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Table 3 Maintenance of prescribing PrEP at the clinic level comparing the mean PrEP prescriptions whilst clinic was mentored to after the clinic was handed over

From: Integration of HIV pre-exposure prophylaxis (PrEP) services for pregnant and breastfeeding women in eight primary care clinics: results of an implementation science study

 

Pregnancy

Breastfeeding

Clinic

Dates of staff mentoring

Months mentored

Antenatal HIV prevalence

%

change*

1. Average PrEP initiations per month during mentorship

2. Average monthly PrEP initiations 3 months after handover

% change*

3. Average PrEP initiations per month during mentorship

4. Average monthly PrEP initiations in 3 months after handover

Clinic/CDC 3

Aug 2022 Jun 2023

10

38%

53%↓

6

3

50%↓

2

1

Clinic/CDC 2

Apr 2022–Jan 2023

9

35%

10%↑

8

9

30%↓

2

1

Clinic/CDC 4

Sep 2022–Jun 2023

9

33%

118%↑

2

5

41%↑

4

5

MOU/

CHC 3

Apr 2022–Dec 2022

8

10%

48% ↓

8

4

No change

0

0

MOU/

CHC 2

Aug 2022–Mar 2023

7

34%

3%↑

37

38

69%↑

1

0

Clinic/CDC 1

Apr 2022–Nov 2022

7

28%

25%↓

13

10

68%↓

2

1

Clinic/CDC 5

Nov 2022–Jun 2023

7

24%

157%↑

2

6

No change

1

1

MOU/CHC 1

Jun 2022–Jan 2023

6

13%

65%↓

8

3

44%↓

1

0

Total

8%↓

85

78

21%↓

13

9

  1. *Represents % change in number of monthly average PrEP initiations between the time the clinics were mentored and after the study mentorship ended.
  2. MOU midwife obstetric unit, CHC community health centre (both have maternity facilities), CDC community day centre