Skip to main content

Table 2 Themes impacting PrEP implementation and access among MSWs

From: Barriers and facilitators to pre-exposure prophylaxis uptake among male sex workers in Mexico: an application of the RE-AIM framework

Content Area

Respondent(s)

Emergent theme(s)

RE-AIM Domain: REACH

 Characteristics of ImPrEP Program participants

Key Informants

• Socioeconomic Status

• Escorts vs. Street Sex Workers

• Migration

• Sexual Orientation

 Barriers to Reach

Key Informants

• Lack of Current Strategies to Reach MSWs

• Lack of Incentives for Participation

MSWs

• HIV-related Stigma

• Structural Barriers

Key Informants and MSWs

• Lack of Awareness/Information about PrEP

 Facilitators to Reach

Key Informants

• Connection to the Community

• Online Presence

MSWs

• Personalized, Humanistic Care

Key Informants and MSWs

• Organic Transmission (Word of Mouth)

• In-person Interaction and Outreach

RE-AIM Domain: ADOPTION

 Barriers to Adoption

Key Informants

• Lack of Public Policy

• PrEP-, HIV-, and Sexual Minority-related Stigma

• Limitations of ImPrEP México

 Facilitators to Adoption

Key Informants

• NGOs

• Sensitized Providers

• Existing Infrastructure at the National Level and Clinic Level

CROSS-CUTTING THEMES FOR REACH AND ADOPTION

 Demand for PrEP

Key Informants and MSWs

• High Patient Demand

  1. PrEP Pre-Exposure Prophylaxis, MSWs Male Sex Workers, NGOs Non-governmental Organization
  2. Notes: Key informants participated in in-depth interviews. MSWs participated in focus group discussions. Key informants and MSWs were consulted regarding PrEP Reach among MSWs in Mexico City. Solely key informants were consulted regarding PrEP Adoption in Mexico