{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T00:18:28Z","timestamp":1755217108286,"version":"3.43.0"},"reference-count":33,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T00:00:00Z","timestamp":1750896000000},"content-version":"vor","delay-in-days":25,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Int AIDS Soc."],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>In Mozambique, post\u2010exposure prophylaxis (PEP) to prevent HIV is offered as part of the essential package of post\u2010violence care services at 1450 health facilities. However, HIV PEP access and adherence continue to be a challenge. Healthcare providers were interviewed to identify and synthesize their recommendations for improving PEP access and adherence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted semi\u2010structured, in\u2010depth interviews with 20 adolescent and adult healthcare providers (3 men and 17 women) who had a range of 2\u221215 years of experience from 20 health facilities across seven provinces during March\u2013August 2023. Data were analysed using inductive and theoretical thematic analysis. We analysed how frequently health providers mentioned specific recommendations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Regarding PEP access, healthcare providers recommended community education as the most effective strategy (10 mentions). In particular, providers cited the importance of <jats:italic>palestras<\/jats:italic> [community health talks]. Providers also commonly highlighted the need to have PEP kits prepared (7 mentions) and PEP readily available at health facilities (6 mentions). Regarding PEP adherence, providers recommended client counselling\/education (13 mentions) to ensure clients understand the importance of taking PEP, how to properly take PEP and the potential side effects, which can often deter clients from adhering. Additionally, providers highlighted <jats:italic>chamadas preventivas<\/jats:italic> [follow\u2010up telephone calls] within 2 weeks or so after the initial visit (9 mentions) as the best means to ensure clients complete the full, 28\u2010day regimen and return for retesting after 3 months. Healthcare providers explained that follow\u2010up telephone calls, despite the client living far from the health facility, can create a bond that supports clients. Providers recommended the institutionalization of follow\u2010up telephone calls for consistent implementation in all healthcare facilities that offer PEP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Interviewed healthcare providers offered valuable insights and recommendations to improve PEP access and adherence, which could be considered for implementation in Mozambique and other sub\u2010Saharan African countries.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jia2.26452","type":"journal-article","created":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T13:04:00Z","timestamp":1750943040000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Healthcare provider recommendations to improve post\u2010violence care HIV post\u2010exposure prophylaxis access and adherence in Mozambique"],"prefix":"10.1002","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0786-8964","authenticated-orcid":false,"given":"Meghan","family":"Duffy","sequence":"first","affiliation":[{"name":"Division of Global HIV &amp; TB U.S. Centers for Disease Control and Prevention (CDC)  Maputo Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Etevaldo M. F.","family":"Xavier","sequence":"additional","affiliation":[{"name":"Friends in Global Health  Maputo Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anabela","family":"de Almeida","sequence":"additional","affiliation":[{"name":"Jhpiego  Maputo Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Della","family":"Correia","sequence":"additional","affiliation":[{"name":"Division of Global HIV &amp; TB U.S. Centers for Disease Control and Prevention (CDC)  Maputo Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Nhavane dos Prazeres","sequence":"additional","affiliation":[{"name":"Ministry of Health  Maputo Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacinto","family":"Adriano","sequence":"additional","affiliation":[{"name":"Ministry of Health  Maputo Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bainabo","family":"Parruque","sequence":"additional","affiliation":[{"name":"Friends in Global Health  Maputo Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Olga","family":"Bule","sequence":"additional","affiliation":[{"name":"Jhpiego  Maputo Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Langan","family":"Denhard","sequence":"additional","affiliation":[{"name":"U.S. Centers for Disease Control and Prevention (CDC)  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maura","family":"Almeida","sequence":"additional","affiliation":[{"name":"Jhpiego  Maputo Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Baptista","sequence":"additional","affiliation":[{"name":"Jhpiego  Maputo Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raquel","family":"Cossa de Pinho","sequence":"additional","affiliation":[{"name":"Ministry of Health  Maputo Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,26]]},"reference":[{"volume-title":"Caring for women subjected to violence: a WHO curriculum for training health\u2010care providers","year":"2021","key":"e_1_2_12_2_1"},{"volume-title":"Mecanismo multisectorial de atendimento integrado a mulher vitima de violencia [Multisectoral integrated care mechanism for women victims of violence]","year":"2012","key":"e_1_2_12_3_1"},{"volume-title":"Relatorio Annual de Violencia Baseado no Genero [Annual Gender\u2010Based Violence Report]","year":"2021","key":"e_1_2_12_4_1"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/nejm"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.2989\/16085906"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD002835.pub"},{"volume-title":"Guidelines on post\u2010exposure prophylaxis and the use of co\u2010trimoxazole prophylaxis for HIV\u2010related infections among adults, adolescents and children: recommendations for a public health approach","year":"2014","key":"e_1_2_12_8_1"},{"volume-title":"Updated recommendations in first\u2010line and second\u2010line antiretroviral regimens and post\u2010exposure prophylaxis and recommendations on early infant diagnosis of HIV. 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