Against the backdrop of increasing STIs globally, rates of bacterial and viral STIs are increasing in some populations at higher risk for HIV acquisition. As PrEP services expand, there has been growing need for STI services and recognition that PrEP can serve as a gateway to sexual health services for key populations, including men who have sex with men, sex workers, transgender people, as well as serodiscordant couples and vulnerable young people. Public health stakeholders have raised concerns over the role of PrEP, while preventing HIV, in facilitating the risk for STIs. It is essential therefore to critically appraise STI data, in terms of causality, particularly incidence and re-infection rates, emerging from PrEP implementation. There is a need for innovative and low cost public health approaches to increase access and provide sustainable models of integrated HIV and sexual health services.

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