{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:07:02Z","timestamp":1787774822918,"version":"build-2784847793"},"reference-count":49,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,8,15]],"date-time":"2024-08-15T00:00:00Z","timestamp":1723680000000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010409","name":"Children's Investment Fund Foundation","doi-asserted-by":"publisher","award":["#2012\u201005668"],"award-info":[{"award-number":["#2012\u201005668"]}],"id":[{"id":"10.13039\/100010409","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Int AIDS Soc."],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The Dual Prevention Pill (DPP) combines oral pre\u2010exposure prophylaxis (PrEP) with oral contraception (OC) to prevent HIV and pregnancy. Noting the significant role played by the private sector in delivering family planning (FP) services in countries with high HIV burden, high level of private sector OC uptake, and the recent growth in self\u2010care and technology\u2010based private sector channels, we undertook qualitative research in Kenya, South Africa and Zimbabwe to prioritize private sector service delivery approaches for the introduction of the DPP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between March 2022 and February 2023, we conducted a literature review and key informant interviews with 34 donors and implementing partners, 19 government representatives, 17 private sector organizations, 13 pharmacy and drug shop representatives, and 12 telehealth agencies to assess the feasibility of DPP introduction in private sector channels. Channels were analysed thematically based on policies, level of coordination with the public sector, data systems, supply chain, need for subsidy, scalability, sustainability and geographic coverage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Wide geographic reach, ongoing pharmacy\u2010administered PrEP pilots in Kenya and South Africa, and over\u2010the\u2010counter OC availability in Zimbabwe make pharmacies a priority for DPP delivery, in addition to private networked clinics, already trusted for FP and HIV services. In Kenya and South Africa, newer, technology\u2010based channels such as e\u2010pharmacies, telehealth and telemedicine are prioritized as they have rapidly grown in popularity due to nationwide accessibility, convenience and privacy. Findings are limited by a lack of standardized data on service uptake in newer channels and gaps in information on commodity pricing and willingness\u2010to\u2010pay for all channels.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The private sector provides a significant proportion of FP services in countries with high HIV burden yet is an untapped delivery source for PrEP. Offering users a range of access options for the DPP in non\u2010traditional channels that minimize stigma, enhance discretion and increase convenience could increase uptake and continuation. Preparing these channels for PrEP provision requires engagement with Ministries of Health and providers and further research on pricing and willingness\u2010to\u2010pay. Aligning FP and PrEP delivery to meet the needs of those who want both HIV and pregnancy prevention will facilitate integrated service delivery and eventual DPP rollout, creating a platform for the private sector introduction of multipurpose prevention technologies.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jia2.26346","type":"journal-article","created":{"date-parts":[[2024,8,16]],"date-time":"2024-08-16T05:00:04Z","timestamp":1723784404000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Harnessing private sector strategies for family planning to deliver the Dual Prevention Pill, the first multipurpose prevention technology with pre\u2010exposure prophylaxis, in an expanding HIV prevention landscape"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8832-3186","authenticated-orcid":false,"given":"Catherine","family":"Verde Hashim","sequence":"first","affiliation":[{"name":"AVAC  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Llewellyn","sequence":"additional","affiliation":[{"name":"Genesis Analytics  Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rob","family":"Wood","sequence":"additional","affiliation":[{"name":"Halcyon Consultancy  Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracey","family":"Brett","sequence":"additional","affiliation":[{"name":"Private Consultant  Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tinashe","family":"Chinyanga","sequence":"additional","affiliation":[{"name":"The Organization for Public Health Interventions and Development (OPHID)  Harare Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Webb","sequence":"additional","affiliation":[{"name":"The Organization for Public Health Interventions and Development (OPHID)  Harare Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Segal","sequence":"additional","affiliation":[{"name":"AVAC  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,8,15]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"The path that ends AIDS: UNAIDS Global AIDS Update 2023","year":"2023"},{"key":"e_1_2_12_3_1","unstructured":"UNAIDS.AIDSinfo [Internet]. 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