COMMUNITY MOBILIZATION FOR PREP ACCESS AND IMPLEMENTATION THE CHICAGO STORY UCHAPS PHILADELPHIA DECEMBER 14, 2014 JESSICA TERLIKOWSKI DIRECTOR OF PREVENTION TECHNOLOGY EDUCATION 1

PREP BARRIERS Common to those of other jurisdictions Uninformed/misinformed communities Uninformed/misinformed/biased providers Insurance coverage confusion Costs of: Drug Labs Services Programming 2 University of Chicago Facebook/social media campaign facebook.com/groups/prepchicago

Chicago PrEP Working Group Researchers Medical providers Advocates CBOs HIV planning members 3

Chicago PrEP Working Group Researchers Medical providers Advocates CBOs HIV planning members 4

 My PrEP Experience – personal stories, resources  Project Ready, Set, PrEP! (RSP!) –HIV workforce trainings and community awareness efforts  200+ training participants in 2014  RSP+ – Prevention option pipeline trainings  Midwest HIV Prevention and Pregnancy Planning Initiative – sexual health needs, family planning desires (NEW)  Illinois Insurance Plan Analysis of PrEP Coverage  Advocacy/Media – proactive, reactive  Co-convene Chicago PrEP Working Group  Mapping Pathways – toolkit to support planning successful ARV- prevention implementation 5 AIDS FOUNDATION OF CHICAGO

 Current HIV Prevention RFP includes 3 PrEP demonstration projects – north, west, south sides, funding begins 2015  Center PrEP Implementation Project – active referral of STI clinic patients from Lakeview Specialty Clinic to Howard Brown Health Center  Expand active referral between CDPH STI clinics and CORE, University of Chicago  Training DIS staff, active referral for all rectal STI patients  PrEP Policy brief – published December 2010  Co-convene Chicago PrEP Working Group CHICAGO DEPARTMENT OF PUBLIC HEALTH

 CEO Stan Sloan on PrEP – story on AFC’s “My PrEP Experience” (Episcopal Priest and CEO of Chicago House Shares His PrEP Experience )Episcopal Priest and CEO of Chicago House Shares His PrEP Experience  Developing social marketing strategy – PrEP awareness, access, and adherence  Brochures in English/Spanish, palm cards – January 2015  Chicago PrEP Working Group 7 CHICAGO HOUSE

 Cook County Health and Hospitals System  ATN 110/113 – PrEP research/OLE/demonstration/safety including 15 to 17 year old gay men (boys)  PrEP Clinic – January 2015 (on site, partner sites)  EPIC – Adherence study  18 to 29 year old gay men  Randomized to standard PrEP care through clinic or enhanced adherence via SMS, web support (study led by Liu and Fuchs, SFDPH)  Chicago PrEP Working Group 8 CORE CENTER

 PrEP clinic – (250+ patients actively using)  Walk-In – 11/3 - patients able to see provider same day  Active Referrals via CDPH’s Lakeview Specialty Clinic  Successfully connected patients to primary care, PrEP, and Medicaid/Market Place exchanges, most were uninsured (ACA Navigator)  PrEP Coordinator – case manager  PrEP utilization among Black sexual minority, gender variant pops (particularly over 24) - LOW  Young gay men/trans all races/ethnicities - LOW  White gay men ages 25+ highest, followed by Latino  Chicago PrEP Working Group 9 HOWARD BROWN HEALTH CENTER

 PrEP education  Incorporated into sero-discordant couples program, treatment education programs  Lifeline –new HIV prevention program for negative individuals at elevated risk (men, women), PrEP info incorporated  Referrals to Howard Brown Health Center  PrEP resources – including provider list  Positively Aware –  Chicago PrEP Working Group 10 TEST POSITIVE AWARE NETWORK

 SHIPP – Sustainable Health Center Implementation Pilot, Access Grand Boulevard, Black gay men, Black women  PS-PrEP – Randomized clinical trial of PrEP linkage program by DIS staff, UC and CDPH  Facebook PrEP –educating community about PrEP and disseminate information  PrEP clinics  UC Infectious Disease Clinic  Access Grand Boulevard  Chicago PrEP Working Group 11 UNIVERSITY OF CHICAGO

 Trainings – including HIV workforce and clinical providers  Road shows – in the works, coupling info on PrEP and HIV testing into updates on the flu and topics like Ebola 12 MATEC

 Incorporation of PrEP into CTR programming  Launch of state PrEP drug assistance program – demonstration project, coming soon  Chicago PrEP Working Group 13 ILLINOIS DEPARTMENT OF PUBLIC HEALTH

 Based on premise that “all science is local”  Consideration of local contexts critical to successful ARV- based prevention implementation  3rd year of project  Developing toolkit to facilitate community mobilization around ARV-based prevention  PEST  Actors  Visioning  Scenario planning  Chicago meeting with UCHAPS + 2  MAPPING PATHWAYS

THANK YOU JIM PICKETT,