Patients will likely have a diffıcult time adhering to
PrEP visits, especially those who are not (or have never
been) engaged in health care. Barriers toward retention in
HIV care among HIV-positive patients,16,17 and strategies
for improving retention rates,18 may provide some
guidance. Given the complexities of PrEP prevention and
care services, however, coordinated activities between
primary care and public health are likely needed. Care
providers will need to work with public health agencies
that have strong community ties in the catchment area to
identify and re-engage PrEP patients who are lost to
follow-up. In situations where PrEP patients are receiving
services at CBOs or health departments, public health
professionals can reinforce the importance of retention in
care and counsel patients in risk reduction and PrEP
medication adherence.