Expanding the reach of pre-exposure prophylaxis services in suburban and rural Ontario: an implementation science evaluation of a public health-led model
Carmela Rapino, Emma Nagy, Sahar Saeed, Beatriz Alvarado, Nicole Szumlanski, Miriam Kamotho, T. Hugh Guan, Jorge Martinez-Cajas · 2026
Read Expanding the reach of pre-exposure prophylaxis services in suburban and rural Ontario: an implementation science evaluation of a public health-led model by Carmela Rapino, Emma Nagy, Sahar Saeed, Beatriz Alvarado, Nicole Szumlanski, Miriam Kamotho, T. Hugh Guan, Jorge Martinez-Cajas (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13501781.txt.
Description
Carmela Rapino and others evaluate a public health-led pre-exposure prophylaxis clinic reaching suburban and rural Ontario. In 2026, the implementation study uses the RE-AIM plan and electronic records from 2018 to 2024 for a mixed in-person and remote interdisciplinary clinic in Southeastern Ontario. HIV findings rose sharply in Canada while PrEP remained underused outside cities.
Of 141 clients, mostly cisgender men with median age thirty-seven, seventy percent started PrEP, with initiation more likely outside the catchment area, with hepatitis B history, or with an HIV-positive partner. Median engagement lasted eight months with no new HIV findings, though over half disengaged, often early or after a year. Flexible public health models appear scalable for equitable access.
Catalog record
| CREATOR | Carmela Rapino, Emma Nagy, Sahar Saeed, Beatriz Alvarado, Nicole Szumlanski, Miriam Kamotho, T. Hugh Guan, Jorge Martinez-Cajas |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 54 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |