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Increasing PrEP Adoption in SLO County
- 1. PrEP Advocacy Project Increasing the Adoption of Pre- Exposure Prophylaxis (PrEP) in San Luis Obispo County Leona Rajaee May 19, 2016
- 2. A LITTLE HISTORY AIDS first recognized by CDC 1996 39 million deaths 1981 2014 HAART makes AIDS more manageable
- 3. How do we prevent HIV?
- 4. HOW DO WE PREVENT HIV? Abstinence CondomsPrEP
- 5. PrEP 101 ▹ Introduced in 2012 to prevent HIV ▹ For people not already infected with HIV ▹ “A pill a day keeps the HIV away” ▹ Checkup with your doctor every 3 months
- 6. 99 % SOURCE: iPrEx study on MSM who took PrEP seven days a week effective
- 8. 1 in 3 doctors don’t know about PrEP 1 in 20 at-risk for HIV are currently taking PrEP
- 9. ” Why is PrEP still in the closet?
- 10. SIDE EFFECTS ▹ Biggest reason for not taking Truvada according to one study ▹ Nausea, vomiting, fatigue, and dizziness, were most common side effects ▹ Some people in clinical trials had elevations in blood tests that looked at kidney function ▹ Some people in studies had a decrease in bone mineral density within the first month
- 14. COSTS & ACCESSIBILITY With Insurance A client with insurance would pay a fraction of this cost, some who qualify for manufacturer programs may pay next to nothing. Without Insurance About $1,539.90 per month.
- 15. ADHERENCE 35.2% of people interested in PrEP feel anxious about having to take the pill consistently each day 90% of respondents currently on PrEP reported taking all 7 doses for the past week. Even though adherence is high, healthcare providers still cite adherence as a reason for their hesitation to prescribe the drug
- 17. Let’s talk about sex... vs.
- 18. PrEP for IDUs Injecting drug users (IDUs) have a disproportionate burden of HIV.
- 19. 80% of IDUs would go on PrEP These political and social barriers need to be addressed to increase PrEP treatment. Little or no public or governmental support Punitive and harsh treatment Marginalization
- 20. Access Support Network + PrEP
- 21. HIV is increasing in this county among young (18-24) men who have sex with men.
- 22. ” “HIV could never happen to me” “They have drugs for that now so I’m not worried” “AIDS is an old man’s disease”
- 23. HIV funding has been slashed Many prevention programs have been forced to shut down.
- 24. ASN launches the PrEP Advocacy Project ▹ In response to the need for prevention resources & the increase in new HIV transmissions.
- 25. 1. AWARENESS “PrEP uptake appears higher among those with prior knowledge about PrEP.”
- 28. CALL TO ACTION: Stop the Stigma Stigmatizing behavior, sex- negative messaging, and labels (ie ‘Truvada Whores’) should be neutralized because it hinders access to prevention services. Work w/ Healthcare Community Many healthcare practitioners don’ t feel well equipped to talk to their patients about PrEP. We should strive to support these individuals. Advocate for equitable healthcare Marginalized groups are among the groups of people that need PrEP the most. Unfortunately, many lack access to healthcare, making it harder to obtain PrEP as well. Get Tested Step 1: Know your status. 20% of those infected are unaware of their HIV status. Those undiagnosed 20% are responsible for up to 70% of the new infections each year in the United States. Inform at-risk individuals We should work to inform as many people as possible about PrEP and demystify it for those familiar with the treatment. Start conversations on sexual health Sexual pleasure should be viewed as a benefit of PrEP, an acceptable motive for seeking PrEP, and a core element of health.
- 29. THANKS! Any questions? You can find me at ▹ @leonarajaee ▹ leona8595@gmail.com ▹ http://www.asn.org/prepproject