The Project PrIDE Learning Collaborative

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Presentation transcript:

The Project PrIDE Learning Collaborative Jonathan Fuchs, MD, MPH Director, Center for Learning & Innovation San Francisco Department of Public Health Associate Professor of Medicine, UCSF California PrIDE Prep for PrEP November 15, 2016

Pre-Exposure Prophylaxis Process Map Indication for PrEP Interested in PrEP Screened as Eligible for PrEP At Risk for HIV Aware of PrEP 3 Months 6 Months Linked to PrEP Provider Initiated PrEP Prescribed PrEP Adherent/ Retained in PrEP Prgm Retained on PrEP Filled PrEP Script Fiscal Coverage Screening Protocols/ Guidelines Caring for At Risk Patients Educated about PrEP Willing to Provide PrEP Primary Care Providers Aware of PrEP Reassess Need/Stop/Restart PrEP Based on HIV Risk Change Pre-Exposure Prophylaxis Process Map

A wide range of competencies are needed to implement activities that will lead to PrEP adoption Social marketing Outreach strategies to potential users through PrEP ambassadors Clinical provider education (e.g, public health detailing) Client education/MI about PrEP linked to HIV testing Client/patient navigation, including benefits eligibility Wrap around services (substance use/MH/housing) Establishing provider directories Data to PrEP- working with DIS to identify PrEP candidates and refer Provision of PrEP (e.g., STD clinics) Surveillance/evaluation to track PrEP awareness/use Policy development/financing Health Departments Community Mobilization: e.g., social marketing Provider education Creating and maintaining provider directories Disease investigators Establishing/funding for navigator programs Clinical provision (STD clinics) Wrap around services to support clients/patients Surveillance to track PrEP uptake CBOs Client education linked to HIV testing Social marketing PrEP provision HCOs Marketing to patients Provision Culturally responsive environments to ensure friendly services for targeted audiences that are experiencing disproportionate burden of infections Billing for counseling and clinical services Navigating benefits eligibility, patient

Zoom Video Conferencing

Eight CBA Providers to Serve Health Departments

www.cbaproviders.org

Next Steps Set up a profile on the PrEP Learning Collaborative site: pride.colllaborate4health.org Participate in the monthly PrEP working group videoconference calls (and please suggest topics!) Post a question/comment in the discussion forums Share/download a resource Tell us what is helpful/what can be improved Mateo.lumbreras@sfdph.org

Acknowledgements Oliver Bacon Gary Naja-Riese Mateo Lumbreras Mehroz Baig Wesley Dayton Aminta Kouyate Stephanie Cohen Thomas Knoble Robert Blue Charles Fann Shannon Weber CDC 14:1403 CA State Office of AIDS