Table 1.

Reasons for lack of PrEP prescribing programs among local health departments as reported by health directors or designees, North Carolina, 2016 (n=54).

Reason	No. of respondents (%)
Concerns about the cost of PrEP	25 (46)
Lack of a formal protocol to guide PrEP initiation and maintenance	21 (39)
Concerns that PrEP would better be prescribed in a primary care or specialty clinic	19 (35)
Lack of personnel to assist clients with navigating patient assistance programs for free or reduced-cost PrEP medication	15 (28)
Lack of health department providers who are able to prescribe PrEP	14 (26)
Lack of PrEP awareness and knowledge among health department staff	10 (19)
Perceived lack of clients who are appropriate for PrEP	10 (19)
Concerns that a PrEP prescribing program would divert resources from other services	9 (17)
Uncertainty about which clients would be good candidates for PrEP	6 (11)
Don’t know	4 (7)
Lack of health department providers who are willing to prescribe PrEP	4 (7)
Prefer not to respond	3 (6)
Lack of support or interest from the local board of health or other local public health authority	1 (2)
Lack of support or interest from health department staff	0 (0)

Multiple responses could be selected per respondent.