Retention in PrEP treatment, including the entire PrEP
package of medication and counseling, is arguably the
most diffıcult and intensive stage in the PrEP treatment
cascade and for which coordination between primary
care and public health needs to be greatest. Retention
includes ongoing engagement of PrEP patients in primary
care, such that they attend regularly scheduled appointments
(i.e., every 2–3 months14) and receive an
HIV-antibody test, risk-reduction counseling, and PrEP
medication-adherence counseling, as needed. Providers,
health centers, and/or delivery systems will need to have
the absorptive capacity to receive PrEP patients and the
requisite training and skills for delivery of PrEP services.