![]() ![]() However, to effectively scale-up PrEP it will be necessary to develop diverse PrEP delivery locations and modalities to meet AGYW HIV prevention needs.ĭespite global acceleration of the HIV/AIDS response since 2010, 1.7 million new HIV infections occurred in 2018. PrEP delivery from a CMHC is feasible and acceptable to young women in South Africa. ![]() While the TTT’s integration in the community facilitated acceptability of the PrEP delivery model, challenges faced by the broader community (community riots, violence and severe weather conditions) also at times interrupted PrEP delivery. The integration of PrEP and SRHS service delivery was highly valued by AGYW. ![]() The community-based nature of the CMHC, in addition to its adolescent friendly health providers, fostered a trusting provider-community-client relationship and strengthened AGYW HIV prevention self-efficacy. The TTT provided services at times and in neighborhood locations where AGYW organically congregate, thus facilitating service access and generating peer demand for PrEP uptake. During in-depth interviews a subset of 30 AGYW described the CMHC intervention for PrEP delivery as acceptable and accessible. ResultsĪ total of 585 young women started PrEP at the TTT between July 2017 – October 2019. We analyzed data from community meetings and in-depth interviews with 30 AGYW PrEP users to understand the benefits and challenges of PrEP delivery in this context. The TTT integrated PrEP delivery into its provision of comprehensive sexual and reproductive health services (SRHS). We explored the feasibility and acceptability of providing PrEP to AGYW (aged 16–25 years) via a community-based mobile health clinic (CMHC) known as the Tutu Teen Truck (TTT) in Cape Town, South Africa. There are limited data available on implementation approaches to effectively reach and deliver PrEP to AGYW in high HIV burden communities. In sub-Saharan Africa, adolescent girls and young women (AGYW) are at disproportionately high risk of acquiring HIV, accounting for 25 % of new infections. Daily doses of pre-exposure prophylaxis (PrEP) can reduce the risk of acquiring HIV by more than 95 %. ![]()
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