PrEP IMPLEMENTATION IN CAMBODIA - From Planning to Implementation: Cambodia's Experience with Cabotegravir-LA (CAB-LA)

Sep 27, 2026

Uploaded by Noah

Overview of Cambodia’s HIV prevention and the rationale for PrEP, highlighting progress toward 95-95-95 while noting disproportionately high new infections among young key populations aged 15–24. Summarizes PrEP results as of May 2026, including oral PrEP since 2019 and subsequent rollouts of CAB-PrEP and DVR-PrEP. Details implementation phases, service delivery structure, uptake trends across 2022–2026, retention considerations, and a practical 6-step roadmap covering preparation, phased strategy, community engagement, monitoring, and coordination.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages17

Reading Time43 min

AccessFree to download

HIV RESPONSE IN CAMBODIA AND THE CASE FOR PREP

EVOLUTON CF PREP IMPLEMENTATION

PHASE 1: INTRODUCTION

PHASE 2: EXPANSION

PHASE 3: INNOVATION & SCALE-UP

PREP SERVICES IN CAMBODA, Q2 (MAY) - 2026

PREP UPTAKE - ALL SITES 2022 - 2026 (Q2 - MAY)

Oral PrEP RETENTION RATE AS OF 2025

LONG-ACTING PREP ROADMAP IN CAMBODIA

A SIMPLE 6-STEP ROADMAP FOR CAMBODIA

# PrEP IMPLEMENTATION IN CAMBODIA From Planning to Implementation:Cambodia's Experience with Cabotegravir-LA(CAB-LA) webinar on Demystifying Lenacapavir for HIV Prevention:Global Evidence and EarlyImplementation Lessons on 25 June 2026 Organized by SEARO Presented by Dr.BORA NgauvDeputy Director of NCHADS PrEP PAGE|1 June 25,2026 Content 1.HIV Response in Cambodia and the case for PrEP 2.Result of PrEP implementation as of May 2026 3.Cambodia's Experience with Cabotegravir-LA (CAB-LA) 4.Roadmap for LEN PrEP Introduction:A Strategic Game Changer # HIV RESPONSEIN CAMBODIAANDTHE CASE FOR PREP ·Gambodia has achieved major success in its HIV response,becoming the first country inAsia-Pacific to reach the 95-95-95 targets. ·The country has nearly universal treatment coverage,with almost all diagnosed peopleon ART and about 98%achieving viral suppression. ·It has also reduced newHIVinfections by over 90%since the 1990s,driven by strongprevention and community-based programs. ·However,while Cambodia has made significant achievements,new HIV infections remaindisproportionately high among young key populations aged 15-24 years,highlighting theneed for continued efforts to sustain progress toward ending ADS as a public healththreat. # EVOLUTON CF PREPIMPLEMENTATION PHASE 1:INTRODUCTIONPHASE 2:EXPANSIONPHASE 3:INNOVATION&SCALE-UPStart Oral PrEPScale Services·Reach CommunitiesIntroduce New Options·Expand Access201920202021202220232024202520262027 ·Oral PrEP ·+5new health·Expanded to·+7 health·10 health facilities·+4 CBO PrEP·CAB-PrEP launched·Oral PrEP:·+25 newapproved by MoHfacility sites3 additional sites(May)facility sites+9CBO sitesDIC sites(4 sites→+7 sites)+34 facilitiesfacility sitespost-COVID&6 CBO DICs ·Phnom Penh,launched:Battambang,·CBO PrEP·First 3·PrEP drop-out·DVR feasibility &·DVR-PrEP·ContinueChhouk Sar ClinicBanteay Mean Chey,SOP approvedCBO PrEP DICsstudyacceptabilityintroducedCAB-PrEP&expanded to(Phnom Penh)&Siem Reap·Real-timeestablishedstudy among(4 sites)DVR-PrEP8 provinceswomen at risk(8 sites each)scale-upRHAC Clinicprovincesdata trackerfeasibility study·59 sites total(Siem Reap)developedamong key·SOPs for(38 health facilities·TelePrEP &·LaunchJuly 2019)populationsCAB-PrEP&21 CBO DICs)MobilePrEPLEN PrEP&DVR-PrEPintroduced ·CAB&DVR ·CAB-LA ·Prepare for LEN:SOP,drug supply,demand creation,training curriculumMILESTONEMILESTONEMILESTONE·Start Oral PrEPStart CBO PrEPStart CAB+DVR2019-20212022-20242025-2027ORAL PrEPCOMMUNITY DELIVERYLONG-ACTING OPTIONS # PREP SERVICES IN CAMBODA,Q2(MAY)-2026 Cambodia has made significantstrides in HIV prevention throughthe national rollout of pre-exposureprophylaxis(PrEP),most recentlywith the introduction of CAB-PrEPand DVR-PrEP. This marks a major milestone in thecountry's HIV response,complementing the existing oralPrEP services that have beenavailable since 2019. ■PrEP Provinces(17) Facility PrEP(38) ● CBO PrEP(24) ■CAB PrEP(14) # PREP UPTAKE-ALL SITES 2022-2026(Q2-MAY) 70,000 60,000 50,000 40,000 30,000 20,000 10,000 Total Ever on PrEPDisaggregation-by KPKP/HIV+PWD/PWUDPartner 0%PAGE|6 PrEP_NEW(Facility)PrEP_NEW(CBO)—PrEP_Continuation(Facility)—PrEP_Continuation(CBO) # Oral PrEP RETENTION RATE AS CF 2025 RETENTION RATE 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% 6 MONTHS9 MONTHS12 MONTHS>12 MONTHS Recommendation # LONG-ACTI NG PREP ROADMAPIN CAMBODIA assessment # PATH TOLAUNCHING CAB-PrEP A SIMPLE 6-STEP ROADMAP FOR CAMBODIA 01PREPARATION 02PHASEDIMPLEMENTATIONSTRATEGY 04SERVICEDELIVERY 05COMMUNITYENGAGEMENT&DEMAND CREATION 06MONITORING&COORDINATION 03PRIORITIZEDTARGETPOPULATION ·Use DHIS2 forreal-time datatracking ● WHO recommended ·Phase 1:Four sites in PNP ·Integration withexisting facility-base oral PrEPservice ·Integration withexisting oral PrEPservice ● MSM ·Conduct CABacceptability study ● TGW ·Phase 2:Expand to sevenadditional sites in PNP ·FE

FAQs

Why is PrEP needed in Cambodia despite major HIV response achievements?

Cambodia has reached major success toward 95-95-95 and reduced new infections, but new HIV infections remain disproportionately high among young key populations aged 15–24, requiring continued prevention efforts.

What PrEP modalities are included in Cambodia’s implementation by 2026?

The rollout includes oral PrEP available since 2019, and later introduction of CAB-PrEP and DVR-PrEP, forming a broader prevention portfolio.

How is the CAB-PrEP launch planned in Cambodia?

A simple 6-step roadmap is used: preparation, prioritized target population, phased implementation strategy, service delivery, community engagement and demand creation, and monitoring and coordination, using steps such as DHIS2 tracking and MOH-endorsed SOP development.

Sep 27, 2026

Uploaded by Noah