Lessons from the Field

As oral PrEP rolls out in Eastern and Southern Africa, implementers are facing and overcoming real-world obstacles. Whether it’s a supply chain question or skepticism from community leaders, run away rumors or less than perfect packaging, the people delivering PrEP are gaining invaluable information about how to address practical problems and successfully deliver PrEP to the people who need it most.

Lessons from the Field brings you these stories. Come here to learn from others, sharpen insights and find useful resources. Together, we will make HIV prevention and the implementation of PrEP smart, efficient and effective.

Video Series — Providing Oral PrEP: Lessons from the field

December 2017

Oral PrEP will reach women who need it if PrEP programs are well-supported and prepared. A collaboration between LVCT Health in Kenya and AVAC, through the USAID-funded OPTIONS Consortium, this video series shows how LVCT Health made changes at the site level and helped women interested in oral PrEP overcome recurring barriers to uptake and adherence.
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OPTIONS Plan 4 PrEP Tool Offers Countries Support for Rollout

September 2017

The OPTIONS Consortium, with work led by FSG, recently created the Plan 4 PrEP tool to support national planning for oral PrEP rollout. The tool was developed based on experiences in South Africa, Kenya and Zimbabwe, where OPTIONS supported the Ministries of Health and technical working groups (TWGs) in each country to develop a strategy for oral PrEP introduction.
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Support Groups a Driver to PrEP Rollout in Kenya

June 2017

People using PrEP pointed to support groups as one of the most important resources they depend on to help them maintain good adherence. The groups consist of 10-15 people who are self-led and meet regularly to share their experiences and challenges in using PrEP.
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Early Lessons from Kenya’s Oral PrEP Rollout Planning

March 2017

Over the past three years, Kenya has been home to multiple oral PrEP demonstration projects and has progressed in its planning process to introduce oral PrEP as part of the country’s HIV response. Dr. Michael Kiragu is Technical Advisor for HIV Prevention at LVCT Health and a Principal Investigator in the Introducing PrEP into Combination Prevention (IPCP) demonstration project in Kenya. In an interview earlier this year, Dr. Kiragu shared his insights on the planning for PrEP introduction in Kenya, lessons learned from that experience and the questions and challenges that lay ahead.
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The Road to PrEP Introduction in South Africa

March 2017

South Africa has been a pioneer on introducing oral PrEP as part of HIV combination prevention. From hosting numerous demonstration projects to establishing new regulatory and implementation models for oral PrEP and other PrEP products, the country’s Department of Health, implementing partners and civil society have paved the way for PrEP at home and abroad.
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Early Insights from PrEP Demo Projects

February 2017

Implementers from early demonstration projects in Kenya, South Africa and Zimbabwe share challenges and successes delivering oral PrEP in the real world.
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Early Lessons from South Africa’s Rollout of Oral PrEP to Sex Workers

February 2017

In June 2016, South Africa’s National Department of Health began making oral PrEP available to sex workers. This represented the first time that PrEP was made available outside of a research study or demonstration project in an African country. Maria Sibanyoni, Program Manager of the Sex Worker program at Wits RHI, shared some early insights on what she has learned about delivering PrEP.
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Q&A with Saiqa Mullick, Director of Implementation Science at Wits RHI

February 2017

Dr. Saiqa Mullick is on the frontlines of PrEP introduction in South Africa. In her role as the Director of Implementation Science at Wits RHI and Deputy Director of the OPTIONS Consortium, Dr. Mullick has been deeply involved in the emergent strategy to bring PrEP to South Africans as an effective and game-changing prevention option. In this conversation, she outlines the opportunities, challenges and remaining questions in the continued effort to make PrEP widely available and effectively used.
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News Spotlight

  • FDA Approves Truvada as PrEP for Adolescents at Risk for HIV

    May 15, 2018

    The US Food and Drug Administration has expanded the approval of Truvada as pre-exposure prophylaxis (PrEP) against HIV to include adolescents. Truvada was approved as an HIV prevention method in 2012 but only for individuals age 18 and older. The new approval expands this indication to include adults and adolescents at risk for HIV.

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  • Early PrEP Uptake in Africa Study Gives Support for Possibility of Wider Acceptance

    May 9, 2018

    New findings show that nearly a fifth of adults whose risk for HIV infection made them eligible for free PrEP started taking the drug within 30 days — according to a study examining the impacts of health interventions across communities in two East African countries. The study’s authors conclude that this provides further evidence that widespread roll out of PrEP to individuals at high risks for infection across resource-limited communities is feasible.

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