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.

Click here for a one-page summary of lessons learned. And we'd love to hear your thoughts on this series! If you're an implementer, fill out a survey here. Everyone else, please click here.


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.

Click for an accompanying blog and additional resources.


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.

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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 experience.
Key Findings: Integrated services, sensitized staff, adjusted clinic hours, support groups and hotline numbers encouraged women to take up and stay on oral PrEP.

Click for an accompanying blog and additional resources.


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.

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Month One

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.

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Influencers

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.

Click for an accompanying blog and additional resources.

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