{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T19:09:00Z","timestamp":1792782540171,"version":"4.5.0"},"reference-count":28,"publisher":"Wiley","issue":"S3","license":[{"start":{"date-parts":[[2020,6,30]],"date-time":"2020-06-30T00:00:00Z","timestamp":1593475200000},"content-version":"vor","delay-in-days":29,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"US President\u2019s Emergency Plan for AIDS Relief and the US Agency for International Development","award":["AID-OAA-A-14-0045"],"award-info":[{"award-number":["AID-OAA-A-14-0045"]}],"id":[{"id":"https:\/\/ror.org\/025g6sc95","id-type":"ROR","asserted-by":"crossref"}]},{"name":"Thai Red Cross Princess Soamsawali HIV Prevention fund"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Intern AIDS Soc"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Men who have sex with men (MSM) and transgender women (TGW) are two key populations (KPs) in Thailand at high risk for HIV. Uptake and scale\u2010up of pre\u2010exposure prophylaxis (PrEP) among them has been slow. We used data from Princess PrEP, Thailand\u2019s largest KP\u2010led PrEP programme, to operationalize PrEP service cascades. We identified gaps and pointed out where additional data are needed to inform a larger HIV prevention cascade.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Numbers of people tested for HIV, tested HIV negative, eligible for PrEP (defined as any of the following in the past three months: condomless sex with partners of unknown\/uncertain HIV status or antiretroviral treatment or viral load status, multiple partners, engaging in sex work, sexually transmitted infections, injecting drugs, using amphetamine\u2010type stimulants, or repeated use of post\u2010exposure prophylaxis), offered PrEP and accepted PrEP during January to November 2019 were retrieved from Princess PrEP database to inform PrEP service cascades for MSM and TGW. Reasons for not accepting PrEP were documented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 6287 MSM who received HIV testing in Princess PrEP, 92.3% were HIV negative and 70.2% of them were eligible for PrEP. PrEP was offered to 94.7% of those eligible and 48.0% of those offered accepted it. Among 900 TGW who had HIV testing, 95.3% tested HIV negative and 64.8% of them met PrEP eligibility criteria. Of these, 95.0% were offered PrEP and 43.9% of them accepted it. Among MSM and TGW who met PrEP eligibility criteria, no or low\u2010HIV\u2010risk perception was the most common reason provided (46.7% of 2007 MSM and 41.9% of 296 TGW) for not accepting PrEP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PrEP service cascades from the Princess PrEP programme identified no or low\u2010risk perception as key barrier to PrEP acceptance among MSM and TGW who met PrEP eligibility criteria. More implementation research studies are needed to explore PrEP motivation and access in larger communities outside of clinical services. This is to identify gaps and strategies to address them within motivation, access and effective use domains of the HIV prevention cascade.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jia2.25540","type":"journal-article","created":{"date-parts":[[2020,6,30]],"date-time":"2020-06-30T08:08:10Z","timestamp":1593504490000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":49,"title":["Evaluation of a pre\u2010exposure prophylaxis programme for men who have sex with men and transgender women in Thailand: learning through the HIV prevention cascade lens"],"prefix":"10.1002","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6293-9422","authenticated-orcid":false,"given":"Reshmie A","family":"Ramautarsing","sequence":"first","affiliation":[{"name":"Thai Red Cross AIDS Research Centre PREVENTION Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ratchadaporn","family":"Meksena","sequence":"additional","affiliation":[{"name":"Thai Red Cross AIDS Research Centre PREVENTION Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thanthip","family":"Sungsing","sequence":"additional","affiliation":[{"name":"Thai Red Cross AIDS Research Centre PREVENTION Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanat","family":"Chinbunchorn","sequence":"additional","affiliation":[{"name":"Thai Red Cross AIDS Research Centre PREVENTION Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theeranat","family":"Sangprasert","sequence":"additional","affiliation":[{"name":"Rainbow Sky Association of Thailand Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orawan","family":"Fungfoosri","sequence":"additional","affiliation":[{"name":"Rainbow Sky Association of Thailand Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dusita","family":"Meekrua","sequence":"additional","affiliation":[{"name":"Service Workers in Group Foundation Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saman","family":"Sumalu","sequence":"additional","affiliation":[{"name":"Service Workers in Group Foundation Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thapana","family":"Pasansai","sequence":"additional","affiliation":[{"name":"Mplus Foundation Chiang Mai Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Witwasin","family":"Bunainso","sequence":"additional","affiliation":[{"name":"Mplus Foundation Chiang Mai Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tashada","family":"Wongsri","sequence":"additional","affiliation":[{"name":"Caremat Foundation Chiang Mai 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