Factors Affecting Adherence to Prep Services Among Men Who Have Sex with Men in Nairobi Kenya
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Date
2019
Authors
Akolo, Maureen
Osero, Justus
Kebira, Anthony
Kimani, Joshua
Gichuki, Richard
Gelmon, Lawrence
Journal Title
Journal ISSN
Volume Title
Publisher
European Journal of Pharmaceutical and Medical Research (EJPMR)
Abstract
Kenya has rolled out PrEP among MSM but retention rate was reported below 40% at month three of PrEP
initiation. This study sort to offer an intervention on targeted counseling to one group of MSM and had a control
group who did not access the intervention. Experimental design was used whereby two MSM facilities were
selected. Eligible MSM on PrEP for at most a week were selected through simple random sampling and
randomized to either arm. Intervention arm received government PrEP services with personalized counseling
sessions, control arm received PrEP government services only. 84 study participants enrolled on each arm. Factor
affecting MSM retention on PrEP were assessed at month 1 and 6. Factors assessed were internal and external
stigma, affordability, accessibility and criminalization of gay behavior. The intervention group was also evaluated
on depression, alcohol abuse, drug substance abuse and adherence to PrEP appointments, whereby all were found
to have a significant association to PrEP retention. Retention at month 1 and 6 in the intervention arm was 97.6%,
and 69% respectively while control arm was 81%, and 19% respectively
Description
A research article published in European Journal of Pharmaceutical
and Medical Research
Keywords
PrEP, MSM, Nairobi
Citation
European Journal of Pharmaceutical and Medical Research. 6(6), 96-102, 2019