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Delivering PrEP in Maternal Child Health (MCH) and Family Planning (FP) Systems

The PrEP Implementation in Young Women and Adolescent (PrIYA) was an implementation program to deliver PrEP to young women at substantial risk of HIV in Kisumu, Kenya. The overall goal of the project was to demonstrate the feasibility of integrating PrEP delivery in public health maternal and child health (MCH) and family planning (FP) clinics.

We will implement and compare models of PrEP delivery in public health systems (MCH/FP) well-attended by young women at risk for HIV. Two PrEP models will be assessed; Model 1: women self-select to initiate PrEP after counseling; Model 2: PrEP offered on a risk-based basis that includes HIV self-testing for partners. PrEP users will receive 2-way SMS to optimize adherence. Cost-effectiveness, PrEP uptake, adherence and feasibility in FP and MCH clinics will be determined and compared. Innovations include PrEP in MCH/FP, partner self-testing, adherence support, drug monitoring and cost modeling. Impact will be a national strategy that incorporates women's preferences and maximizes use of existing infrastructure and HIV infections averted.

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