UN Cares PEP Starter Kit Custodians Training MODULE 4: HIV Post-Exposure Prophylaxis Starter Kits

What is HIV Post-Exposure Prophylaxis? Post-Exposure Prophylaxis (PEP) is an emergency medical response given to prevent transmission of blood-borne pathogens following a potential exposure. HIV Post-Exposure Prophylaxis (HIV PEP) is a set of services that are provided to prevent HIV infection following potential exposure. Services include first aid, counselling, HIV exposure risk assessment, HIV testing (with informed consent), a course of anti-HIV medication, with appropriate support and follow up.

What is HIV Post-Exposure Prophylaxis? Should be initiated as soon as possible after exposure, ideally within 2 hours or less, and no later than 72 hours post- exposure. Adherence to a full 28-day course of anti-retroviral (ARV) medicines is critical to successful treatment.

Why the UN Provides HIV PEP Starter Kits. In an ideal world, HIV PEP treatment would be available from any emergency medical service anywhere in the world. This is true already in many places, but not yet in all. Therefore, the UN provides HIV PEP to field offices To be a responsible employer; And because personnel can be at risk while working for the UN, especially in locations where HIV PEP is not available from local medical services.

UN PEP Starter Kit. An emergency PEP treatment that provides HIV treatment for only 5 days. Only to provide emergency treatment while a referral to a medical facility/trained service provider is organised. Only a trained service provider can prescribe a full- course treatment of 28 days based on a full eligibility and risk assessment.

Contents of UN PEP Starter Kit. Each UN PEP Starter Kit contains: HIV Post‐Exposure Prophylaxis (PEP) in the United Nations: Guidance for the Use of PEP starter kits (August 2009)(booklet). Anti-HIV medication and how it should be taken The pregnancy test and when it should be used. Emergency Oral Contraception

Contents of UN PEP Starter Kit The HIV Post‐Exposure Prophylaxis (PEP) in the United Nations: Guidance for the Use of PEP starter kits (August 2009) booklet contains: General Information on PEP Starter Kits, Eligibility for PEP, distribution and storage, and information to include in the country PEP protocol. PEP Information Leaflet for Patients PEP Information Leaflet for Custodians. PEP Information Leaflet for Physicians.

Contents of UN PEP Starter Kit A five day anti-retroviral HIV medication supplied as a combination tablet, in this instance ZIDOLAM. Pregnancy test: to identify if the exposed women of childbearing age was already pregnant before potential exposure to the virus. Emergency oral contraception ("morning-after" pill); 2 tablets of Levonorgestrel to prevent unwanted pregnancy after sexual assault.