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. 2020 Apr 24;61(5):349–358. doi: 10.3349/ymj.2020.61.5.349

Table 2. Facilitators of and Barriers to Efficient PrEP Adherence Protocols at the Individual, Social, and Structural Level among Female Sex Workers62,63,64,65.

High-yield facilitators of PrEP usage adherence Major barriers to PrEP usage and adherence
Individual level PrEP education and motivation to maintain good health Poor knowledge of PrEP, doubts about its effectiveness, fear of side effects, low perception of HIV risk, and the need to adhere to multiple medications
Social level Partner, peer, and family support Anticipated stigma from peers, partners, and family members related to sexual orientation, PrEP, and/or HIV status
Structural level Presence of and good out-reach from healthcare workers and establishments, financial support, and patient privacy Concerns regarding attitudes of healthcare providers, quality assurance, data protection, and cost

PrEP, pre-exposure prophylaxis; HIV, human immunodeficiency virus.