Mapping Determinants of Adoption of PrEP  with Implementation Strategies in Public Health Settings

Background

​This study was conducted as part of the PrEP-SEO project, which aims to identify key determinants influencing the adoption of PrEP (pre-exposure prophylaxis) by primary care providers in Ontario. The project focuses on various practice settings, including sexual health clinics (SHCs), group practices, student health services, and solo practices in suburban and rural areas. Currently, PrEP adoption in Ontario is limited, with most prescribers concentrated in Ottawa and Toronto. Despite its presence in some SHCs, local partners have highlighted a significant gap in adoption, particularly in these clinics, where little is known about the contributing factors.

This report addresses three specific objectives:

Barriers and Facilitators for PrEP Adoption: Using the Consolidated Framework for Implementation Research (CFIR), we analyze the challenges and enablers for PrEP adoption in SHCs. This analysis complements the broader overview provided in Report No. 1, thereby achieving AIM 1 of the project.

Key Strategies to Facilitate PrEP Adoption: We identify actionable strategies to improve PrEP uptake in SHCs, further contributing to AIM 1.

Planning Next Steps: We outline the next steps to implement these strategies, meeting AIM 2 of the project.