The PrEP initiative has 3 core components focused on providers, users, and measuring impact. A PrEP steering committee will oversee efforts in these 3 areas:
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
- PrEP Basics Fact Sheet, updated December 2021 – San Francisco Department of Public Health
- Lo Esencial de PrEP, updated December 2021 – San Francisco Department of Public Health
- San Francisco City Clinic – PrEP Information
Resources for PrEP providers
- San Francisco City Clinic PrEP Section
- SFCC PrEP Navigation Services Protocol (v. 12/7/18) – San Francisco City Clinic
- San Francisco Health Network Pre-Exposure Prophylaxis (PrEP) Management Guidelines, June 2016
- Ask about PrEP (Prescribing PrEP: A Guide for Providers) – San Francisco Department of Health
- 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
PrEP News & Updates
Latest from PrEP Committee
Please PrEP Me launch
PleasePrEPMe.org, the searchable, location-based California PrEP provider directory, has been launched! Included are 188 PrEP providers in half of the counties across the state of California. This statewide directory was born out of the original Bay Area PrEP Provider list, a collaboration between HIVE and City Clinic. Please take a look at the website at www.pleaseprepme.org,…
Lots of news from the PreP Committee!
Slides from the last PrEP Committee meeting, held on October 28, appear below. The agenda included a presentation by Jonathan Volk on Kaiser PrEP data and a presentation by the NURX.co team about their PrEP delivery model. Also, a manuscript has just been published in JAMA Internal Medicine describing results from the SF Department of Public Health’s PrEP…
How Some US Doctors Are Hindering HIV Prevention
Jake Mason will never forget the response he received when he asked for a Truvada prescription to prevent HIV at a clinic in Los Angeles. “The first thing the doctor said was ‘Why do you want to be a cum dumpster?’” Mason alleged, adding that he couldn’t remember the doctor’s name. “He said, ‘Well, I…
Project Inform Launches Report on PrEP Access in California
Project Inform has published a report entitled “Scaling Up Pre-Exposure Prophylaxis in California” laying out recommendations for increasing access to and uptake of HIV pre-exposure prophylaxis (PrEP) in the state of California. The report comes from a think tank held in November 2014, attended by over 50 stakeholders from government, academia, public health departments, medical…