Implementation of PrEP Care Among Women in Family Planning Clinics

项目摘要/摘要 在艾滋病毒预防工作中，顺性别黑人女性经常被忽视，尽管她们患有 艾滋病毒在所有亚群中的发病率最高，仅次于男男性行为者。预曝光 对于有艾滋病毒感染风险的人来说，预防(PrEP)是一种安全有效的日常药物。然而，数据 表明与她们的需要相比，妇女在使用PrEP方面存在很大的不平等。这项拟议的研究将 评估实施战略，以解决多层次障碍，并在以下方面增加对PrEP的接受 伊利诺伊州计划生育诊所的黑人顺性妇女。 我们团队的初步工作已经确定了在女性中优化PrEP的成功策略 增强留存和吸收(加电)。加电实施战略解决以下关键障碍 准备工作包括：1)常规PrEP教育2)标准化提供者培训，3)电子健康记录 (EHR)工具；以及4)PrEP导航。这些策略还没有在计划生育诊所进行过研究 大量的黑人顺性女性。因此，运用实施科学的研究方法，我们 建议在#年计划生育中实施和评估增强能力战略的影响 伊利诺伊州(PPIL)健康中心设置，以改善黑人顺性女性的PrEP连续护理结果。通过 在PPIL健康中心实施加电战略，我们寻求解决 确定有效的战略，以增加黑人顺性妇女对PrEP的接受。 这项拟议的研究旨在： 1.调整POWER UP实施战略，使黑人妇女参与#年的PrEP护理连续体系 芝加哥的八家计划生育诊所 2.确定在芝加哥艾滋病毒高发区的八个PPIL站点通电的有效性 地区；以及 3.评估和记录执行成果，并报告与成功执行有关的主要障碍和促进者 实施干预措施 这项研究的结果将为支持有效复制的实施战略提供洞察 在800个计划生育健康中心和其他提供计划生育服务的健康中心 在全国范围内接触到更多的有风险的妇女。

PROJECT SUMMARY/ABSTRACT Cisgender Black women are frequently overlooked in HIV prevention efforts even though they have one of the highest incidences of HIV among all subpopulations, second only to men who have sex with men. Pre-exposure prophylaxis (PrEP) is a safe and effective daily medication for those at risk for HIV infection. However, data indicates a substantial inequity in PrEP use among women compared to their need. This proposed study will evaluate implementation strategies to address multi-level barriers and increase uptake of PrEP among Black cisgender women in Planned Parenthood clinics in Illinois. Our team’s preliminary work has identified successful strategies for PrEP Optimization among Women to Enhance Retention and Uptake (POWER Up). POWER Up implementation strategies address key barriers to PrEP uptake and include: 1) routine PrEP education 2) standardized provider training, 3) electronic health record (EHR) tools; and 4) PrEP navigation. These strategies have not been studied in family planning clinics with a large population of Black cisgender women. Therefore, using implementation science research methods, we propose to implement and evaluate the impact of the POWER Up strategies within the Planned Parenthood of Illinois (PPIL) health center setting to improve PrEP care continuum outcomes for Black cisgender women. By implementing POWER Up strategies in PPIL health centers we seek to address the gap in knowledge in identifying effective strategies to increase uptake of PrEP among Black cisgender women. This proposed study aims to: 1. Adapt POWER Up implementation strategies for engaging Black women in the PrEP care continuum in eight Planned Parenthood clinics in Chicago 2. Determine the effectiveness of POWER Up across eight PPIL sites within Chicago’s high prevalence HIV areas; and, 3. Assess and document implementation outcomes and report on key barriers and facilitators related to successful implementation of the intervention Findings from this study will provide insight into implementation strategies that can support effective replication across the 800 Planned Parenthood health centers and other health centers providing family planning services nationwide to reach a greater number of women at risk.