HIV Prevention Initiative: Integrating PrEP into PP Health Centers Courtney Benedict, CNM, MSN

PP Background – comfortable screening for HIV/STI, lots of experience doing so. PrEP protocols added 2014. As of October 1, 2016 (most recent data available) 20 affiliates provide PrEP services at a total of 237 centers. That’s over 35% of all Planned Parenthood health centers nationwide. 11 of those affiliates also provide PEP services at a total of 140 centers. Not all affiliates who provide PrEP provide PEP.

HPI Project Objectives Build PP internal expertise and capacity to deliver holistic, cutting-edge HIV prevention services to at-risk populations Internal Needs Assessment Develop Staff Training & Resources Generate Pilot Patient Education Materials Administer Seed Grants to Affiliates Create a Learning Collaborative to Sustain & Grow Overall objective of program is to build PP’s internal expertise and capacity to deliver holistic cutting-edge HIV prevention, education, and related services sustainably to populations most at-risk – particularly Black females. Partnered with BAI to guide us in reaching black females. Our project focused on these 5 activities in order to achieve this goal: Internal Needs Assessment Development of staff training and resources to assist staff Develop pilot patient education materials Administer seed grants to affiliates to support their programs And Create a learning collaborative to sustain and grow the initiative

Needs assessment – integral in shaping our efforts Needs assessment – integral in shaping our efforts. We did an online survey and key informant interviews of attitudes, services offered (clinical and education/outreach/marketing), and resources and tools needed to support or expand services. - found staff & leadership highly motivated n their desire to provide the service - some discomfort around prescribing PrEP - perception that patients would be interested /candidates - funding to support program, case managers, and patient assistance program support - marketing assistance, community partnership building But most requested resource was around staff training…

- most often requested support/resource was assistance around staff training. Specifically: - TTT resources and support to improve or expand HIV risk reduction counseling and establish a MI protocol - request specific for training geared to different audiences (clinician viewpoint, health educator, and assistant level) - training on reaching special populations - detailed info about formats desired for training materials Able to customize training approach and resource development based on N.A. We did the same for the identified needs re: resources needed for patient/community education, operational resources, as well as hone in special populations the field wanted the most help with (and customize training).

# Risk screens & tests same 202% increase in PrEP counseling sessions 61% increase in PrEP rx

CHALLENGES ACCOMPLISHMENTS Reaching Females Reaching Black Females De-Stigmitization PrEP Counseling Consistency Staff Investment Ongoing Training Needed Prior Authorization Barriers Metrics Challenging Resources Utilized, Well- Received Partnerships Comprehensive PrEP Provision PEP Addition