Lessons from the Field
As oral PrEP rolls out in Eastern and Southern Africa, implementers are facing and overcoming real-world obstacles. Whether it’s a supply chain question or skepticism from community leaders, run away rumors or less than perfect packaging, the people delivering PrEP are gaining invaluable information about how to address practical problems and successfully deliver PrEP to the people who need it most.
Lessons from the Field brings you these stories. Come here to learn from others, sharpen insights and find useful resources. Together, we will make HIV prevention and the implementation of PrEP smart, efficient and effective.
Easier and Equitable Access to PrEP: How DSD can help get us there
Improving access to HIV prevention is critical if we want to see meaningful reductions in new infections. Although the adoption and use of oral pre-exposure prophylaxis (PrEP) has gradually increased, with an estimated half a million people initiating PrEP worldwide, we are far from achieving the global target of three million users by the end of 2020.
Telling the PrEP Story through Pictures: The Untapped Potential of the PhotoVoice Project
The 3Ps for Prevention (Partners, Perceptions and Pills) study (3P) on PrEP use among adolescent girls and young women incorporated a photography project as a way for the young women to document their experience with PrEP. The images they created gave researchers a unique view into participants’ perspectives on PrEP, revealing new dimensions to their experience and the factors that encourage or discourage PrEP use.
Designing PrEP Messages That Work for Young Women: Learning from the Jilinde PrEP project in Kenya
One of the most ambitious programs to roll out oral PrEP to populations at risk of HIV so far is Jilinde, and run by Jhpiego (a Johns Hopkins University affiliate). Jilinde has built in a robust evaluation process that continuously tests and changes its messages and outreach aimed at adolescent girls and young women (AGYW), among other populations.
A User's Guide to PrEP Tools
A number of tools produced by different organizations provide support, training and guidance for policy makers, implementers, providers and others to advance effective access, uptake and continued use of PrEP. Use this table to learn more about these tools, who they’re designed for, and when to use them.
PrEP Messaging: Using radio to reach communities with oral PrEP messages
This story is part of a series of reports from the ongoing POWER Study, which is developing cost-effective and scalable models for PrEP delivery in Kenya and South Africa. AVAC and the University of Washington (UW) have teamed up to help answer questions from implementers rolling out PrEP in a variety of settings. Using qualitative stories from the UW PrEP projects, these blogs share lessons learned from the field and actionable insights for implementers developing strategies for delivering PrEP.
Video Series — Providing Oral PrEP: Lessons from the field
Oral PrEP will reach women who need it if PrEP programs are well-supported and prepared. A collaboration between LVCT Health in Kenya and AVAC, through the USAID-funded OPTIONS Consortium, this video series shows how LVCT Health made changes at the site level and helped women interested in oral PrEP overcome recurring barriers to uptake and adherence.
OPTIONS Plan 4 PrEP Tool Offers Countries Support for Rollout
The OPTIONS Consortium, with work led by FSG, recently created the Plan 4 PrEP tool to support national planning for oral PrEP rollout. The tool was developed based on experiences in South Africa, Kenya and Zimbabwe, where OPTIONS supported the Ministries of Health and technical working groups (TWGs) in each country to develop a strategy for oral PrEP introduction.
Support Groups a Driver to PrEP Rollout in Kenya
People using PrEP pointed to support groups as one of the most important resources they depend on to help them maintain good adherence. The groups consist of 10-15 people who are self-led and meet regularly to share their experiences and challenges in using PrEP.
Early Lessons from Kenya’s Oral PrEP Rollout Planning
Over the past three years, Kenya has been home to multiple oral PrEP demonstration projects and has progressed in its planning process to introduce oral PrEP as part of the country’s HIV response. Dr. Michael Kiragu is Technical Advisor for HIV Prevention at LVCT Health and a Principal Investigator in the Introducing PrEP into Combination Prevention (IPCP) demonstration project in Kenya. In an interview earlier this year, Dr. Kiragu shared his insights on the planning for PrEP introduction in Kenya, lessons learned from that experience and the questions and challenges that lay ahead.
The Road to PrEP Introduction in South Africa
South Africa has been a pioneer on introducing oral PrEP as part of HIV combination prevention. From hosting numerous demonstration projects to establishing new regulatory and implementation models for oral PrEP and other PrEP products, the country’s Department of Health, implementing partners and civil society have paved the way for PrEP at home and abroad.
Early Insights from PrEP Demo Projects
Implementers from early demonstration projects in Kenya, South Africa and Zimbabwe share challenges and successes delivering oral PrEP in the real world.
Early Lessons from South Africa’s Rollout of Oral PrEP to Sex Workers
In June 2016, South Africa’s National Department of Health began making oral PrEP available to sex workers. This represented the first time that PrEP was made available outside of a research study or demonstration project in an African country. Maria Sibanyoni, Program Manager of the Sex Worker program at Wits RHI, shared some early insights on what she has learned about delivering PrEP.
Q&A with Saiqa Mullick, Director of Implementation Science at Wits RHI
Dr. Saiqa Mullick is on the frontlines of PrEP introduction in South Africa. In her role as the Director of Implementation Science at Wits RHI and Deputy Director of the OPTIONS Consortium, Dr. Mullick has been deeply involved in the emergent strategy to bring PrEP to South Africans as an effective and game-changing prevention option. In this conversation, she outlines the opportunities, challenges and remaining questions in the continued effort to make PrEP widely available and effectively used.