PrEP delivery can be challenging. Be sure you have what you need, including well-trained providers and informed end users. To succeed in this step, you will need to gather information and produce materials that educate key stakeholder groups.
Create and/or adapt materials and training approaches for health workers
Health care workers need adequate training on how to enroll PrEP users, considerations for delivery, adherence and issues surrounding stigma. Training tools reinforce core messages such as who should be offered PrEP and how to counsel potential users.
Explore provider knowledge, attitudes, behaviors and practices
Health providers are the gate-keepers for PrEP—and for many other health interventions. It’s essential to invest in research on the knowledge, attitudes, behavior and practices (KAPB) of providers to understand how to select and train effective, well-prepared PrEP providers. This information may be available or may be gathered via a KABP survey and can be used to design training programs tailored to the specific needs and issues raised by providers.
Assess national HIV testing programs for prevention efficacy
There is a strong emphasis on ensuring that people living with HIV are linked to ART after receiving a positive test result. People who test HIV-negative and are at risk for HIV should likewise be linked to effective prevention. This includes voluntary medical male circumcision, PrEP, male and female condoms and other targeted tools. PrEP programs will place new demands on testing programs. Individuals need a confirmed HIV-negative test before initiating PrEP and need to be re-tested periodically while taking PrEP.
Assessing national and sub-national testing programs for strengths and challenges that might impact PrEP delivery is key. You will need to determine the infrastructure and human resource needs for the HIV testing requirements associated with PrEP. In many instances, local community-based organizations and healthcare facilities will be instrumental to providing HIV testing for the clients of PrEP programs.
Need answers? The PrEPWatch Help Desk provides support for all your questions related to PrEP implementation and planning.
This site matches individuals who are interested in PrEP to eligible health plans and provides comparative pricing. PrEPcost.org is designed for both PrEP users and health care providers to make it easy to navigate the insurance options and find the best plans available.
At least 309,525 people have started to take PrEP in 68 countries, but 71 percent of PrEP users are in North America, according to a global analysis presented by AVAC to the HIVR4P conference in Madrid.
The OPTIONS Consortium has created a new five-part video series, Demand Creation for PrEP, focused on demand creation for HIV prevention behaviors drawn from the OPTIONS led 2018 AIDS Pre-Conference event, Insight to Impact.