Page 280 - EPREP book

The major reason for PrEP discontinuation was perceiving of no or low risk to HIV
infection. However, they showed willingness to restart PrEP again in the future if HIV risk

increased again. Other reasons included concerns regarding PrEP adverse events, and dislike
of medication taking and inconvenience of making an additional trip to the clinic.

There was no change in risk behavior regardless of PrEP use. Similar numbers of
sexual partners, frequency of condom use and STIs between prior and after PrEP initiation

were reported.

Majority of PrEP clients were most satisfied to PrEP service delivered at PrEP center.
However, regarding subjectively perceived convenience to access PrEP service, PrEP clients
from KPLHS seemed to have more convenience in accessing to service compared to those

from hospital-based setting.

Table 3 PrEP service satisfaction (n = 513)

Variables Hospital CBO p-value
(n = 355) (n = 158)
Satisfaction to PrEP service at PrEP 0.587
center
- Most satisfied 260 (73.2%) 123 (77.8%)
- Very satisfied 79 (22.3%) 30 (19.0%)
- Moderately satisfied 14 (3.9%) 5 (3.2%)
- Less satisfied 0 (0.0%) 0 (0.0%)
- Least satisfied 2 (0.6%) 0 (0.0%)
Satisfaction to PrEP counselling provided 0.983
by PrEP service providers
- Most satisfied 293 (82.5%) 132 (83.5%)
- Very satisfied 53 (14.9%) 22 (13.9%)
- Moderately satisfied 7 (2.0%) 3 (1.9%)
- Less satisfied 1 (0.3%) 0 (0.0%)
- Least satisfied 1 (0.3%) 1 (0.6%)
Perceived convenience to access PrEP 0.011*
service
- Most convenient 180 (50.7%) 97 (61.4%)
- Very convenient 84 (23.7%) 37 (23.4%)
- Moderately convenient 73 (20.6%) 22 (13.9%)
- Less convenient 16 (4.5%) 0 (0.0%)
- Least convenient 2 (0.6%) 2 (1.3%)

รายงานการประเมินผลการด าเนินงาน PrEP ภายใต้ชุดสิทธิประโยชน์สปสช. ปีงบประมาณ 2563 [217]