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Review
. 2023 Apr 28;11(2):e2200396.
doi: 10.9745/GHSP-D-22-00396. Print 2023 Apr 28.

Addressing the Need for a Preexposure Prophylaxis Monitoring and Evaluation Implementation Guide: Experience From Zambia

Marie-Claude C Lavoie  1   2   3 , Natalie Blanco  2   3 , Linah K Mwango  4 , Brooke E Nichols  5 , Anna Whittington  2   3 , Brianna Lindsay  2   3 , Olufunso Adebayo  6 , Morley Mujansi  6 , Kalima Tembo  6 , Lottie Hachaambwa  2   3   4 , Daliso Mumba  7 , Bupe Musonda  8 , Cassidy W Claassen  9   2   3
Affiliations
Review

Addressing the Need for a Preexposure Prophylaxis Monitoring and Evaluation Implementation Guide: Experience From Zambia

Marie-Claude C Lavoie et al. Glob Health Sci Pract. .

Abstract

Background: The HIV care continuum comprises well-defined steps and indicators. In contrast, indicators along the preexposure prophylaxis (PrEP) cascade are still in the early stages of implementation. Monitoring and evaluation (M&E) of PrEP services is critical to optimizing PrEP uptake and adherence during periods of HIV risk. We provide an overview of global indicators for PrEP, describe the development process and outcomes of Zambia's 2022 National Pre-Exposure Prophylaxis (PrEP) Program Monitoring & Evaluation Implementation Guide, and discuss the guide's implications for other countries in sub-Saharan Africa.

National m&e guide development process: During the scale-up of PrEP, the Zambia Ministry of Health (MOH) and the National HIV/AIDS/STI/TB Council recognized the need for a national unified monitoring system to guide the effective implementation of PrEP services. Stakeholders from the MOH, civil society, professional organizations, funding agencies, and implementing partners developed the National Pre-Exposure Prophylaxis (PrEP) Program Monitoring & Evaluation Implementation Guide. This guide is aligned with the existing global indicators from the World Health Organization and the U.S. President's Emergency Plan for AIDS Relief and adapted to the country's needs, context, and health information systems. Zambia's experience in developing the guide has highlighted the importance of strengthening client-level monitoring systems for HIV prevention, ensuring flexibility of the PrEP monitoring system to accommodate PrEP delivery modalities and differentiated service delivery models, and training health workers to enhance PrEP services and deliver care PrEP services along the continuum to prevent HIV acquisition effectively.

Conclusions: Using a collaborative and consensus-based approach, Zambia developed its first national PrEP M&E implementation guide to provide standardized guidelines for optimizing the delivery, monitoring, and evaluation of PrEP service delivery. Zambia's experience can inform other countries in sub-Saharan Africa as they develop national M&E implementation approaches for PrEP.

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Figures

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The Honorable Sylvia Masebo, Minister of Health and Member of Parliament, launches the National Pre-Exposure Prophylaxis (PrEP) Program Monitoring & Evaluation Implementation Guide during the 2022 World AIDS Day commemoration in Lusaka, Zambia. © 2022 Man Chilu Sounds Entertainment & Creative Arts
See this image and copyright information in PMC

References

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