The PrEP initiative has 3 core components focused on providers, users, and measuring impact.
Improved user knowledge and access
- Broad-based education campaign to reach into heavily impacted communities
- User hotline for information, resources
- Website as “one-stop shop” of local and national resources and information
- Affordability program including navigators to assist potential users with insurance and provider choice, access to co-pay/deductible/payment assistance
- Speakers bureau of PrEP users
- Programs to support PrEP adherence
Increased provider capacity
- Support for public-access PrEP clinics
- Training, resources for providers in diverse fields (primary care, Ob/Gyn, pediatrics, psychiatry)
- Warm line for providers
- Online tools
- Cultural humility training for providers
Tracking PrEP uptake and impact
- Measure PrEP use citywide (including demographics and behavior of PrEP users, duration of use, type of PrEP)
- Track potential negative consequences (e.g., breakthrough infections, resistance, social harms, STIs, difficulty accessing PrEP)
- Track potential benefit (e.g., impact on HIV incidence, access to comprehensive health services for PrEP users)
- Track sexual and injection behaviors over time
- Track PrEP- and HIV-associated stigma
- Measure cost to providers, payers, users
PrEP Committee Resources
Resources for people interested in PrEP and doxy-PEP
- *New* Injectable PrEP Basics/Lo Esencial de la PrEP inyectable — by San Francisco Department of Public Health
- *New* Ask your clinic about long-acting injectable medication that can prevent & treat HIV [QR code] – by San Francisco Department of Public Health
- *Nuevo*Pregunta en tu clínica por el medicatmento de acción prolongada inyectable que previene y trata el VIH [QR code] – por El Departamento de Salud Publica de San Francisco
- *New* SF Options for Long-Acting Injectable (LAI) HIV Medications: A guide to San Francisco’s clinics & providers that offer CAB-LA for prevention and CAB/RPV for treatment, clients they serve, and healthcare coverage they accept [May 2024]
- *New* About Doxy-PEP — San Francisco City Clinic
- *New* Acerca de Doxy-PEP — San Francisco City Clinic
- PrEP Basics Fact Sheet/Lo Esencial de PrEP – by San Francisco Department of Public Health
- San Francisco City Clinic – PrEP Information
- Prevent HIV with PrEP – San Francisco AIDS Foundation
Visit Injectable HIV Medications and PrEP – for resources compiled by East Bay Getting to Zero
Resources for PrEP providers
- Apretude Insurance Flowsheet, November 2023
- *Updated* Ask about PrEP: How providers can prescribe PrEP to prevent HIV and reduce health disparities – San Francisco Department of Public Health, June 2024
- Injectable HIV PrEP Pocket Card – by San Francisco Department of Public Health
- Prescribing oral PrEP Pocket Card – by San Francisco Department of Public Health
- [Protocol] SF WPIC/Street Medicine Open Access Clinic: Long-Acting Injectable PrEP (IM Cabotegravir)
- San Francisco City Clinic PrEP Section
- SFCC PrEP Navigation Services Protocol (v. 12/7/18) – San Francisco City Clinic
- PrEP Navigation Manual: Helping People Access Pre-Exposure Prophylaxis – PleasePrEPMe.org and Project Inform
- Ayudando A Las Personas a Tener Acceso A La Profilaxis Anterior a la Exposición (en Español) – PleasePrEPMe.org and Project Inform
- San Francisco Health Network Pre-Exposure Prophylaxis (PrEP) Management Guidelines, June 2016
PrEP News & Updates
Latest from PrEP Committee
New & Updated Resources, June 2024
We’ve added a number of new or recently updated resources on the website, see links below. Many thanks to GTZ-SF committees and community partners for developing & sharing these critical resources. *New* Doxy-PEP Info sheet in English and Spanish for patients – here and here (en español) – SF City Clinic Doxy-PEP fact sheet for healthcare providers…
Apretude (PrEP) Insurance Flowsheet
BAYLAP, or the Bay Area Alliance for Long Acting PrEP, has developed an insurance flowsheet to help clinics with insurance navigation. The document can be found on the PrEP Committee page and Resources page. And directly, here!
[New Publication] The case for prescribing PrEP in community mental health settings
Sudler A, Cournos F, Arnold E, Koester K, Riano NS, Dilley J, Liu A, Mangurian C. The case for prescribing PrEP in community mental health settings. Lancet HIV. 2021 Apr;8(4):e237-e244. doi: 10.1016/S2352-3018(20)30273-3. Epub 2021 Jan 22. PMID: 33493438. Abstract Pre-exposure prophylaxis (PrEP) is a biomedical HIV prevention modality that is up to 99% effective in…
Truvada® is going generic on September 30, 2020: Update for San Francisco PrEP Users (updated 10/14)
Where can I learn more?If you or your provider have any questions, please contact San Francisco City Clinic at sfccpatientservices.dph@sfdph.org. For more information on generic medications, the FDA maintains information at its Generic Drug Facts page.