1

Universalize PrEP & HIV Education

Provide universal PrEP/HIV prevention awareness and education to all clients, not just those who fit certain "risk profiles" or "target populations." Increasing access means providing information to everyone, not only those we think are most likely to be PrEP users or those who are easiest to reach. Data indicate that universal HIV/STI screening is more beneficial and cost-effective compared to risk-based screening.1

"As a provider, I only get 20 minutes with all of my clients and I’m usually running over. I literally do not have time to sit and talk to every single client about every single option. But could our receptionist make sure that everyone knows we offer this treatment and hand them a brochure? Absolutely."
BLUPrInt Patient Education Resources | Resource B

References:
1 Long, E. F., Brandeau, M. L., & Owens, D. K. (2010). The cost-effectiveness and population outcomes of expanded HIV screening and antiretroviral treatment in the United States. Annals of internal medicine, 153(12), 778–789. [LINK]

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5

Optimize Work Flows

Comprehensive PrEP provision can have a lot of steps and moving parts. Effective programs have: embraced task-shifting, cross-trained staff; resigned clinic workflows, partnered with outside vendors for support, and utlizied electronic tracking tools.
Task shifting is a helpful practice because it redistributes the workload, allowing highly skilled professionals to focus on complex tasks while delegating routine duties to other trained staff. This not only improves efficiency but also maximizes the use of available resources and can enhance patient access to care. Task shifting is closely related to cross-training, which is the method used to enable it, by training staff members to perform tasks outside their primary roles, thereby freeing up providers to focus on the core clinical decisions and procedures.
Focusing on workflow can help streamline tasks and division of labor, and can make sure that all the moving pieces of PrEP implementation are in place.
Utilizing electronic tools and other tracking systems can help patient navigators and other support staff provide timely reminders and other check-ins for clients.

"Our struggle with long-acting injectable treatment was a matter of logistics and being stretched too thin, not lack of interest from our patients or our providers. Starting just one client on a long-acting injectable was countless hours of work that we really needed to spend on other clients. It wasn't until we restructured our clinic workflows and integrated a pharmacist into our team that we started to feel like we could do this for the long haul."
InSight Safe Injection Date Calculator | Resource B

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Lessons

for Len

12

Essential lessons from the frontlines of long-acting ART and cabotegravir implementation to apply to facilitate successful lenacapavir rollout.