Adoption of HIV Pre-Exposure Prophylaxis (PrEP) among PCPs in Southeast Ontario

What is the level of adoption, and which were the changes required to adopt PrEP?
WHO is offering the services?
What were the determinants of adoption? Barriers and facilitators

Individual characteristics: social influence, social responsibility, awareness, motivations (sexual pleasure, stigma), health coverage
Intervention characteristics: clients view PrEP as efficacious – that it works well, and they like the adaptability (dynamic nature) of the program
Organizational factors : appropriateness and acceptability- see implementation

“Part of me that was also thinking, OK, you know, people who are HIV positive are, you know, taking their own responsibility for their health to have disproportionately borne the burden of ensuring the sexual health of their partner as well. This is something that I can do to do my part so that it's not all on the HIV positive person to be responsible for everyone's sexual health. ”
“the predominant concern for men who have sex with men for 40 years is now something I no longer need to be concerned about in the same way.
And it was an incredible sense of relief.”
“And I will say that it increased my ability to engage with pleasure as opposed to anxiety.”

Intervention characteristics: cost, effectiveness, adaptability
Contextual factors: leadership, local attitudes/external pressure
Organizational aspects: culture, compatibility, adaptability, learning culture, tension for change
Individual characteristics: knowledge, skills, compatibility, social influence

"It feel like this is appropriate for us to do as a public health. It's within our mandate to offer such services"
"So some of the original ideas about HIV PrEP was not just solely meeting the needs of a community that we have historically poor interactions with, but the other element was more again more organizational, efficiency wise."