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California PrIDE Prep for PrEP November 15, 2016
Inspiring PrEP demand among MSM of color and transfemales: lessons from the field California PrIDE Prep for PrEP November 15, 2016
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3.5 years Hare, CROI 2016
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Marcus et al., AJPH 2016
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Demographics of PrEP users should reflect population being newly diagnosed with HIV in SF
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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
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SF Demo Project Enrolling3
Demand for PrEP reaches a tipping point in San Francisco in the 3rd QTR 20131 iPrEx SF Visits2 SF Demo Project Enrolling3 PrEP FACTS Face Book Page Starts with blog about High efficacy when used US FDA Approval High efficacy If taken daily published4 1. Volk, CID 2015; 2. Grant Lancet ID 2014; 3. Cohen JAIDS 2015; 4. Anderson STM 2012.
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What will it take to increase awareness of and interest in PrEP?
Which strategies have you adopted/are considering? How did you obtain input from the focus populations to tailor the approach? the messaging? the messengers? What are the nuts and bolts of implementation? How do you measure impact? Lessons learned?
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