Narrative review of studies on HIV pre-exposure prophylaxis in Brazil and its implementation in the public health network

Adherence to Pre-Exposure Prophylaxis (PrEP) among Men Who Have Sex with Men (MSM) in Portuguese-Speaking Countries

“…It is important to be aware of the inequalities in access to health services, which are reflected in the access to and knowledge about PrEP. In Portugal, regular testing, above the targets set by UNAIDS, increased the likelihood of PrEP use, reinforcing the importance of bringing these subjects closer to the health services and improving their knowledge of the various prevention means available [ 32 , 33 ]. However, the uptake of PrEP could be increased by exploring more opportunities for collaboration with community organizations to provide PrEP.…”

“…Implementation of PrEP free of charge through the national health systems of these two countries began in 2017, with extensive expansion in later years [ 18 ], although few studies have evaluated the success of its implementation [ 27 , 32 , 33 , 34 ] and no survey has focused on studying the population of both countries together, much less comparing them [ 32 , 33 , 34 , 35 ]. Questions still remain whether PrEP can be translated to a successful public health intervention, leading to a decrease in the population-level incidence of HIV, if it is treated only as a local policy, without countries considering the dynamics of the flows of migration and information between countries, for example [ 36 ].…”