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

2. 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.

3. 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

4. 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…

5. - 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).

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

10. 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