Effectiveness
GENERAL QUESTION
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WHAT is (was) the most important benefit you are trying to achieve and what is (was) the likelihood of negative outcomes?
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WHAT is the effectiveness of the PrEP program in the sexual health clinic?
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WHY will (did) the results come about?
EQUITY QUESTION
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Are the effectiveness achieving in which populations? Have the services had unintended consequences? For whom?
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To what extent are your services effective for participants who are socially and economically disadvantaged?
STBBI Rates Overtime (Clinical Records)
Adverse Effects
Most Commonly Reported Adverse Effects at FUP-1:
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Nausea (21.86%)
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Diarrhea (15.63%)
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Fatigue (9.34%)
Disengagement Overtime
Among the 53 clients who disengaged, 3 clients had missing discontinuation dates, and the following were observed:
Reasons for Disengagement
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Transferred Care: 24.53% (n=13)
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Moved Out of Catchment Region: 18.87% (n=10)
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Change in Sexual Activity: 16.98% (n=9)
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Lack of Insurance Coverage: 1.89% (n=1)
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Adverse Effects: 9.43% (n=5)
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Loss-to-Follow-Up: 7.55% (n=4)
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Missing: 20.75% (n=11)
Narratives of clients
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Prevention of HIV, peace of mind, reduce fears of getting HIV
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Mental health benefits- reduce anxiety, stigma
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Sexual confidence, disclosure, enjoying sexual experiences
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Minor side effects, worried about long term effects
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“It's difficult to articulate, but it's not until I started using PrEP that I realized to what degree the early messaging around HIV, all of the fear based messaging was so imprinted on my DNA as a gay man that it was like a dark cloud entering every sexual encounter I had.
And I cannot underestimate the positive mental health impact that… I wasn't expecting the extent of it”
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“At the end of the day, it was a matter of Peace of Mind.”