Identifying and Addressing Delivery Considerations and Best Practices

Providers who deliver PrEP services need guidelines, training, and tools

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PrEP delivery can be challenging. Be sure you have what you need, including well-trained providers and informed end users. To succeed in this step, you will need to gather information and produce materials that educate key stakeholder groups.

Develop clinical guidelines

Create and/or adapt materials and training approaches for health workers

Health care workers need adequate training on how to enroll PrEP users, considerations for delivery, adherence and issues surrounding stigma. Training tools reinforce core messages such as who should be offered PrEP and how to counsel potential users.

Explore provider knowledge, attitudes, behaviors and practices

Health providers are the gate-keepers for PrEP—and for many other health interventions. It’s essential to invest in research on the knowledge, attitudes, behavior and practices (KAPB) of providers to understand how to select and train effective, well-prepared PrEP providers. This information may be available or may be gathered via a KABP survey and can be used to design training programs tailored to the specific needs and issues rasied by providers.

Assess national HIV testing programs for prevention efficacy

There is a strong emphasis on ensuring that people living with HIV are linked to ART after receiving a positive test result. People who test HIV-negative and are at risk for HIV should likewise be linked to effective prevention. This includes voluntary medical male circumcision, PrEP, male and female condoms and other targeted tools. PrEP programs will place new demands on testing programs. Individuals need a confirmed HIV negative test before initiating PrEP and need to be re-tested periodically while taking PrEP.

Assessing national and sub-national testing programs for strengths and challenges that might impact PrEP delivery is key. You will need to determine the infrastructure and human resource needs for the HIV testing requirements associated with PrEP. In many instances, local community-based organizations and healthcare facilities will be instrumental to providing HIV testing for the clients of PrEP programs.

Last updated on February 23, 2017.

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