Jen Chapman, Co-Chair of the Philadelphia HIV Prevention Planning Group (HPG) presented on experiences with PrEP from different jurisdictions across the country at the March 2015 HPG meeting.
2. 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
3. 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)
6. 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
7. 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
10. Baltimore City Planning Group – PrEP
Workgroup
Workgroup Membership
Experts in the field of HIV prevention,
treatment & advocacy
Community
Medical Providers
Regulatory Agencies
13. SanFrancisco – Magnet Program
Local clinic with PEP/PrEP Program
Developed with local community input
Established 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