BLUPrInt PrEP Program Builder
The BLUPrInt PrEP Program Builder is a comprehensive resource to help you build a PrEP program at your clinic. Whether you are creating a program from scratch, enhancing an existing program, or preparing to offer a new PrEP modality, the BLUPrInt PrEP Program Builder offers tools and resources to guide you in developing client-centered PrEP services, with a focus on health equity.
The BLUPrInt PrEP Program Builder includes six program components:
Click each image below for guidelines, checklists, SOPs, and educational materials specific to individual program components.
1. Awareness & Engagement
Any successful PrEP program begins with a strategy for educating patients about the availability of PrEP and their ability to access it. Health equity and access are increased when patients are proactively informed about and engaged in PrEP education.
2. Decision-Making Counseling
When deciding to start PrEP, patients need to understand how it works and what they need to do to use PrEP safely and effectively. Framing PrEP uptake as an empowering, responsible choice that helps patients take control of their sexual health increases interest in and commitment to PrEP as an HIV prevention option.
3. Financial Navigation
PrEP programs must support patients in navigating the financial costs associated with a PrEP prescription, visits, and labs. Offering financial navigation within a PrEP program can facilitate PrEP use and build trust by demonstrating that the clinic and providers understand patients’ needs and concerns.
4. Initiation Medical Visit
Patients who want to start PrEP (and can afford it) are screened for medical eligibility, informed about PrEP efficacy, adherence, and managing side effects, and given a prescription. The initiation visit is a perfect opportunity to provide other sexual health services and to reinforce PrEP as a component of overall sexual wellness.
5. Adherence & Sustainment Support
In order to effectively take PrEP and sustain PrEP use over time, patients need clear information, motivation, and strategies. Providing in-depth PrEP adherence support and counseling is associated with greater patient engagement , self-efficacy, and retention in care.
6. Follow-Up Visits
Patients on PrEP should receive regular testing and medical monitoring to promote and sustain sexual health. Follow-up visit schedules, format, and content should balance these goals with the logistical and financial burden that coming to the clinic may place on patients.
Tools for Overall Program Implementation
Click image below for tools that span across all six components to help you with overall program implementation. Tools include sample visit flows and staffing plans, a patient tracking tool in excel, quality assurance metrics, and a table of available PrEP options.
