Lay summary
Māori in Aotearoa New Zealand are more likely to present with advanced HIV and less likely to access prevention services such as testing and PrEP (Pre-exposure Prophylaxis), an effective medication that prevents new HIV infections. Despite limited data, these disparities highlight the need for targeted action. In 2022, the Government announced a goal to eliminate HIV transmission by 2032 and expanded PrEP access through Pharmac. This project will investigate why Māori are not accessing HIV prevention, particularly PrEP, at the same rate as non-Māori. Working in partnership with Māori and sexual health providers, the research will include interviews, data analysis, and collaborative strategies to address these care gaps. By increasing PrEP uptake and improving access, the project aims to reduce new HIV infections, improve health outcomes for Māori, and lower long-term treatment costs. The findings will support national HIV goals while promoting a more effective and sustainable health system.