Page 277 - EPREP book

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 very much 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.

Table 1 Number of PrEP users registered and initiated by quarter

Types of service Year 2019 Year 2020
delivery model
Quarter 4 Quarter 1 Quarter 2 Quarter 3 Total
(Initiate)
(Oct - % (Jan - % (Apr - % (Jul - %
Dec) March) Jun) Sep)
Hospital 64 10.29 201 32.32 156 22.86 201 32.61 622
(n=31) (596)
N average/Hospital
= 18.40
Hospital + CBO 106 15.99 157 23.68 179 25.94 221 33.48 663
(n=16) (652)
N average/Hospital
= 40.8
KPLHS (n=2) 374 50.07 373 49.93 - - - - 747
N average/Hospital (747)
= 374.5
Total 2032
(1968)

[214] Executive Summary