk screening protocol as a model for PrEP implementation in the primary care setting. </p>

Name thesis:degree_name

Doctor of Nursing Practice (DNP)

Level thesis:degree_level

Project

Discipline thesis:degree_discipline

Nursing

Year dc:date.available

2017

Author dc:creator

• Nalagan, Cara P

Contributors dc:contributor

• Chenit Ong-Flaherty
• Prabjot Sandhu
• Stefan Rowniak

• PrEP implementation
• PrEP delivery
• PrEP demonstration project
• HIV prevention
• HIV risk screening
• PrEP screening tool
• Community Health and Preventive Medicine

Repository record dc:identifier

https://repository.usfca.edu/dnp/94

OAI identifier oai:identifier

oai:repository.usfca.edu:dnp-1109