Resum
Objective: To analyze, in groups of men who have sex with men, the notions about the Pre-Exposure Prophylaxis for the prevention of HIV (PrEP) in Mexico for its future implementation in health services. Methods: During 2015, 54 people participated in 4 focus groups in 3 Mexican cities. We explored issues related to the challenges for uses and limitations. Results: In contrast to other qualitative studies, which emphasized problems with relationships between other people for the PrEP use or the access to key populations, Mexican participants focused their concerns around the public health services organization: the PrEP is too expensive and the health services has no resources, this affect services and reproduce discrimination. The participants identified possible stigmatization related to prejudices of medical providers that do not approve the decreasing of use of condom. They pointed that a possible solution could that Mexican State negotiate low cost for PrEP and public health services provide medicaments and civil organizations the periodical reviews. Conclusion: In the current context of the Mexican new government it is necessary to propose public politics focused in negotiating with the pharmaceutical companies the costs of the PrEP, coordinating the public services with groups of the civil society and strengthening politics and actions to reduce the stigma and the discrimination.