The demographic features and outcome indicators of the Barbados HIV Pre-exposure Prophylaxis Program, 2018-2019
Objectives. To assess the demographics, risk profiles and outcome indicators of one of the few government-supported programs on pre-exposure prophylaxis (PrEP) in the English-speaking Caribbean. Methods. Chart review of all persons enrolled into the national PrEP Program from its inception on March...
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ftdoajarticles:oai:doaj.org/article:e658fb1f3c2045309e73e40005ebbf50 2023-05-15T15:09:29+02:00 The demographic features and outcome indicators of the Barbados HIV Pre-exposure Prophylaxis Program, 2018-2019 Anton Best Nastassia Rambarran 2021-04-01T00:00:00Z https://doi.org/10.26633/RPSP.2021.51 https://doaj.org/article/e658fb1f3c2045309e73e40005ebbf50 EN ES PT eng spa por Pan American Health Organization https://iris.paho.org/handle/10665.2/53673 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2021.51 https://doaj.org/article/e658fb1f3c2045309e73e40005ebbf50 Revista Panamericana de Salud Pública, Vol 45, Iss 51, Pp 1-7 (2021) hiv pre-exposure prophylaxis barbados caribbean region Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2021 ftdoajarticles https://doi.org/10.26633/RPSP.2021.51 2022-12-31T12:57:17Z Objectives. To assess the demographics, risk profiles and outcome indicators of one of the few government-supported programs on pre-exposure prophylaxis (PrEP) in the English-speaking Caribbean. Methods. Chart review of all persons enrolled into the national PrEP Program from its inception on March 1st 2018 to November 30th 2019, with a descriptive summary analysis of the data extracted. Results. Of the 134 persons enrolled into the program most identified as men who have sex with men (67.9%), followed by men who have sex with men and women (14.9%); there were 20 persons, mostly men (85%), in sero-discordant relationships. PrEP uptake was 96%; however, the continuation rate (continuing for three consecutive months after initiation) was 61.5%. Continuation status for many could not be ascertained due to loss-to-follow-up. PrEP-associated toxicity prevalence was 2.3%, although side-effects occurred in 52% (mostly gastrointestinal). HIV positivity during the study period was 1.5%. Conclusion. Uptake of Barbados’ national PrEP Program is excellent but fairly low continuation rates and the HIV positivity rate indicate the need for improved pre-ART initiation education and follow-up processes. Service utilisation is mainly by men who have sex with men, and provision expansion to other civil society partners and private practitioners, as well as increased public awareness could increase access by other high-risk groups. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista Panamericana de Salud Pública 45 1 |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
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English Spanish Portuguese |
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hiv pre-exposure prophylaxis barbados caribbean region Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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hiv pre-exposure prophylaxis barbados caribbean region Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Anton Best Nastassia Rambarran The demographic features and outcome indicators of the Barbados HIV Pre-exposure Prophylaxis Program, 2018-2019 |
topic_facet |
hiv pre-exposure prophylaxis barbados caribbean region Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Objectives. To assess the demographics, risk profiles and outcome indicators of one of the few government-supported programs on pre-exposure prophylaxis (PrEP) in the English-speaking Caribbean. Methods. Chart review of all persons enrolled into the national PrEP Program from its inception on March 1st 2018 to November 30th 2019, with a descriptive summary analysis of the data extracted. Results. Of the 134 persons enrolled into the program most identified as men who have sex with men (67.9%), followed by men who have sex with men and women (14.9%); there were 20 persons, mostly men (85%), in sero-discordant relationships. PrEP uptake was 96%; however, the continuation rate (continuing for three consecutive months after initiation) was 61.5%. Continuation status for many could not be ascertained due to loss-to-follow-up. PrEP-associated toxicity prevalence was 2.3%, although side-effects occurred in 52% (mostly gastrointestinal). HIV positivity during the study period was 1.5%. Conclusion. Uptake of Barbados’ national PrEP Program is excellent but fairly low continuation rates and the HIV positivity rate indicate the need for improved pre-ART initiation education and follow-up processes. Service utilisation is mainly by men who have sex with men, and provision expansion to other civil society partners and private practitioners, as well as increased public awareness could increase access by other high-risk groups. |
format |
Article in Journal/Newspaper |
author |
Anton Best Nastassia Rambarran |
author_facet |
Anton Best Nastassia Rambarran |
author_sort |
Anton Best |
title |
The demographic features and outcome indicators of the Barbados HIV Pre-exposure Prophylaxis Program, 2018-2019 |
title_short |
The demographic features and outcome indicators of the Barbados HIV Pre-exposure Prophylaxis Program, 2018-2019 |
title_full |
The demographic features and outcome indicators of the Barbados HIV Pre-exposure Prophylaxis Program, 2018-2019 |
title_fullStr |
The demographic features and outcome indicators of the Barbados HIV Pre-exposure Prophylaxis Program, 2018-2019 |
title_full_unstemmed |
The demographic features and outcome indicators of the Barbados HIV Pre-exposure Prophylaxis Program, 2018-2019 |
title_sort |
demographic features and outcome indicators of the barbados hiv pre-exposure prophylaxis program, 2018-2019 |
publisher |
Pan American Health Organization |
publishDate |
2021 |
url |
https://doi.org/10.26633/RPSP.2021.51 https://doaj.org/article/e658fb1f3c2045309e73e40005ebbf50 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 45, Iss 51, Pp 1-7 (2021) |
op_relation |
https://iris.paho.org/handle/10665.2/53673 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2021.51 https://doaj.org/article/e658fb1f3c2045309e73e40005ebbf50 |
op_doi |
https://doi.org/10.26633/RPSP.2021.51 |
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Revista Panamericana de Salud Pública |
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45 |
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1 |
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