Introduction
HIV pre-exposure prophylaxis has been proven to be an effective tool in HIV prevention.
However, numerous barriers still exist in pre-exposure prophylaxis implementation.
Methods
The framework of Intervention Mapping was used from August 2016 to October 2017 to
describe the process of adoption, implementation, and maintenance of an HIV prevention
program from 2012 through 2017 in Houston, Texas, that is nested within a county health
system HIV clinic. Using the tasks outlined in the Intervention Mapping framework,
potential program implementers were identified, outcomes and performance objectives
established, matrices of change objectives created, and methods and practical applications
formed.
Results
Results include the formation of three matrices that document program outcomes, change
agents involved in the process, and the determinants needed to facilitate program
adoption, implementation, and maintenance. Key features that facilitated successful
program adoption and implementation were obtaining leadership buy-in, leveraging existing
resources, systematic evaluation of operations, ongoing education for both clinical
and nonclinical staff, and attention to emergent issues during launch.
Conclusions
The utilization of Intervention Mapping to delineate the program planning steps can
provide a model for pre-exposure prophylaxis implementation in other settings.
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Article Info
Publication History
Published online: February 09, 2018
Identification
Copyright
© 2018 Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine
