Contraceptive method mix and PrEP choice among young women seeking contraception at retail pharmacies in Kenya Delivering on the promise of PrEP choice Bernard Rono, BSc, MSc Kenya Medical Research Institute Author list: Bernard Rono1,
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Contraceptive method mix and PrEP choice among young women seeking contraception at retail pharmacies in Kenya Delivering on the promise of PrEP choice Bernard Rono, BSc, MSc
Kenya Medical Research Institute Author list: Bernard Rono1, Felix O. Mogaka1, Bernard Nyerere1, Greshon Rota1, Elizabeth Harrington,2 Harrison Lagat4, Josephine Odoyo1, Katrina F. Ortblad3, Meena Lenn2, Melisa Mugambi2, Monisha Sharma2, Victor Omollo1, Zachary Kwena1, Elizabeth Bukusi*1,2, Jillian Pintye*4 on behalf of AGYW Pharm-PrEP cRCT.<br>
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Summary What is the main question?
What are contraceptive preferences among Kenyan adolescent girls and young women (AGYW) seeking contraception at pharmacies who are offered choice of HIV PrEP methods (daily oral pills and the dapivirine vaginal ring [DPV-VR])?
What did we find?
We found varying preferences for short- and long-acting methods for contraception and HIV PrEP among AGYW in pharmacies in Kenya. AGYW purchasing long-acting contraception were not more likely to choose DPV-VR compared to daily oral PrEP.
Why is it important?
Providing multiple HIV and pregnancy prevention options at pharmacies may increase coverage for this options.<br>
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Reaching AGYW with sexual and reproductive health (SRH) services remains a challenge
Retail pharmacies can increase delivery options for SRH services, incl. contraception and HIV PrEP
Exploration is ongoing for pathways for pharmacy-delivered HIV PrEP in Kenya
Understanding preferences for contraceptives and HIV PrEP could inform co-delivery for AGYW Background Nurse navigator at Citon pharmacy study site<br>
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Design: 2-armed cluster RCT
(NCT05467306)
Setting: 20 pharmacies in Kisumu, Kenya
Pharmacy eligibility
Private counseling space
Full range of contraceptives
Population: AGYW (15-24 years) without HIV seeking contraception at pharmacies Methods<br>
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Methods (cont’d)<br>
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Demographic characteristics of AGYW (N=1139)* *Data upto August 2024 included
**From last 6 months<br>
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Characteristics associated with HIV acquisition(N=1139)* *Data upto August 2024 included
**From last 6 months<br>
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Baseline contraceptive methods and HIV PrEP choice (N=1139)* AGYW<br>
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Contraceptive methods purchase and PrEP choice (N=1139)* *Data upto August 2024 included ** Combination between Injectable contraceptive and Implant<br>
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Discussion Co-delivery of PrEP choice and family planning options is feasible at private pharmacies.
We found varying preferences for short and long-acting methods for contraception and PrEP among AGYW in Kenya
Providing multiple HIV choice and pregnancy prevention options at pharmacies may increase coverage for HIV PrEP and contraception Lake view pharmacy study site<br>
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Acknowledgements Study participants
AGYW Pharmacy PrEP Study team
Study PIs: E. Bukusi / J. Pintye
NIH – R01HD108041 NASCOP Kenya
Kisumu County MoH
Pharmacy owners/providers AGYW study staff<br>
