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 individuals interested in PrEP and doxy-PEP
- PrEP Basics Fact Sheet/Lo Esencial de PrEP – by San Francisco Department of Public Health
- Injectable PrEP Basics Fact Sheet/Lo Esencial de la PrEP inyectable — by San Francisco Department of Public Health
- PrEP Options (comparison chart pill & injectable option) – SFAF (English and Spanish)
- List of Clinics in SF Offering Long-Acting Injectable (LAI) for HIV PrEP & Treatment for prevention and treatment, clients they serve, and healthcare coverage they accept
- California PrEP Assistance Program (PrEP-AP) At a Glance: For Clients + Providers
doxy-PEP
- About Doxy-PEP Fact Sheet — San Francisco City Clinic
- Acerca de Doxy-PEP — San Francisco City Clinic
Resources for providers & frontline workers
- Ask about PrEP: How providers can prescribe PrEP to prevent HIV and reduce health disparities – San Francisco Department of Public Health
- Prescribing oral PrEP Pocket Card – by San Francisco Department of Public Health
- PrEP Navigation Manual: Helping People Access Pre-Exposure Prophylaxis – PleasePrEPMe.org & getSFcba
Injectable PrEP
- Injectable HIV PrEP Pocket Card – by San Francisco Department of Public Health
- Apretude Insurance Flowsheet, November 2023
- Visit Injectable HIV Medications and PrEP – for resources compiled by East Bay Getting to Zero
PrEP News & Updates
Latest from PrEP Committee
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…
First-of-Its-Kind Lawsuit from Gay Man Denied Insurance Because He’s on PrEP
Earlier this week, the Gay & Lesbian Advocates & Defenders (GLAD, not to be confused with GLAAD) filed a claim with the Massachusetts Commission Against Discrimination charging that Mutual of Omaha Insurance Company discriminated against a gay man when they denied him long-term care insurance because he’s taking Truvada as PrEP. This is the first…