Page 282 - EPREP book
P. 282
Figure 2 Service providers’ attitudes towards PrEP (hospital vs. hospital+CBO vs. CBO)
Implementing PrEP service would require support from the government regarding training,
promotion of PrEP service, unlimited quota of patient recruitment, funding and manpower.
Most service providers do not have experiences in providing PrEP to people who injects
drugs (PWIDs) and consider them to be the most difficult to reach among all key populations.
Several factors impede PrEP utilization among PWIDs include forgetting to take PrEP, housing
stability and safety, financial issues and stigmatization.
According to qualitative study, majority of PrEP service centers performed well in
delivering PrEP service. Most PrEP service providers both from hospital and KPLHS settings
had several years of experiences and high level of knowledge in PrEP. However, there were
some new PrEP service providers from hospital setting who did not receive PrEP training.
Challenges in delivering PrEP service are high workload, limited manpower, and working space
for counseling activities due to the overwhelming number of clients. KPLHS generally has
advantage in reaching and recruiting potential PrEP clients over hospital-based setting where
PrEP service in hospital setting is usually integrated with ARV, STI clinics and VCT. Limited
coverage of the benefit package remains challenges. These include additional laboratory testing
รายงานการประเมินผลการด าเนินงาน PrEP ภายใต้ชุดสิทธิประโยชน์สปสช. ปีงบประมาณ 2563 [219]
