Progress and challenges in the implementation of PrEP in Latin America
DOI:
https://doi.org/10.56294/shp2024114Keywords:
PrEP, HIV, prevention, Latin America, sexually transmitted infections (STIs)Abstract
Pre-exposure prophylaxis (PrEP) has become a key tool in HIV prevention in Latin America, although its implementation has been uneven across countries. Brazil led the way in 2017, focusing on high-risk populations such as men who have sex with men and transgender women. Argentina integrated PrEP into its combined prevention strategy through specialised centres and clinical guidelines. Uruguay developed specific guidelines and pilot programmes, while Chile focused on studies and training. Bolivia and Paraguay recently began incorporating PrEP into their public health systems, facing challenges in data collection and access. PrEP use was associated with both a possible increase in risky sexual behaviour and earlier detection of STIs thanks to frequent access to health services. Low coverage and factors such as stigma, lack of knowledge, and infrastructure limitations were common obstacles. Despite this, PrEP proved to be an effective strategy for reducing HIV, underscoring the need for sustainable and inclusive public policies to expand its impact in the region.
References
1. Adam PC, et al. The role of stigma in PrEP use among high-risk populations. AIDS Behav. 2021.
2. Daskalakis D, et al. Community-based PrEP implementation: an overview. J Int AIDS Soc. 2020.
3. Geng EH, et al. PrEP effectiveness in real-world settings. Lancet HIV. 2021.
4. McMahon JH, et al. Longitudinal studies of PrEP use and outcomes. AIDS Res Hum Retroviruses. 2020.
5. Freitas PM, et al. Adesão à PrEP entre homens que fazem sexo com homens. Rev Bras Epidemiol. 2021.
6. Fernández M, et al. Barreras para la adopción de la PrEP en jóvenes argentinos. Rev Salud Pública. 2022.
7. Nascimento M, et al. Promoción de la salud y PrEP: involucrando a la comunidad. Rev Saúde Pública. 2020.
8. Silva A, et al. Salud mental y adherencia a la PrEP: un estudio en usuarios brasileños. J HIV AIDS Soc Serv. 2021.
9. Dávila M, et al. Implementación de PrEP en entornos comunitarios en Perú. Rev Peru Med Exp Salud Pública. 2021.
10. Ferreira R, et al. PrEP y enfoque comunitario: resultados en Brasil. Cad Saúde Pública. 2020.
11. Pérez L, et al. Educación sobre salud sexual y PrEP en América Latina. Rev Latinoam Salud Pública. 2023.
12. González J, et al. Políticas de salud y PrEP en América Latina: avances y desafíos. Rev Salud Pública. 2022.
13. Lahuerta M, et al. Impact of PrEP on HIV transmission in high-risk populations. AIDS. 2019.
14. McCormack S, et al. Efficacy of pre-exposure prophylaxis in men who have sex with men. N Engl J Med. 2016.
15. Corneli A, et al. PrEP adherence: a critical aspect of the prevention strategy. J HIV AIDS Soc Serv. 2018.
16. Baral SD, et al. Increasing STI rates among PrEP users: a public health concern. Int J STD AIDS. 2020.
17. Houghton L, et al. Sexual risk behaviors among PrEP users. Sex Transm Infect. 2021.
18. Liu A, et al. PrEP and changes in sexual behavior: a study of the community. J Int AIDS Soc. 2020.
19. Quintero C, et al. Barriers to PrEP uptake in marginalized communities. AIDS Behav. 2021.
20. Mackellar DA, et al. Understanding the barriers to accessing PrEP. Am J Public Health. 2019.
21. Arreola S, et al. The role of community clinics in increasing PrEP access. BMC Public Health. 2020.
22. Sullivan PS, et al. Training healthcare providers for effective PrEP delivery. AIDS Educ Prev. 2022.
23. Ghosh S, et al. Challenges in PrEP research: a global perspective. AIDS. 2020.
24. Karam A, et al. Addressing diversity in PrEP research. J Acquir Immune Defic Syndr. 2021.
25. Blanco M, et al. Mental health considerations in PrEP users. AIDS Care. 2021.
26. Mazzotta L, et al. PrEP implementation in Argentina: progress and challenges. AIDS Res Hum Retroviruses. 2021.
27. López A, et al. Adapting PrEP outreach strategies in different communities. Health Promot Int. 2022.
28. Berrio M, et al. Access to PrEP in rural Argentina: a pressing issue. Int J Health Serv. 2023.
Published
Issue
Section
License
Copyright (c) 2024 Giulia Athayde Bonafé (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.
