表2：改善HIV暴露前预防坚持性——纳米比亚社区、混合和设施服务交付模型评估

数据集获取（Figshare）

• 源站标题：Table2_Improving HIV pre-exposure prophylaxis persistence among adolescent girls and young women: Insights from a mixed-methods evaluation of community, hybrid, and facility service delivery models in Namibia.docx
• DOI：10.3389/frph.2022.1048702.s002
• 发布日期：2022-12-05
• 文件数：1 个
• 文件总体积：72.55 KB
• 源站页面：https://frontiersin.figshare.com/articles/dataset/Table2_Improving_HIV_pre-exposure_prophylaxis_persistence_among_adolescent_girls_and_young_women_Insights_from_a_mixed-methods_evaluation_of_community_hybrid_and_facility_service_delivery_models_in_Namibia_docx/21672758

命令行下载

curl -L -o "Table2_Improving HIV pre-exposure prophylaxis persistence among adolescent girls and young women: Insights from a mixed-methods evaluation of communit.docx" "https://ndownloader.figshare.com/files/38421074"

文件清单

• Table2_Improving HIV pre-exposure prophylaxis persistence among adolescent girls and young women: Insights from a mixed-methods evaluation of communit.docx（72.55 KB）

文件总体积 72.55 KB（源站 API 实测）。

数据说明

IntroductionDespite the potential for community-based approaches to increase access to pre-exposure prophylaxis (PrEP) for adolescent girls and young women (AGYW), there is limited evidence of whether and how they improve PrEP persistence. We compared PrEP persistence among AGYW receiving services through community and hybrid models in Namibia to facility-based services. We subsequently identify potential mechanisms to explain how and why community and hybrid models achieved (or not) improved persistence to inform further service delivery innovation.
MethodsData were collected from PrEP service delivery to AGYW over two-years in Namibia’'s Khomas Region. We used Kaplan-Meier analysis to estimate survival curves for PrEP persistence beyond three-months after initiation and report the cumulative probability of persistence at one- and three-months. Persistence was defined as any PrEP use within three months after initiation followed by a PrEP refill or previously prescribed supply of at least 30 days at the three-month visit. Interviews were conducted with 28 AGYW and 19 providers and analyzed using a deductive-inductive thematic approach.
ResultsFrom October 2017 through September 2019, 372 (18.7%) AGYW received services through a facility model, 302 (15.1%) through a community model, and 1,320 (66.2%) through a hybrid model. PrEP persistence at one- and three-months was 41.2% and 34.9% in the community model and 6.2% and 4.8% in the hybrid model compared to 36.8% and 26.7% in the facility model. Within the community and hybrid models, we identified three potential mechanisms related to PrEP persistence. Individualized service delivery offered convenience and simplicity which enabled AGYW to overcome barriers to obtaining refills but did not work as well for highly mobile AGYW. Consistent interactions and shared experiences fostered social connectedness with providers and with peers, building social networks and support systems for PrEP use. PrEP and HIV-related stigma, however, was widely experienced outside of these networks. Community-to-facility referral for PrEP refill triggered apprehension towards unfamiliar PrEP services and providers in AGYW, which discour

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.3389/frph.2022.1048702.s002（source: https://frontiersin.figshare.com/articles/dataset/Table2_Improving_HIV_pre-exposure_prophylaxis_persistence_among_adolescent_girls_and_young_women_Insights_from_a_mixed-methods_evaluation_of_community_hybrid_and_facility_service_delivery_models_in_Namibia_docx/21672758）。