Factors influencing PrEP adoption in sexual health clinics within Ontario’s public health system: a qualitative study using the Consolidated Framework for Implementation Research (CFIR)
Qualitative study assesses PrEP adoption factors in sexual health clinics, indicating pathways to improve access and equity.
Key Points
This study aims to assess the extent of PrEP adoption in Public Health Sexual Health Clinics and identify barriers and facilitators impacting implementation.
Conducted semi-structured interviews with 18 staff and managers from 12 Public Health Sexual Health Clinics.
Applied the Consolidated Framework for Implementation Research (CFIR) and Health Equity Implementation Framework (HEIF) in analysis.
Categorized clinics using the diffusion of innovations model.
PrEP adoption varied widely; two clinics were innovators while five lacked established services.
Facilitators included strong knowledge of PrEP, partnerships, and supportive organizational culture.
Key barriers identified were post-COVID constraints, limited external prescribers, and socio-economic challenges.