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Social and structural challenges in the implementation of PrEP

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  • Giulia Athayde Bonafé

Abstract

Pre-exposure prophylaxis (PrEP) was considered a crucial advance in HIV prevention, especially in high-risk populations. Its use proved highly effective in significantly reducing virus transmission, although its implementation presented multiple challenges. Adherence to treatment was found to be key to its effectiveness, but it was also linked to an increase in sexually transmitted infections, attributed to changes in risk behaviours. In addition, inequalities in access were identified, mainly in rural and marginalised areas of Latin America. Mental health and training for healthcare personnel were also key factors in the sustainability of the programme. Finally, it was concluded that further research was essential to adapt this strategy to different cultural and social contexts.

Suggested Citation

Handle: RePEc:dbk:southh:2024v3a68
DOI: 10.56294/shp2024115
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