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To help inform PrEP rollout in APAC, we conducted a rapid review of published literature on PubMed from 2015 to 2020, to assess feasibility, implementation strategies, cost-effectiveness, and availability of national policies and guidelines; for the latter, we also did an expanded Internet search. This review focussed on nine countries contributing &amp;gt;95% of new infections in this region. A total of 36 PrEP-related studies conducted among men who have sex with men, female sex workers, and transgender women were included, of which 29 were quantitative, six were qualitative and one was a mixed-method study. Most of the studies have addressed the availability and acceptability of PrEP, whereas cost-effectiveness of any approach was assessed by limited studies. Limited published information was available about national PrEP policies and guidelines; of the selected nine countries, five have adopted the recommended World Health Organization PrEP policy of which four have integrated it in their national HIV response. HIV risk perception concerns about safety, side-effects, stigma, and affordability were major challenges to PrEP acceptance. Community-based implementation has the potential to address these. Limited evidence suggested merging PrEP implementation with ongoing targeted intervention and treatment programs could be a cost-effective approach. To stem the epidemic, newer effective prevention strategies, like PrEP, should be urgently adopted within the context of combination HIV prevention approaches.<\/jats:p>","DOI":"10.1071\/sh20058","type":"journal-article","created":{"date-parts":[[2021,2,25]],"date-time":"2021-02-25T23:36:00Z","timestamp":1614296160000},"page":"31-40","source":"Crossref","is-referenced-by-count":20,"title":["A rapid review of pre-exposure prophylaxis for HIV in the Asia\u2013Pacific region: recommendations for scale up and future directions"],"prefix":"10.1071","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4563-3675","authenticated-orcid":true,"given":"Partha","family":"Haldar","sequence":"first","affiliation":[{"name":"AAll India Institute of Medical Sciences, Centre for Community Medicine, New Delhi, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2716-1691","authenticated-orcid":true,"given":"Sushena","family":"Reza-Paul","sequence":"additional","affiliation":[{"name":"BUniversity of Manitoba, Institute for Global Public Health, Rady Faculty of Health Sciences, Winnipeg, Manitoba, Canada."},{"name":"ECorresponding author. Email: sushenar@gmail.com"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8124-8160","authenticated-orcid":true,"given":"Roy Arokiam","family":"Daniel","sequence":"additional","affiliation":[{"name":"AAll India Institute of Medical Sciences, Centre for Community Medicine, New Delhi, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Lazarus","sequence":"additional","affiliation":[{"name":"BUniversity of Manitoba, Institute for Global Public Health, Rady Faculty of Health Sciences, Winnipeg, Manitoba, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bharat Bhushan","family":"Rewari","sequence":"additional","affiliation":[{"name":"CWorld Health Organization Regional Office for South-East Asia, New Delhi, Delhi, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Lorway","sequence":"additional","affiliation":[{"name":"BUniversity of Manitoba, Institute for Global Public Health, Rady Faculty of Health Sciences, Winnipeg, Manitoba, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Steen","sequence":"additional","affiliation":[{"name":"DErasmus Medical Center, Department of Public Health, Rotterdam, Zuid-Holland, Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2021,2,26]]},"reference":[{"key":"2025102419103013100_R1","unstructured":"United Nations Population Fund (UNFPA) Asia Pacific. 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