Providing Oral PrEP
Video Series: Lessons from the Field
Oral PrEP will reach women who need it if PrEP programs are well-supported and prepared. A collaboration between LVCT Health in Kenya and AVAC, through the USAID-funded OPTIONS Consortium, this video series shows how LVCT Health made changes at the site level and helped women interested in oral PrEP overcome recurring barriers to uptake and adherence.
Each film in the series highlights a different theme or challenge that emerged as PrEP rolled out, and tells the story of how the project responded–and has an accompanying commentary as well. This series is intended to foster innovation and problem-solving among key PrEP stakeholders, including program implementers, policy makers, civil society, advocates and people considering PrEP.
If you're having trouble watching the videos below, you may also download them.
Getting Women in the Door
Issue: Women find it difficult to come to a clinic for oral PrEP services because of stigma. Additionally, taking
medicine for prevention is not a common practice.
Key Findings: Testing in the community, reaching women where they access family planning or other services, and peer to peer encouragement increased the number of women accessing oral PrEP.
Stigma and Pill Taking
Issue: Stigma, travel and work make daily pill taking complicated for many women.
Key Findings: LVCT Health helped women develop pill taking strategies that worked for individuals’ unique situations.
Making Oral PrEP Services Work for Women
Issue: Women are more likely to start and continue oral PrEP if clinics offer an accommodating and welcoming
Key Findings: Integrated services, sensitized staff, adjusted clinic hours, support groups and hotline numbers encouraged women to take up and stay on oral PrEP.
Messages and Myths
Issue: Myths and confusing messaging surround oral PrEP.
Key Findings: Delivering accurate messages consistently will be necessary for women to accept oral PrEP.
Issue: Women who begin oral PrEP often do not continue after the first month due to side effects, stigma, and the burden of a daily pill.
Key Findings: Programs can minimize drop off during month one with continuous communication, easy access to staff and support groups.
Issue: Men often have the power to decide if a woman uses oral PrEP.
Key Findings: Programs trying to reach women need to actively engage men who act as “gatekeepers” for women considering starting oral PrEP.