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SUMMARY:Learning Across Borders: What the U.S. Can Learn from LMIC Contraceptive Rollouts for Injectable PrEP Implementation
DESCRIPTION:The U.S. has approved long-acting injectable PrEP options such as cabotegravir (Apretude) and lenacapavir (Yzugo)\, yet major challenges remain around equitable access\, demand generation\, and health-system readiness. This project explores what the United States can learn from low- and middle-income countries (LMICs) that successfully expanded injectable contraceptives\, an intervention with striking parallels to injectable PrEP. \nUsing a systematic review of 124 LMIC studies across eight databases\, we identified multilevel factors influencing adoption\, adherence\, and service delivery. Findings reveal consistent drivers across contexts: individual preferences for discreet\, infrequent dosing; partner and family influences; community-level stigma and privacy concerns; and system factors such as provider training\, delivery modality\, and cost-effectiveness of task-shifting approaches. \nBy translating lessons from global family-planning programs\, this research highlights practical strategies to strengthen U.S. PrEP implementation particularly around decentralization\, counseling quality\, and community-based delivery. As lenacapavir rollout approaches\, these insights offer a forward-looking roadmap for equitable\, sustainable HIV prevention.
URL:https://syncconference.org/agenda/learning-across-borders/
LOCATION:Studio B
CATEGORIES:Power of Prevention,Track Session
ATTACH;FMTTYPE=image/jpeg:https://syncconference.org/wp-content/uploads/2026/01/TrackHero-HIVPrevention.jpg
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