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June 13, 2026Journal of the International Association of Providers of AIDS Care (JIAPAC)Open Access

Determinants of Adoption, Implementation, Reach, and Sustainability of PrEP Services in a Sexual Health Clinic in Canada: A Qualitative Analysis Using CFIR and REAIM

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Authors

ENEmma NagyBABeatriz AlvaradoMKMiriam Kamotho

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Overview

Qualitative analysis evaluates PrEP service implementation in a clinic, indicating barriers to equitable access.

Key Points

  • This study aims to understand the factors affecting the adoption and implementation of PrEP services in a sexual health clinic.
  • Qualitative analysis using process-mapping and interviews with clinic staff (n=7) and clients (n=5)
  • Utilized RE-AIM and CFIR frameworks for comprehensive evaluation
  • Evaluated adoption, implementation model, reach, and perceived effectiveness
  • High fidelity in service delivery was achieved due to strong leadership and organizational culture.
  • Reach was uneven, mainly serving insured individuals with barriers including medication costs and stigma.
  • Sustainable delivery of PrEP is feasible, but requires structural reforms for equitable access.

Cite This Study

Nagy et al. (2026) studied this question.

synapsesocial.com/papers/6a2cf665faef96ed7f05828dhttps://doi.org/10.1177/23259582261458932
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