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June 4, 2026BMC Public HealthOpen Access

Expanding the reach of pre-exposure prophylaxis services in suburban and rural Ontario: an implementation science evaluation of a public health-led model

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Authors

CRCarmela RapinoENEmma NagySSSahar Saeed

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Overview

Implementation science evaluation shows effective engagement in PrEP services in rural Canada, suggesting scalability.

Key Points

  • The study aims to evaluate the reach and effectiveness of a mixed-service delivery PrEP clinic in rural Ontario.
  • Evaluated client characteristics and implementation effectiveness using the RE-AIM framework.
  • Client electronic medical records were leveraged to assess service delivery from 2018 to 2024.
  • 141 clients engaged in PrEP services, primarily receiving both in-person and remote care.
  • 70% of clients initiated PrEP, with higher rates among those with a history of hepatitis B and HIV-positive partners (RR = 1.45, 95% CI: 1.30–1.62).
  • 54.1% of clients disengaged, with common reasons including transferring care (24.5%) and moving (18.9%).
  • No new HIV diagnoses were reported during the evaluation period.

Cite This Study

Rapino et al. (2026) studied this question.

synapsesocial.com/papers/6a2117bfd499ed480b17098ahttps://doi.org/10.1186/s12889-025-25205-7
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