Assessing the Implementation Outcomes of a Differentiated Teleprep Delivery Model in Improving PrEP Uptake and Persistence Among Filipino Key Populations Across Four Clinics in the Philippines.

The Philippines faces a rising HIV epidemic despite global declines, partly due to limited access to pre-exposure prophylaxis (PrEP). SAIL-teleprep, a telehealth-based differentiated service delivery model, was implemented to expand PrEP access among key populations (KPs) in underserved areas. Using...

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Published in:AIDS Education & Prevention Vol. 38; no. 1; pp. 63 - 80
Main Authors: Olete, Rodenie Arnaiz, Leyritana, Kate, Anigan, Genaro Martin, de Castro, Mark Angelo, Gonzales, Jonathan, Daclison, Jerome, Strong, Carol
Format: research tables/charts Journal Article
Published: Guilford Publications Inc. Feb2026
Online Access:View this record in EBSCOhost
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      dt: Feb2026
      vid: 38
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      pub: Guilford Publications Inc.
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        atl: Assessing the Implementation Outcomes of a Differentiated Teleprep Delivery Model in Improving PrEP Uptake and Persistence Among Filipino Key Populations Across Four Clinics in the Philippines.
      aug:
        au:
          Olete, Rodenie Arnaiz
          Leyritana, Kate
          Anigan, Genaro Martin
          de Castro, Mark Angelo
          Gonzales, Jonathan
          Daclison, Jerome
          Strong, Carol
        affil: Sustained Health Initiatives of the Philippines, Mandaluyong City, Philippines.
      sug:
        subj:
          Preventive Health Care
          Program Implementation
          HIV Infections Prevention and Control
          Program Evaluation
          Pre-Exposure Prophylaxis
          Telehealth
          Health Care Delivery
          Models, Theoretical
          Filipinos Psychosocial Factors
          Outcomes (Health Care)
          Human
          Philippines
          Funding Source
          Male
          Female
          Health Services Accessibility
          Continuity of Patient Care
          Patient Compliance
          Medication Compliance
          Community Health Services
          Action Research
          Retrospective Design
          Record Review
          Prospective Studies
          Health Care Delivery, Integrated
          Implementation Science
          Electronic Health Records
          Health Behavior
          Male
          Female
      ab: The Philippines faces a rising HIV epidemic despite global declines, partly due to limited access to pre-exposure prophylaxis (PrEP). SAIL-teleprep, a telehealth-based differentiated service delivery model, was implemented to expand PrEP access among key populations (KPs) in underserved areas. Using the RE-AIM framework, this study evaluated its first-year implementation through a retrospective cohort analysis of 5,876 PrEP clients across four clinics in 2023. Of these, 8.4% accessed SAIL-teleprep, with higher uptake among clients aged > 24, residing outside Greater Manila, and identifying as men who have sex with men or sex workers. PrEP persistence among teleprep users was high (86.5%). Uptake varied by clinic, and use of courier deliveries peaked seasonally. Findings highlight SAIL-teleprep's potential to reach underserved groups while maintaining adherence. However, gaps remain in engaging younger KPs and people who inject drugs, underscoring the need for adaptable, client-centered strategies in decentralized HIV prevention.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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