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PrEP Navigator Perceptions of the Implementation of Injectable PrEP on HIV Prevention in Tennessee

Author

Listed:
  • Cristian J. Chandler

    (Division of Infectious Diseases, Vanderbilt University Medical Center, Nashville, TN 37203, USA)

  • David G. Schlundt

    (Department of Psychology, Vanderbilt University, Nashville, TN 37240, USA)

  • Chloe Dagostino

    (Department of Psychology, Vanderbilt University, Nashville, TN 37240, USA)

  • Kemberlee R. Bonnet

    (Department of Psychology, Vanderbilt University, Nashville, TN 37240, USA)

  • Ashley J. Sellers

    (Department of Psychology, Vanderbilt University, Nashville, TN 37240, USA)

  • Latrice C. Pichon

    (School of Public Health, University of Memphis, Memphis, TN 38152, USA)

  • Leah R. Alexander

    (Department of Public Health Practice, Meharry Medical College, Nashville, TN 37208, USA)

Abstract

Tennessee is in the southern region of the United States and has not yet fully benefitted from HIV pre-exposure prophylaxis (PrEP). Relatively little research has focused on pivotal roles of PrEP navigators. This study examined PrEP navigator perceptions of implementing long-acting injectable (LAI) PrEP in Tennessee. Semi-structured interviews with state-funded navigators were audio-recorded, transcribed, and systematically coded using a hierarchical system. Coded transcripts were aggregated, sorted, and analyzed using an iterative inductive/deductive qualitative approach. Using the Consolidated Framework for Implementation Research (CFIR), institutional, individual, and modifying factors to initiating and transitioning to LAI PrEP were identified. Most navigators initially had limited training and experience with LAI PrEP. Navigators reported systemic barriers associated with accessibility to LAI PrEP such as health insurance, pharmaceutical policies, and cost policies. While navigators noted the continued support of the state health department, strategies for circumventing individual and structural barriers are needed for universally implementing injectable PrEP.

Suggested Citation

  • Cristian J. Chandler & David G. Schlundt & Chloe Dagostino & Kemberlee R. Bonnet & Ashley J. Sellers & Latrice C. Pichon & Leah R. Alexander, 2025. "PrEP Navigator Perceptions of the Implementation of Injectable PrEP on HIV Prevention in Tennessee," IJERPH, MDPI, vol. 22(5), pages 1-19, April.
    • Handle: RePEc:gam:jijerp:v:22:y:2025:i:5:p:662-:d:1640239
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    References listed on IDEAS

    as
    1. Rasheeta Chandler & Dominique Guillaume & Jessica Wells & Natalie Hernandez, 2022. "Let Me Prep You to PREP Me: Amplifying the Voices of Black Women and Their Providers to Consider PrEP as an HIV Prevention Option," IJERPH, MDPI, vol. 19(3), pages 1-12, January.
    2. Tamara Taggart & Yilin Liang & Paulo Pina & Tashuna Albritton, 2020. "Awareness of and willingness to use PrEP among Black and Latinx adolescents residing in higher prevalence areas in the United States," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-13, July.
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