Coalition to Accelerate Access to Long-Acting PrEP

Purpose

The Coalition to Accelerate Access to Long-Acting PrEP brings together donors, civil society, ministries of health, implementation science think tanks and partner organizations to ensure an accelerated, equitable, sustainable, and collaborative approach to optimizing access to new long-acting PrEP options. The Coalition is convened by the Global Fund, PEPFAR, Unitaid, UNAIDS and WHO, with AVAC as the Secretariat.

The Coalition’s objective is practical: to coordinate key stakeholder activities on long-acting PrEP access, including jointly developing strategies to identify and overcome access challenges for new PrEP options available now and those in the pipeline.

The Coalition is committed to transparency and will disseminate a quarterly update to chart progress overall and will periodically update the Plan for Accelerating Access and Introduction of Injectable CAB for PrEP with timelines and milestones across the full range of PrEP options. For more information and/or with questions for the Coalition co-convenors, contact [email protected].

Rationale

The Coalition to Accelerate Access to Long-Acting PrEP will urgently apply lessons learned from oral PrEP, create plans to overcome the unique challenges for new prevention options, with the aim that new, longer-acting PrEP options will be quickly and equitably accessible to all who need them, focused especially on low- and middle-income countries (LMICs).

More than 10 years ago, research showed oral PrEP was safe and effective in preventing HIV. In 2012, it was approved for use by the US Food and Drug Administration and subsequently recommended for all people at substantial risk of HIV by the World Health Organization (WHO). But the global health community moved too slowly and more than a decade later, only 5.67 million people have initiated oral PrEP use (cumulative number of initiations from 2012 to September 2023), a fraction of the estimated number of people who need it and could benefit from it. With new, longer-acting PrEP options reaching the market, the global health field needs to bring bold actions, global urgency, and coordinated partnerships to meet the challenges of product access, roll-out, and use. Product developers, policy makers, normative agencies, donors, program implementers, researchers, manufacturers, civil society, advocates, and communities all have critical roles to play. Strategic action is needed to ensure that science is translated into public health impact without unnecessary delay.