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ORIGINAL ARTICLE
Open Access

Health System Factors Influencing the Integration of Pre-Exposure Prophylaxis into Antenatal and Postnatal Clinic Services in Cape Town, South Africa

Lara Court, Aurelie Nelson, Reghana Taliep, Sarah Schoetz Dean, Rufaro Mvududu, Lucia Knight, Kathryn Dovel, Thomas Coates, Landon Myer and Dvora L. Joseph Davey
Global Health: Science and Practice December 2024, 12(6):e2400166; https://doi.org/10.9745/GHSP-D-24-00166
Lara Court
aDivision of Social and Behavioural Sciences, School of Public Health, University of Cape Town, Cape Town, South Africa.
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  • For correspondence: lara.court{at}uct.ac.za
Aurelie Nelson
bDivision of Epidemiology and Biostatistics, School of Public Health, University of Cape Town, Cape Town, South Africa.
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Reghana Taliep
cWestern Cape Department of Health and Wellness, Metro Health Services, Cape Town, South Africa.
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Sarah Schoetz Dean
dDivision of Infectious Diseases, Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA.
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Rufaro Mvududu
bDivision of Epidemiology and Biostatistics, School of Public Health, University of Cape Town, Cape Town, South Africa.
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Lucia Knight
aDivision of Social and Behavioural Sciences, School of Public Health, University of Cape Town, Cape Town, South Africa.
eSchool of Public Health, University of the Western Cape, Bellville, South Africa.
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Kathryn Dovel
dDivision of Infectious Diseases, Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA.
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Thomas Coates
dDivision of Infectious Diseases, Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA.
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Landon Myer
bDivision of Epidemiology and Biostatistics, School of Public Health, University of Cape Town, Cape Town, South Africa.
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Dvora L. Joseph Davey
bDivision of Epidemiology and Biostatistics, School of Public Health, University of Cape Town, Cape Town, South Africa.
dDivision of Infectious Diseases, Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA.
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Figures & Tables

Figures

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  • FIGURE 1
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    FIGURE 1

    Health Systems Dynamics Framework

    Source: Olmen et al.48

  • FIGURE 2
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    FIGURE 2

    Health Systems Dynamics Framework Adapted to HCWs’ Recommendations and Perceived Facilitators of Integration of PrEP into ANC and PNC Services

    Abbreviations: ANC, antenatal care; HCW, health care worker; PBFW, pregnant and breastfeeding women; PNC, postnatal care; PrEP, pre-exposure prophylaxis; SMS, short message service.

Tables

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    TABLE.

    In-Depth Interview and Focus Group Discussion Participant Characteristics, 8 Health Clinics, Cape Town, South Africa

    Job PositionNo.Can Prescribe ART or PrEP, No. (%)
    In-depth interviews9
     Program coordinator2–––
     Operations/health clinic manager74 (57)
    Focus group discussions3
     Midwife42 (50)
     Nurse93 (33)
     HIV lay counselor6––
    • Abbreviations: ART, antiretroviral therapy; PrEP, pre-exposure prophylaxis.

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Global Health: Science and Practice: 12 (6)
Global Health: Science and Practice
Vol. 12, No. 6
December 20, 2024
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Health System Factors Influencing the Integration of Pre-Exposure Prophylaxis into Antenatal and Postnatal Clinic Services in Cape Town, South Africa
Lara Court, Aurelie Nelson, Reghana Taliep, Sarah Schoetz Dean, Rufaro Mvududu, Lucia Knight, Kathryn Dovel, Thomas Coates, Landon Myer, Dvora L. Joseph Davey
Global Health: Science and Practice Dec 2024, 12 (6) e2400166; DOI: 10.9745/GHSP-D-24-00166

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Health System Factors Influencing the Integration of Pre-Exposure Prophylaxis into Antenatal and Postnatal Clinic Services in Cape Town, South Africa
Lara Court, Aurelie Nelson, Reghana Taliep, Sarah Schoetz Dean, Rufaro Mvududu, Lucia Knight, Kathryn Dovel, Thomas Coates, Landon Myer, Dvora L. Joseph Davey
Global Health: Science and Practice Dec 2024, 12 (6) e2400166; DOI: 10.9745/GHSP-D-24-00166
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