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. 2020 Jun 30;23(7):e25531. doi: 10.1002/jia2.25531

Table 3.

Overview of strategies for examining PrEP programmes within the five constructs of the Healthcare Accessibility framework

Model Programme name Populations Approachability Acceptability Availability Affordability Appropriateness
Fee‐based public service model KP‐led Prepped for PrEP‐P4P
  1. MSM, TGW, FSW, PWID & their sex partners

  1. Educational materials

  2. Social media promotion campaigns

  1. Partnership with CBOs & KP‐led social enterprises

  2. Confidential online portal by Toi Hen (‘I Reserve’) mobile app

  1. Integration of PrEP service to public sector

  2. Training support for providers

  3. Referral of eligible participants from CBOs to clinics

  1. Affordable low‐cost fee at US15 per month for generic PrEP

  2. Ongoing project

  1. Service needs assessment

  2. Community engagement to co‐create service model

  3. HIV testing

  4. PrEP adherence support by f2f interaction

PrEP‐PAPA Project
  1. High risk individuals

  1. Educational materials

  1. [Lack of details]

  1. Training support for healthcare providers: PrEP workshops & online PrEP tutorial

  1. Affordable low‐cost fee at US37.3 (NTD 1150) per month for generic PrEP

  2. [Lack of details about project status]

  1. Laboratory tests in Taiwan

  2. Continuous clinical follow up, monitoring and counselling in Taiwan

Fee‐based community setting model PrEP‐30 *
  1. Males & females

  1. [Lack of details]

  1. [Lack of details]

  1. Integration of PrEP service to routine service

  1. Affordable low cost at <US$1 (30 THB) per day

  2. Ongoing project

  1. HIV testing

  2. Provision of PrEP at first visit

  3. Counselling at follow up visits

Free public service model KP‐led Prepped for PrEP‐P4P
  1. MSM, TGW, FSW, PWID & their sex partners

