Page 14 - EPREP book

crucial to inform decision makers regarding increase number of PrEP users coverage under UHC

as well as improvement of PrEP service delivery in Thailand.

Methodology

This M&E is a mixed methods study consisting of three parts:
1. Secondary data analysis of consecutive PrEP clients from the National AIDs Program (NAP

PLUS) under NHSO for the fiscal year 2020 during the period from 1 October 2019 to 30
September 2020 to capture PrEP cascades, and analyze on Thailand PrEP uptake and

retention.
2. A study on PrEP service providers entailing 2 components which are 1.) A self-administered

questionnaire to examine PrEP service providers’ knowledge of and attitudes towards PrEP

service and 2.) A focus group interview using semi-structure questionnaire to capture
barriers of PrEP initiation and retentions, differences, advantages, and disadvantages

between 3 PrEP service delivery models, issues, and recommendations concerning PrEP

services.
3. A study on PrEP clients consisting of 2 parts which are:

Part 1. A self-administered questionnaire through online survey to understand the
demographic characteristics, assess risk behaviors, factors affecting clients' decision to

initiate, continue or stop oral PrEP, experiences, adverse events of PrEP use, and risk
compensation among key populations in which PrEP clients from hospital-based setting

and KPLHS were categorized into the following 6 groups

1.1 New PrEP users who recently initiated PrEP
1.2 New PrEP users who had been offered PrEP but did not initiate PrEP

2. Individuals who had previously discontinued PrEP and restarted PrEP again
3. PrEP users who have been staying on PrEP from 1 month onwards

4. PrEP users who discontinued PrEP at clinic

5. PrEP users who discontinued PrEP for at least one month and did not come
back to PrEP service center

Part 2. Individual in-depth interviews using semi-structured questionnaires to identify

factors affecting the decision to initiate PrEP, experiences of PrEP use, challenges, and

recommendations on PrEP service delivery. PrEP clients were categorized into the
following 4 groups:

[xi] รายงานการประเมินผล