{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T08:02:05Z","timestamp":1784880125151,"version":"3.55.0"},"reference-count":21,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000025","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":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Women of childbearing age in sub\u2010Saharan Africa continue to face a disproportionately high risk of HIV acquisition. Integrating pre\u2010exposure prophylaxis (PrEP) into existing care platforms such as family planning (FP) services may offer a strategic opportunity to reach women at heightened risk for HIV. However, limited evidence exists on the factors influencing effective PrEP integration in FP settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From November 2021 to November 2023, we conducted a qualitative study nested within a programmatic stepped\u2010wedge implementation project to integrate oral PrEP delivery in 12 real\u2010world public health FP clinics in Kenya (the FP\u2010Plus Project, Clinical Trials.gov: NCT04666792). Prior to the implementation phase of the FP\u2010Plus project, FP providers received facility\u2010based training and mentorship to build their capacity to deliver oral PrEP as part of routine care in FP clinics. We conducted in\u2010depth interviews with providers and women accessing FP services using semi\u2010structured interview guides informed by the consolidated framework of implementation research. Interviews were audio\u2010recorded with permission, transcribed and translated. We analysed data using inductive and deductive thematic analysis approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, we interviewed 48 providers offering PrEP in the FP clinics and 64 women accessing FP services. Women had a median age of 24 years (IQR, 23\u221230), and providers were 87% female. Overall, integration of PrEP in FP clinics was highly acceptable as it provided efficient service delivery, minimized missed opportunities, improved access to PrEP, saved time, improved privacy and reduced stigma by providing a discreet and trusted platform to access HIV prevention services. Women also expressed strong trust and confidence in FP providers to deliver PrEP services. Key reported barriers to integrating PrEP services included increased workload, physical space, frequent staff turnover, inefficient workflows, and occasional stockouts for both PrEP and FP commodities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Integration of PrEP in public FP clinics in Kenya is highly acceptable to both women and providers. Women expressed high confidence and trust in FP providers to provide adequate HIV prevention care. Targeted strategies to overcome systemic barriers, such as inefficient workflows, workload and data systems, need to be defined to improve the efficiency of integrated FP and PrEP services provision.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jia2.70150","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T05:59:40Z","timestamp":1782971980000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["<i>\u201cIt Reduces Stigma Now That the Service Is Under One Roof\u201d<\/i>\n                    Women and Provider Experiences on Factors Influencing Effective Integration of Oral PrEP Delivery in Family Planning Clinics in Kenya: A Qualitative Study"],"prefix":"10.1002","volume":"29","author":[{"given":"Vallery","family":"Ogello","sequence":"first","affiliation":[{"name":"Partners in Health Research and Development Center for Clinical Research Kenya Medical Research Institute  Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth","family":"Ngure","sequence":"additional","affiliation":[{"name":"School of Public Health Jomo Kenyatta University of Agriculture and Technology  Nairobi Kenya"},{"name":"Department of Global Health University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Mutai","sequence":"additional","affiliation":[{"name":"Partners in Health Research and Development Center for Clinical Research Kenya Medical Research Institute  Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mercy","family":"Awuor","sequence":"additional","affiliation":[{"name":"Research &amp; Programs Kenyatta National Hospital  Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Winnie","family":"Atieno","sequence":"additional","affiliation":[{"name":"Research &amp; Programs Kenyatta National Hospital  Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annabell","family":"Dollah","sequence":"additional","affiliation":[{"name":"Research &amp; Programs Kenyatta National Hospital  Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia","family":"Wandera","sequence":"additional","affiliation":[{"name":"Research &amp; Programs Kenyatta National Hospital  Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Matemo","sequence":"additional","affiliation":[{"name":"Research &amp; Programs Kenyatta National Hospital  Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer F.","family":"Morton","sequence":"additional","affiliation":[{"name":"Department of Global Health University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Kinuthia","sequence":"additional","affiliation":[{"name":"Department of Global Health University of Washington  Seattle Washington USA"},{"name":"Research &amp; Programs Kenyatta National Hospital  Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth K.","family":"Mugwanya","sequence":"additional","affiliation":[{"name":"Department of Global Health University of Washington  Seattle Washington USA"},{"name":"Department of Epidemiology University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1376235"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102020\u2010048478"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(19)31288\u20107"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352\u20103018(21)00048\u20105"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000002625"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S39895"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.12688\/gatesopenres.13342.1"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1002885"},{"key":"e_1_2_14_10_1","unstructured":"Ministry of Health Kenya HIV County Profile. Accessed: Jun. 11 2025. [Online]. Available:https:\/\/www.google.com\/url?sa=t&source=web&rct=j&opi=89978449&url=https:\/\/nsdcc.go.ke\/wp\u2010content\/uploads\/2015\/10\/KenyaCountyProfiles.pdf&ved=2ahUKEwjb7tbVt\u2010iNAxX\u2010dqQEHbZvMVkQFnoECBUQAQ&usg=AOvVaw0OTOHUC8X6Ne0J5OHFxQIX."},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010015\u20100088\u20104"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/16094069241244856"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh\u20102021\u2010201356"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.3389\/frph.2021.667823"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.3389\/frph.2021.668672"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/07853890.2021.2020893"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.658826"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh\u20102020\u2010003229"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.3389\/frph.2023.1205925"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh\u20102018\u2010000867"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/16549716.2022.2128305"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19116576"}],"container-title":["Journal of the International AIDS Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jia2.70150","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jia2.70150","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jia2.70150","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T07:08:04Z","timestamp":1784876884000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jia2.70150"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":21,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/jia2.70150"],"URL":"https:\/\/doi.org\/10.1002\/jia2.70150","archive":["Portico"],"relation":{},"ISSN":["1758-2652","1758-2652"],"issn-type":[{"value":"1758-2652","type":"print"},{"value":"1758-2652","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2025-10-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70150"}}