Exploration of PrEP/PEP service delivery model in China: A pilot in eastern, central and western region

作者：Zhen Jiang, Qi Wang, Jun Liang, Yuzhou Gu, Zhigang Han, Jie Li, Yake Xu, Youran Zhang, Xuehua Zhang, Jiahui Zhang, Jie Xu, Fan Lv · 发表于：Global Health & Medicine · 年份：2024 · DOI：10.35772/ghm.2024.01048 · 被引用次数：10 · 研究领域：Healthcare Systems and Reforms、Global Maternal and Child Health、Healthcare Policy and Management

Since 2017, China has started a pilot exploration of pre-exposure prophylaxis (PrEP)/post-exposure prophylaxis (PEP) service aiming for human immunodeficiency virus (HIV) control. Efforts to summarize the pilot experience and sort out the gaps in service provision must be prioritized. In June-October, 2023, three provincial capital cities with two years of PrEP/PEP pilot experience in eastern, central and western China were chosen. A structural information collective tool was developed, as a framework to identify key links and steps in reviewing service procedures for PrEP/PEP service. Two main service models have been formed, including the independent offline service model led by professional health institutions and Multi-agencies (health institution/Community Based Organizations (CBOs)/Internet platform) online and offline collaborative service model. The pilot experience conceptualizes opportunities to integrate PrEP/PEP into HIV prevention efforts and, illustrates the optimizing path to move forward to reach for a high level HIV prevention and care continuum. Systematic barriers during the process of integration need to be noted and addressed. It is urgent to establish a realistic and feasible online and offline monitoring system to achieve a balance between standardized, safe, simplified and convenient services.