HIGHLIGHTS
SUMMARY
For men who have sex with men (MSM), multiple individual, social and structural barriers compromise preexposure prophylaxis (PrEP) engagement (i.e., use and correct adherence), which can leave them exposed to HIV infection. As in other regions, one of the biggest concerns for HIV prevention stakeholders in West Africa is poor PrEP effectiveness because of low PrEP use and adherence. The aim of this study was to report the rates of PrEP use and correct PrEP adherence (defined as four pills per week for daily users and 2 + 1 + 1 for eventdriven users) in . . .
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