The HIV Prevention Ambassador Training Package and Toolkit was created to prepare potential and current PrEP users to be leaders – or “Ambassadors” – in the rollout of PrEP for HIV prevention in their communities.
Through interactive activities, discussion, and action planning, the training prepares Ambassadors to share information with their peers about PrEP methods as part of combination HIV prevention. Ambassadors also gain skills to support peers who are interested in using PrEP and to build community support for PrEP use. For any Ambassadors who have not been previously trained on sexual and reproductive health and rights, the training also includes foundational sessions on sexual and reproductive health, human rights, gender and gender inequality, violence, and HIV transmission.
This training can be implemented partially or in full by community-based organizations, non-governmental organizations, ministries of health, and PrEP implementers. Trained HIV Prevention Ambassadors can also implement the training—or selected portions of it—with their peers.
The HIV Prevention Ambassador Training package includes a training manual for facilitators with essential knowledge on training topics and training session instructions. The package also includes an Ambassador Toolkit with colorful, one-page handouts and worksheets in a booklet format that trained Ambassadors can use to conduct peer support, community discussions, and other activities. The toolkit is designed to accompany the Ambassador Training sessions and can be translated into local languages. There are multiple versions of the HIV Prevention Ambassador Training Package and Toolkit as described below.
HIV Prevention Ambassador Training Package and Toolkit for Adolescent Girls and Young Women (AGYW), 3rd edition
This training is designed specifically for working with AGYW and includes up-to-date information on oral PrEP, the PrEP ring, and CAB PrEP. In addition, it includes considerations for trans and nonbinary youth. Click here to learn more about what young people have to say about this training.
- Training Package: low resolution, high resolution, printer version
- Toolkit: low resolution, high resolution, printer version
- Ambassador Training Certificate
- Local Referral Directory Template
- Ambassador Training for AGYW One-Pager (coming soon)
- Sample Agenda
- Template Participant Knowledge Check: Pre-Check, Post-Check, and Answer Key
- Parent and Caregiver Module
The first edition of this training was created in 2019 by the OPTIONS Consortium and later revised by the PROMISE and CHOICE collaborations in 2021. The current edition was finalized in 2023 by the MOSAIC project. The training was field tested in 2019-2020 in Zimbabwe. Read the findings here and click here to read the field testing brief.
HIV Prevention Ambassador Training Package and Toolkit for PrEP Priority Populations, 1st edition
This training is designed specifically for men who have sex with men, people who inject drugs, pregnant and breastfeeding people, serodifferent couples, sex workers and transgender people. The training for Priority Populations was created by the CHOICE activity of the EpiC and RISE projects and includes information on oral PrEP. A second edition, including information on the PrEP ring and CAB PrEP, will be developed in 2023-2024 by the MOSAIC project.
HIV Prevention Ambassador Training – Online Oral PrEP Modules for AGYW
This online module was developed in 2020 by Wits RHI to provide an overview of oral PrEP knowledge for AGYW. The module can be accessed here and will be updated in 2023-2024 to include the PrEP ring and CAB PrEP.
HIV Prevention Ambassador Virtual Trainer’s Workshop
These materials, based on the training for PrEP priority populations, can be used to conduct a virtual ‘training of trainers’ workshop for HIV Prevention Ambassador trainers and include a sample facilitation plan, slide deck, and mentors’ activity guide. The materials were designed for a five-day training and are entirely editable. They should be referenced and customized when creating a program to respond to the unique needs of your training group.
- Sample Facilitation Plan
- Day 1 – Day 5 Slide Deck
- Mentors’ Activity Guide
- Challenging Situations Activity
- Managing Challenging Participants
- Trainer Skills Inventory
- Ambassador Skills & Peer Support Video
For more information, printed copies, or previous versions of the HIV Prevention Ambassador Training Package and Toolkit, local language translations of the Ambassador Toolkit, or editable graduation certificates and/or local referral directory templates, please contact [email protected].
Addressing the Need for a Preexposure Prophylaxis Monitoring and Evaluation Implementation Guide: Experience From Zambia
The HIV care continuum comprises well-defined steps and indicators. In contrast, indicators along the preexposure prophylaxis (PrEP) cascade are still in the early stages of implementation. Monitoring and evaluation (M&E) of PrEP services is critical to optimizing PrEP uptake and adherence during periods of HIV risk. We provide an overview of global indicators for PrEP,…
Special Issue of the PrEP1519 Brazil Study
Cadernos de Saúde Pública released a special issue of the PrEP1519 study using baseline data. Click here more details. For a full breakdown of the free journal articles, please see below. Combination HIV prevention for adolescent men who have sex with men and adolescent transgender women in Brazil: vulnerabilities, access to healthcare, and expansion of…
The toolkit provides a comprehensive set of tools to support integration of the CHARISMA empowerment counseling intervention into PrEP programs. The intervention is comprised of four steps administered by counselors as part of PrEP service delivery: (1) a relationship assessment, (2) tailored empowerment counseling, (3) information materials for male partners, and (4) referrals to community-based…
Guidance: Standard Operating Procedures for Addressing Partner Relationships and Gender-Based Violence in Pre-Exposure Prophylaxis (PrEP) Services
Standard Operating Procedure Guidance Evidence has shown that intimate partner violence (IPV) may act as a barrier to accessing HIV services, including PrEP services. IPV is associated with lower PrEP uptake and adherence and increased PrEP interruption among cisgender women. Although cisgender women have made up the majority of participants in research on PrEP and…
Salient Beliefs and Intention to Use Pre-Exposure Prophylaxis Among Pregnant and Breastfeeding Women in Zambia: Application of the theory of planned behaviour
This article from Global Public Health shares the outcomes of beliefs and intentions to use PrEP amongst pregnant and lactating cisgender women in Zambia.
Depression and PrEP Uptake, Interruption, and Adherence Among Young Women in Uganda
This article from AIDS Care describes the frequency of depression symptoms in a cohort of 499 young women in Kampala, Uganda and to determine the association of depression symptoms with use of PrEP.
PrEP Use and HIV Seroconversion Rates in Adolescent Girls and Young Women from Kenya and South Africa: The POWER demonstration project
This article from the Journal of the International AIDS Society describes the POWER project, a prospective implementation science evaluation of PrEP delivery for adolescent girls and young women in family planning clinics in Kisumu, Kenya and youth and primary healthcare clinics in Cape Town and Johannesburg, South Africa.
Summary of Guidelines for the Use of Pre-Exposure Prophylaxis for HIV in Korea
These guidelines, developed by the Korean Society for AIDS and published in Infection & Chemotherapy, aim to provide comprehensive information for PrEP implementation in South Korea.
What Motivated Men to Start PrEP? A cross-section of men starting PrEP in Buffalo City Municipality, South Africa
This article from BMC Public Health discusses the results of qualitative interviews with cisgender, heterosexual men initiating PrEP in Buffalo City Municipality, South Africa to explore their perceived HIV acquisition risk, prevention needs, and preferences for PrEP initiation.
Impact and Cost-effectiveness of the National Scale-up of HIV Pre-exposure Prophylaxis among Female Sex Workers in South Africa: A modelling analysis
This article from the Journal of the International AIDS Society evaluates the impact and cost-effectiveness of South Africa’s national PrEP programme for female sex workers.