PrEP Training Curriculum in South Africa
This PrEP training curriculum was developed by the South African HIV Clincians Society, in close collaboration with Wits RHI, ANOVA and OPTIONS with additional contributions from Gilead. The purpose of these slides is to ensure that teams and countries do not have to reinvent the wheel, as well as to have a library of slides available to countries and partners to utilize for quality training and presentation.
Please refer to the speakers notes at the bottom of each slide. Areas where country specific information will need to be adapted are highlighted, as the slides were developed in South Africa. Please use and adapt this curriculum as per your needs, but acknowledge the source. Suggested citation: Southern African HIV Clinicians Society and partners PrEP curriculum package February 2017.
From time to time these slides will be updated and the dates on the slides will be changed accordingly.
Module 1: Introducing PrEP
Module 1a: The Basics
Overview: A basic overview and introduction to PrEP. Intended for all.
- Why PrEP?
- Combination prevention: PrEP part of a combination prevention package
- What is PrEP?
- PrEP vs. PEP vs. ART
- PrEP in South Africa
- PrEP: Efficacy rates in clinical trials
- A brief overview on main research
- Overview of guidelines
- WHO, South African, Southern African HIV Clinicians Society
Module 1b: Additional Information — The evidence of PrEP effectiveness
Overview: A more detailed summary of PrEP research, for presentations where scientific/research aspects are required. Intended for clinicians; audience interested in the science and research of PrEP. Includes information from the following studies:
- PROUD, ATN113, Ipergay, AmPrEP, PATH-PrEP demo project, HPTN-067/ADAPT, Partners demo project, iPrEx, Strut, HPTN-073, ATN110, START
Module 2: Providing PrEP – The basics
Overview: This covers all the basics relating to the provision of PrEP. Intended for all. Click to download.
- Who is PrEP intended for?
- Contra-indications to PrEP
- PrEP in pregnancy
- Assessing risk
- Risk assessment
- Eligibility criteria
- Starting and stopping PrEP and effectiveness
- Stopping PrEP
- Cycling on and off PrEP
- Condom use and PrEP
- Combination prevention
Module 3: Working with different groups
Overview: This module explores different groups, different needs. We look at key populations, sensitisation, and some key points about working with different groups. Intended for all.
Due to file size limitations, this session has been broken into modules 3a-g, with each sub-section discussing one particular population. This module is meant to be integrated with all populations discussed.
- Module 3a: Overview of key populations and vulnerable populations — Why and what do we mean by sensitisation?, Stigma and stereo types, and the impact on healthcare, Sensitisation: creating the right environment
- Module 3b: Men who have sex with men
- Module 3c: Sex workers
- Module 3d: Adolescents and young people
- Module 3e: Sero discordant couples
- Module 3f: People who inject drugs
- Module 3g: Prisoners and PrEP
Module 4: Clinical management
Overview: Provides information to support clinical management of PrEP. Intended for clinicians and healthcare providers providing PrEP.
Due to file size limitations, this session has been broken into modules 4a-g, with each sub-section focused on a specific step in clinical management. This module is meant to be integrated.
- Module 4a: Getting started on PrEP
- Module 4b: Risks and side effects
- Module 4c: Stopping PrEP
- Module 4d: Supporting PrEP users
- Module 4e: PrEP - pregnancy and breast feeding
- Module 4f: PrEP dosing strategies
Module 5a: Sensitisation and communicating about PrEP
Overview: Cover practical points relating to communication about PrEP. Intended for all. Click to download.
- PrEP promotion and messaging
- Understanding user groups
- Communicating about PrEP
- Key messages — eligibility, condom use, counselling, education and awareness, safety and effectiveness, impact on lifestyle
Module 5b: Supporting effective PrEP pill taking and providing HIV risk reduction counselling
Overview: Cover practical points relating to counselling and risk reduction. Intended for all. Click to download.
- PrEP counselling
- Integrating PrEP into standard HIV risk reduction practices
- Case studies
- PrEP and HIV risk reduction
- Strategies to support effective pill taking
- Good counseling messages
- Support for effective pill taking
- Integrated PrEP counselling strategies
Module 6: Case studies
A library of case studies for training, use as appropriate for audience and time available. Click to download.
Last updated February 22, 2017.