Health management model for HIV pre-exposure prophylaxis Preexposición

Abstract

Introduction: Pre-exposure prophylaxis (PrEP) is a cornerstone of combined HIV prevention. In Santiago de Cuba, despite its availability, organizational barriers persist that limit its impact, requiring management models adapted to the local context. Objective: To design and validate a management model to enhance inclusion and access to HIV pre-exposure prophylaxis in the municipality of Santiago de Cuba during the period July–December 2024. Methods: The study included a diagnostic phase and a design phase based on theoretical methods and expert consultation. Validation was performed using the Moriyama criteria, applied to a population of specialists selected for their level of expertise (Biogram). Results: A systemic model was structured, comprising a process management matrix (external) and an impact area matrix (internal). The model integrates primary care with multidisciplinary teams. Experts awarded the model the highest score for comprehensibility, justification, and feasibility. Conclusions: The proposed model offers a clear methodological path for decentralizing PrEP, focusing on eliminating psychosocial barriers and training the primary healthcare team, thus ensuring the sustainability of the strategy at the primary care level