  1. Educational materials

  2. Social media promotion campaigns

  1. Partnership with CBOs & KP‐led social enterprises

  2. Confidential online portal by Toi Hen (‘I Reserve’) mobile app

  1. Integration of PrEP service to public sector

  2. Training support for providers

  3. Referral of eligible participants from CBOs to clinics

  1. Affordable low‐cost fee at US15 per month

  2. Ongoing project

  1. Service needs assessment

  2. Community engagement to co‐create service model

  3. HIV testing

  4. PrEP adherence support by f2f interaction

Test, Treat, and Prevent HIV programme
  1. MSM, TGW

  1. Educational materials

  2. In‐person‐based community outreach by peer‐driven recruitment intervention

  1. Trained staff at sites explaining benefits of PrEP to walked‐in individuals

  1. One‐stop HIV service

  2. Training support for peer‐recruiters

  1. Free

  2. Completed project

  1. Rapid HIV testing

  2. Clients with HIV‐positive results were offered ART

  3. Adherence counselling at follow up visits

EPIC‐NSW
  1. MSM, TGW, & high‐risk heterosexual men & women

  1. Educational materials

  2. Onsite and outreach recruitment by peer educators

  1. Peer educators from ACON a delivered information at follow‐up visits

  2. Peer educators administered risk assessment

  1. Efficient and cost‐effective care by task‐shifting

  2. Training support for nurses

  3. Training support for peer educators

  4. After hours at CBOs‐testing sites

  5. Telephone triage and walk‐in service to support urgent access

  1. Free

  2. Ongoing project

  1. Rapid HIV testing

  2. PrEP prescription on first day appointment

  3. Medical follow‐up for clients with abnormal results (e.g., HIV positive)

  4. Multidisciplinary follow‐up for clients with chronic viral hepatitis or other issues

  5. Adherence support in follow up visits

  6. Clients’ autonomy to continue, stop and restart PrEP was respected

NZPrEP
  1. GBM

  1. Educational materials

  2. Ethnicity quotas for non‐European & indigenous Maori

  3. Social media promotion

  4. Educational forums were hosted in 4 cities

  5. “Map of doctors” mobile app

  1. Peer educators from NZAF b & BP c provided risk reduction counselling

  1. Training support for healthcare providers

  2. Collaborative teamwork to develop patient consent form to overcome medicolegal risks

  3. PrEP dispensed at 2 participating community pharmacies

  1. Free

  2. Ongoing project

  1. 2 community NGOs were involved in the study design

  2. HIV enzyme immunoassay (EIA) fourth‐generation

  3. Medical follow‐up for clients with adverse events

  4. Management according to Australasian Society for HIV Medicine guidelines for clients acquired HIV during the study

  5. Risk reduction counselling at follow up visits

Free community setting model PrEP substudy
  1. MSM, TGW

  1. Educational materials

  2. Social media promotion campaigns

  3. Community outreach

  1. Partnership with CBOs: RSAT d , SWING e , & Sisters f

  2. Trained project staff at sites explaining benefits of PrEP to eligible participants

Staff have been trained and were made available at all clinic sites who openly discussed study‐related questions prior to clients’ participation
  1. Free

  2. Completed project

  1. HIV testing using 3rd generation rapid antibody test & shipped for laboratory‐based 4th generation assay

  2. Referral for clinical care for those with recent acute HIV infection symptoms

O2O Programme
  1. Male at birth

  1. Educational materials

  2. Social media promotion campaigns

  3. Electronic‐referral based system

  1. Confidential online booking

  2. Real‐time e‐Counselling by trained counsellor from Adam’s Love

  1. Free booking & counselling online

  2. Same‐day responses by e‐Counselling

  3. Prompt electronic notification of booking details

  1. Free

  2. Completed project

  1. Clients were free to choose sites of clinical services according to their preference

Princess PrEP programme
  1. MSM, TGW

  1. Educational materials

  2. Social media promotion campaigns

  3. In‐person‐based community outreach by enhanced peer mobilization (EPM) approach

  1. Partnership with CBOs: CAREMAT, MPlus g , SWING e , Adam’s Love, RSAT d , & Sisters f

  1. Flexible clinic visits hours

  2. CHW as the resources

  3. Training support, & assessment requirement (by practicum & examination) for CHW

  1. Free

  2. 3‐year funding support

  1. Community engagement in service design & delivery

  2. Third‐generation HIV rapid diagnostic testing

  3. Same‐day PrEP

  4. Clients’ decision to use PrEP was respected

  5. Offered ART for clients with HIV‐positive results

  6. Referral of clients with HBsAG positive result to hepatologists or internists

  7. PrEP adherence support by life‐steps approach

PrEP‐India
  1. FSW

  1. Educational materials

  2. In‐person‐based community outreach

  1. Partnership with CBOs: DMSC h (brothel‐based); Ashodaya (street‐based)

  2. Enrolled community leaders to as first PrEP users

  1. Community members as the resources

  2. Training support for community members

  1. Free

  2. Completed project

  1. Community engagement in service design delivery

  2. HIV testing

  3. Individualized PrEP dispensation plan

  4. Adherence support at clinics

Project PrEPPY
  1. MSM, TGW

  1. Educational materials: culturally sensitive & sex‐positive designed

  1. Partnership with CBO: Love Yourself Foundation

  1. [Lack of details]

  1. Free

  2. Completed; still providing PrEP

  1. HIV Rapid Test

  2. Counselling at follow up visits

a

AIDS Council of New South Wales.

b

New Zealand AIDS Foundation.

c

Body Positive.

d

Rainbow Sky Association of Thailand.

e

Service Workers IN Group.

f

Sisters Foundation.

g

MPlus Foundation.

h

Durbar Mahila Samanwaya Committee.

*

Project name was changed in June 2018 to PrEP‐15 due to the availability of another generic PrEP drug at lower cost.