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Professional ambivalence: the views of HIV service providers about ARVs for prevention in 3 settings

IAPAC Controlling the HIV Epidemic with Antiretrovirals, London, 22-24 September 2013 (Poster).

Speakers: Catherine Dodds, Asha Persson, E. Vernooijc

The specific HIV service infrastructures that comprise the ‘treatment cascade’ vary widely within and between country contexts and specific localities. Nonetheless, the success of ARVs for prevention or Treatment as Prevention (TasP) is dependent on these services and the people who deliver them. This poster examines qualitative data from service providers participating in three separate studies, revealing considerable areas of overlap along with striking differences in their views on ARVs for prevention. Far from being tacitly compliant with the move towards TasP, these findings demonstrate many practical and ethical challenges faced by front-line service providers turned implementers. The key considerations raised by service providers taking part in these diverse studies included: real world challenges, behavioural outcomes and the perceived conflict between individual versus public health gain. Fuller incorporation of such issues into the heart of policy and planning for TasP are essential if such interventions are to be successful.

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