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Research Letter
Does providing laboratory confirmed STI results impact uptake of HIV pre-exposure prophylaxis (PrEP) uptake among Kenyan adolescents girls and young women? A descriptive analysis
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  1. Lynda Myra Oluoch1,
  2. Alison Roxby2,
  3. Nelly Mugo1,2,
  4. Anna Wald3,4,
  5. Kenneth Ngure5,
  6. Stacy Selke2,
  7. Bhavna Chohan2,
  8. Catherine Kiptinness1,
  9. Kenneth Tapia2,
  10. Murugi Micheni1,
  11. Stephen Gakuo Maina1,
  12. Edinah Casmir1
  1. 1Centre for Clinical Research, Kenya Medical Research Institute, Nairobi, Kenya
  2. 2Department of Global Health, University of Washington, Seattle, Washington, USA
  3. 3Department of Medicine, University of Washington, Seattle, Washington, USA
  4. 4Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA
  5. 5Department of Community Health, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya
  1. Correspondence to Dr Lynda Myra Oluoch, Clinic, Kenya Medical Research Institute, Nairobi 0200, Kenya; oluochlynda8{at}gmail.com

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In 2018, one-third of incident adult HIV infections in Kenya occurred among adolescent girls and young women (AGYW) aged 15–24 years.1 2 Pre-exposure prophylaxis (PrEP) is approved as part of the national HIV prevention interventions.3 4 AGYW have the lowest uptake of PrEP coupled with high discontinuation rates.5–7

Sexually transmitted infections are known to increase the risk of HIV acquisition.8 Prevalence of STIs in sexually active AGYW is high.9 This drives health seeking behaviour in this population and is a good opportunity to provide PrEP at point of care.

We hypothesised that availing STI results would augment PrEP uptake among AGYW.

Participants were followed quarterly with STI testing for Neisseria gonorrhoeae, Chlamydia trachomatis and Trichomonas vaginalis. From January 2018 to December 2018, we screened for PrEP eligibility with a validated HIV risk assessment tool …

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