Page 15 - EPREP book

1. New PrEP users who recently initiated PrEP and remained on PrEP

2. Clients who had been offered PrEP but did not initiate PrEP
3. Individuals who had previously discontinued PrEP and restarted PrEP again

4. PrEP users who discontinued PrEP at the clinic or those who did not come back

for follow-up

Findings

PrEP Cascades
According to the analyses, very few records concerning PrEP counselling or PrEP offered

were entered into the National AIDs Program (NAP Plus). This indicates that service providers

rarely enter this information into the system but mainly focus on data entry for individuals
initiating PrEP with PrEP numbers. There were 1,285 individuals registered for PrEP and 1,221

individuals initiated PrEP (95.0%) from hospital-based setting with or without CBO collaboration

whereas there were 747 individuals registered and offered PrEP from KPLHS setting. Data for
KPLHS setting had been entered into another operating system under their organization. Only

data of individuals under NHSO funding with relevant variables were transferred to NAP Plus
for PrEP number generation. As the actual number of individuals being introduced to PrEP

prior to PrEP initiation is not available, analyzing PrEP initiation cascade for KPLHS setting would
not be possible. Therefore, only PrEP initiation cascade for hospital-based setting (with or

without CBO collaboration) would be presented in the study.

Retention in PrEP service at 1, and 3 months is similar between three service delivery
models. The overall average retention at 1 month and 3 months were 99% and 62.5%

respectively. Nearly half of PrEP clients from hospitals (48.36%) and hospitals that work
collaboratively with CBOs (47.06%) stayed on PrEP at 6 months while only 27% of PrEP users

from KPLHS remained. Although KPLHS setting could reach and recruit many potential PrEP

clients, but PrEP retention rate at 6 months was lower when compared to those from hospital-
based setting.

Analysis of PrEP information in 2,000 PrEP users under UHC in 2020 from NAP Program
about HIV status; there were 5 cases who had new HIV seroconversion at the initiation of PrEP,

no any new HIV seroconversion case occurred among those who were continuing on PrEP use.

Among PrEP clients who discontinued from using PrEP and came back for VCT services later,
there were 8 HIV seroconvert cases from people who received HIV testing in the clinics.

รายงานการประเมินผลการด าเนินงาน PrEP ภายใต้ชุดสิทธิประโยชน์สปสช. ปีงบประมาณ 2563 [xii]