PrEP Implementation Tailored for Mississippi Community Health Clinics

行政副刊摘要：这项拟议的项目将扩展我们正在进行的实施科学 远程医疗在非医疗社区组织开展PrEP的研究 与亚伦·E·亨利社区卫生服务中心(亚伦·亨利)和杰克逊夫妇的合作伙伴关系- Hinds综合保健中心(杰克逊-Hinds)。这些中心和它们的许多社区卫生 诊所(CHC)，为贫困、未参保和服务不足的人口提供初级卫生保健服务 州政府。这项研究将扩大预防接种计划和艾滋病毒预防服务，以降低#年艾滋病毒传播的风险 结束艾滋病毒流行倡议确定的地理位置。有相当多的数据关于 成功增加使用的方法和策略(例如远程医疗、PrEP导航员、提供者培训) 准备，但关于如何选择这些方法并为CHC量身定做的信息很少。有效 扩展PrEP服务需要仔细评估相关的需求、员工和背景 医疗保健组织。幸运的是，实现科学(IS)提供了 在儿童保健中心成功地实施了PrEP。该项目是正在进行的合作的自然延伸， 密西西比大学医学中心(UMMC)、密西西比州卫生部和CBO。我们的 团队有开发和测试干预措施的经验，以提高参与度和遵守PrEP和 在成人、青年和性少数群体中开展的其他相关艾滋病毒项目。重要的是，家长的资助， “密西西比州PrEP的远程医疗：TELE-PREP-MS”(R34 MH115744，MPIS：Brown&Mena) 为我们提供了使用IS框架收集形成性访谈数据、定制协议、 提供培训，提供持续的技术援助，并评估PrEP实施的结果 干预。然而，在从事艾滋病毒工作的非医疗社区组织中也有这种经历 测试，而不是在Aaron Henry和Jackson-Hinds中心运营的CHC中。这个项目将允许 用于将PrEP服务扩展到在MS提供初级保健的CHC，我们将利用 指导这一扩张的最佳科学实践。

Administrative Supplement Abstract: This proposed project will extend our ongoing implementation science research in telemedicine for PrEP in non-medical community-based organizations (CBOs) by forming new partnerships with the Aaron E. Henry Community Health Services Center (Aaron Henry) and the Jackson - Hinds Comprehensive Health Center (Jackson - Hinds). These Centers, with their many community health clinics (CHCs), provide primary health care services to poor, uninsured, and under-served population in the state. This research will expand PrEP and HIV prevention services to decrease the risk for HIV transmission in geographic locations identified by the Ending the HIV Epidemic initiative. There is considerable data on methods and strategies (e.g. telemedicine, PrEP navigators, provider training) to successfully increase use of PrEP, but little information on how these methods should be selected and tailored for CHCs. Effective expansion of PrEP services requires careful assessment of the needs, staff, and context of the relevant healthcare organization. Fortunately, Implementation Science (IS) provides the framework needed for the successful implementation of PrEP at CHCs. This project is a natural extension of ongoing, collaborations at the University of Mississippi Medical Center (UMMC), the Mississippi Department of Health, and CBOs. Our team has experience developing and testing interventions to improve engagement and adherence to PrEP and other relevant HIV projects among adults, youth, and sexual minorities. Importantly, the parent grant, “Telemedicine for PrEP throughout Mississippi: Tele-PrEP-MS” (R34 MH115744, mPIs: Brown & Mena) has provided us with experience in using an IS framework to collect formative interview data, tailor protocols, deliver trainings, provide ongoing technical assistance, and assess the outcomes of a PrEP implementation intervention. However, this experience has been in non-medical community-based organizations that do HIV testing, and not in CHCs like those run by the Aaron Henry and Jackson - Hinds centers. This project will allow for the greatly needed expansion of PrEP services to CHCs that deliver primary care in MS, and we will utilize best scientific practices to guide this expansion.