Collaborative PrEP Implementation Strategies for Latino Men Who have Sex with Men: A Health Center-Community Consensus Process

• DOI: 10.1007/s10900-023-01266-w
• Publication Date: 2023-08-07T13:02:38Z
• Authors: Jonathan Ross; Gabriela S. Betan...; Elí A. Andrade; Augustus Klein; Lissette Marrero; Gustavo A. Morales; Sage Rivera; Dana L. Watnick; Viraj V. Patel
• Keywords: Outreach; Brainstorming; Community-Based Participatory Research; Community health center; Delphi Method

Abstract Community-based organizations (CBOs) deliver services in culturally-responsive ways, and could effectively partner with health centers to HIV pre-exposure prophylaxis (PrEP) Latino men who have sex (LMSM). However, few such models exist. We conducted a planning study collaboration three CBOs serving LMSM identify optimal PrEP delivery strategies for implement jointly. established Community Expert Panel (CEP) of eight client-facing CBO center staff. Over 6 months, the panel met monthly collaborative delivery, using modified Delphi method consisting following steps: (1) brainstorming strategies; (2) rating on acceptability, appropriateness feasibility; (3) review data from qualitative focus group discussions clients; (4) final strategy selection. The initially identified 25 potential spread across categories: improving communication between CBOs; low-barrier options (e.g. telemedicine), developing locally-relevant, culturally-sensitive outreach materials. Focus groups clients highlighted desire flexible PrEP-related care emphasized trust CBOs. package consisted of: web-based referral tool; telemedicine appointments; geographically-convenient lab specimen collection; tailored print social media; (5) regular coaching sessions Through community-engaged process, we that can partnership, which overcome barriers LMSM.