International AIDS Society Conference 2021

September 19th, 2021    News

HealthRight and Amkeni Malindi in Kenya (2019)

This past July, Dr. Peter Navario presented at the International AIDS Society 2021 Conference on the “Interim feasibility results of a pre-exposure prophylaxis (PrEP) delivery demonstration project among male sex workers in Malindi, Kenya.”

Despite overwhelming scientific evidence supporting use of pre-exposure prophylaxis (PrEP) for HIV prevention, the reality of providing PrEP and ensuring adherence remain a challenge for highly marginalized persons in resource poor settings. In partnership with New York University and Amkeni Malindi, HealthRight conducted a study to evaluate the feasibility and acceptability of a peer-driven, community-based PrEP program for male sex workers (MSWs) in Malindi, Kenya.

In a 15-month demonstration project with 200 participants, concerns about PrEP included long-term health effects, side effects, and daily adherence. Despite these concerns, over 90% of participants returned as scheduled to obtain PrEP refills and self-reported adherence was reported by over 80% of participants.

Among the findings, employing a peer leader model to engage MSW proved critical to recruiting, enrolling, and retaining MSW. Additionally, working with a local and well-established LGBTQIA organization significantly facilitate adoption of HIV prevention among male sex workers. These findings will be used to scale-up community-based PrEP delivery and sexual health services to MSW in Malindi, Kenya.

Click here to read more about the findings of the study that were presented during the conference.