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ghspjournal.org

### Key Findings ### Key Implications ### Introduction: Oral pre-exposure prophylaxis (PrEP) is an effective and safe option to prevent HIV acquisition and vertical HIV transmission in pregnant and breastfeeding women. Understanding health system factors influencing the integration of PrEP into care for pregnant and breastfeeding women is key to increasing access. We explored managers’ and health care workers’ (HCWs) experiences with integrating PrEP into antenatal care and postnatal care services in primary health care clinics in Cape Town, South Africa. ### Methods: This exploratory qualitative study used codebook thematic analysis, where HCWs were purposively, heterogeneously sampled from an implementation science study. Semistructured individual interviews were conducted with 9 managerial-level staff, and 3 focus group discussions were conducted with HCWs (nurses, midwives, and HIV counselors) providing PrEP (6–7 HCWs per group) between November 2022 and January 2023 (N=28). Interview guides covered health system facilitators, barriers, and recommendations. The Health Systems Dynamics framework guided data analysis and presentation of results. ### Results: PrEP integration into antenatal care services was described as acceptable and feasible; however, changes to HIV testing policy and indicators in breastfeeding women are needed to integrate PrEP into postnatal clinics, together with identification of mother and baby as a dyad in visits. Results showed that supportive policies facilitated wider, simplified PrEP provision. The availability and accessibility of prescribing nurses and lay HIV counselors, PrEP (both within facilities and in communities), and information about PrEP for implementers and pregnant and breastfeeding women will be pivotal to facilitating integration. ### Conclusion: Facilitators for PrEP integration include task-shifting PrEP education and identification of women for PrEP initiation to HIV counselors, changes to national guidelin

stmjournals.com

stm journals is a bouquet of 100 journals is an ambitious initiative of the consortium e-learning network private ltd. “celnet”, india. it has the large collection of science journals, technology journals and medical journals. purchase and subscribe indian journals in science, engineering journals, national journals, indian journals, law journals, mamagement journals and medical journals in print and ejournals from stm journals, india

openpsychologyjournal.com

global

jcancer.org

an international journal in cancer research and oncology.

aasmr.org

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jomh.org

jomh is a peer-reviewed, open-access journal that covers all aspects of men’s health.

farmacista33.it

Farmacista33 - EDRA LSWR dedica al mondo della Farmacista approfondimenti di clinica e ricerca, formazione, attualità professionale e news quotidiane