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@example.com.
HIV Pre-exposure Prophylaxis (PrEP) Knowledge among General Practitioners in 2020: A French survey
This article from Infectious Diseases Now analyses the knowledge of and position on PrEP amongst general practitioners in Hauts-de-France, France.
An Update on Expanding HIV Preexposure Prophylaxis
This article from the Journal of the American Academy of Physicians Assistants describes how to better employ PrEP in the United States in light of changes to the Centers for Disease Control guidelines on PrEP counselling, monitoring, and delivery, and approval of injectable cabotegravir for PrEP by the US Food and Drug Administration.
Same-day Initiation of Oral Pre-exposure Prophylaxis among Gay, Bisexual, and Other Cisgender Men who Have Sex with Men and Transgender Women in Brazil, Mexico, and Peru (ImPrEP): A prospective, single-arm, open-label, multicentre implementation study
This article from The Lancet HIV assesses the feasibility of same-day oral PrEP delivery amongst gay and bisexual men who have sex with men and transgender women in Brazil, Mexico, and Peru.
Cost-effectiveness Analysis of the Daily HIV Pre-exposure Prophylaxis in Men who Have Sex with Men in Barcelona
This article from PLOS One models the cost-effectiveness of daily oral PrEP use amongst gay and bisexual men who have sex with men in Barcelona, Spain.
Estimating the Impact of HIV PrEP Regimens Containing Long-acting Injectable Cabotegravir or Daily Oral Tenofovir Disoproxil Fumarate/Emtricitabine among Men who Have Sex with Men in the United States: A mathematical modelling study for HPTN 083
This article from The Lancet Regional Health- Americas describes the results of a modelling exercise which compares the potential population-level impact of oral PrEP (TDF/FTC) and Cabotegravir for PrEP among gay and bisexual men who have sex with men in Atlanta, Georgia, USA.
Nurse-facilitated PrEP Delivery for Adolescent Girls and Young Women Seeking Contraception at Retail Pharmacies in Kisumu, Kenya
This article from AIDS evaluates PrEP uptake, initiation, and continuation within a nurse-facilitated pharmacy-based delivery model for Kenyan adolescent girls and young women seeking contraception at retail pharmacies.
Efficacy of Daily Text Messaging to Support Adherence to HIV Pre-Exposure Prophylaxis (PrEP) among Stimulant-Using Men Who Have Sex with Men
This article from Substance Use & Misuse evaluates the efficacy of the individualized Texting for Adherence Building (iTAB) intervention for PrEP adherence among 119 gay and bisexual men who have sex with men who use stimulants in California, USA.
Primary Care Provider HIV PrEP Knowledge, Attitudes, and Prescribing Habits: A cross-sectional survey of late adopters in rural and suburban practice
This article from the Journal of Primary Care & Community Health describes the current knowledge, attitudes, and prescribing behaviors of HIV PrEP in primary care providers in Pennsylvania, USA with a focus on the perceived barriers and facilitators to PrEP prescribing.
Young Adult Perspectives on Sex, Dating, and PrEP Use During the Pandemic and Improving the Future of PrEP Care
This article from AIDS and Behavior examines the experiences of young adults with sex, dating, and PrEP use during California’s Covid-19 “shelter-in-place” orders and their perceptions on how to improve PrEP care in this age group.