UCHAPS PrEP ExperiencesFROM JURISDICTIONAL PRESENTATIONS – DECEMBER 2013

New York City – Overview of PrEP/PEP Plan

First Steps◦ Assembled key parties◦ Established PrEP workgroup

Reviewed Data◦ Evidence base◦ Local data

Set agenda for immediate activities◦ Included increasing community and provider awareness & access◦ Support & monition appropriate implementation

Increasing awareness Focus on those at increased risk

◦ Traditional media◦ Posters, pamphlets, postcards via 311◦ Distributed by contractors, STD clinics, CBOs and Partner Services staff

◦ New media◦ Pop-ups on mobile dating/hook-up apps◦ Promoted ads (Twitter, Facebook, etc)

Examples of Media

Lessons Learned

Chicago Barriers to PrEP similar to those in other jurisdictions

◦ Uninformed/misinformed communities◦ Uninformed/misinformed medical providers◦ Insurance coverage confusion◦ Costs

◦ Drugs◦ Medical care & follow up (co-pays, labs, etc.)◦ Services◦ Programming

Establishment of a PrEP Workgroup

GOAL: improve awareness of & access to PrEP for communities most in need

Workgroup (50+ members) included:◦ Integrated Planning Body◦ Department of Public Health◦ Medical Providers◦ Researchers◦ CBOs ◦ Advocates

Workgroup Activities

Each of these was carrie

d out by various

stakeholders/organizations who were

also workgroup members

Baltimore City Planning Group – PrEP Workgroup

Workgroup Membership

Experts in the field of HIV prevention, treatment & advocacy

Community

Medical Providers

Regulatory Agencies

Initial Workgroup Meeting

From healthcare providers section

SanFrancisco – Magnet Program

Local clinic with PEP/PrEP ProgramDeveloped with local community inputEstablished community advisory board

Barriers◦ Navigation of healthcare benefits◦ Medicare, ACA bronze plans, cost of ACA plans, time to benefit activation◦ Reaching clients in need◦ Individualized case management

Considerations◦ How to do case management with large groups?◦ Incorporating PrEP into other prevention messages◦ Assisting clients obtain PrEP if cost is an issue

Philadelphia Next Steps & Prioritizing

◦Thoughts?