Dual Prevention Pill

What is the Dual Prevention Pill (DPP)?

The Dual Prevention Pill (DPP) is currently being developed for daily use to prevent both HIV and pregnancy. It is one of several multipurpose prevention technologies (MPTs) in development. These products are designed to address multiple health needs in a single product. The DPP is comprised of oral pre-exposure prophylaxis (PrEP) for HIV and a combined oral contraceptive (COC). Public and private initiatives developing the DPP are currently underway.

Why is the DPP important?

214 million women of reproductive age in the developing world have an unmet need for contraception, according to FP2020. At the same time, women in sub-Saharan Africa are at high risk of HIV.

  • Young women ages 15-24 in sub-Saharan Africa account for 71 percent of new infections in their age group.
  • Young women of this age range comprise 29 percent of new infections among adults in the region. (Source: UNAIDS)

As the youth bulge results in millions of young people entering their reproductive years, the potential benefits of the DPP are critical. Specifically, the DPP could increase uptake of PrEP among women in high-burden settings and improve adherence, as well as mitigate the stigma that women may feel when seeking HIV services alone.

What is the status of the DPP?

A single tablet co-formulated to contain oral PrEP and oral contraceptive is under development. Since both oral PrEP and COC are already approved for regular use and have been proven safe and efficacious on their own, these drugs will be further tested to determine if they are as safe and effective in combination, an approach formally known as a bioequivalence study. If the DPP exhibits comparable safety and efficacy, the product developers will submit the DPP for review by regulatory authorities.

What is the DPP Project?

The DPP Project, initiated in August 2019, was formed to help speed the introduction of a DPP for HIV and pregnancy prevention.

A coalition of organizations, including AVAC, the Clinton Health Access Initiative (CHAI), Mann Global Health, Mylan and the Population Council lead the DPP project. These efforts are supported by the Children’s Investment Fund Foundation (CIFF), the Bill & Melinda Gates Foundation (BMGF), the US Agency for International Development (USAID) and WCG Cares.

Click here to learn more about the project.

The DPP Project’s Geographic Scope

map of sub-Saharan Africa prioritized for DPP introduction

Settings that demonstrate need (high HIV incidence and high unmet need for modern contraception), potential demand (current oral PrEP and contraceptive use) and enabling policy and regulatory environments will be prioritized for early DPP introduction. Early estimates indicate a potential market of 251,000-1.25 million women in 15 countries in sub-Saharan Africa. Kenya, South Africa and Zimbabwe are expected to be early introduction countries for the DPP.

DPP Project Timeline

DPP Project Timeline

Contact Information

Please contact dpp@avac.org with any questions or requests related to this project.