Jen Chapman, Co-Chair of the Philadelphia HIV Prevention Planning Group (HPG) presented on experiences with PrEP from different jurisdictions across the country at the March 2015 HPG meeting.

1. UCHAPS PrEP Experiences
FROM JURISDICTIONAL PRESENTATIONS – DECEMBER 2013

2. New York City – Overview of PrEP/PEP Plan
First Steps
◦ Assembled key parties
◦ Established PrEP workgroup
Reviewed Data
◦ Evidence base
◦ Local data
Set agenda for immediate activities
◦ Included increasing community and provider awareness & access
◦ Support & monition appropriate implementation

3. Increasing awareness
Focus on those at increased risk
◦ Traditional media
◦ Posters, pamphlets, postcards via 311
◦ Distributed by contractors, STD clinics, CBOs and Partner Services staff
◦ New media
◦ Pop-ups on mobile dating/hook-up apps
◦ Promoted ads (Twitter, Facebook, etc)

4. Examples of Media

5. Lessons Learned

6. Chicago
Barriers to PrEP similar to those in other jurisdictions
◦ Uninformed/misinformed communities
◦ Uninformed/misinformed medical providers
◦ Insurance coverage confusion
◦ Costs
◦ Drugs
◦ Medical care & follow up (co-pays, labs, etc.)
◦ Services
◦ Programming

7. Establishment of a PrEP Workgroup
GOAL: improve awareness of & access to PrEP for communities most in need
Workgroup (50+ members) included:
◦ Integrated Planning Body
◦ Department of Public Health
◦ Medical Providers
◦ Researchers
◦ CBOs
◦ Advocates

8. Workgroup Activities

10. Baltimore City Planning Group – PrEP
Workgroup
Workgroup Membership
Experts in the field of HIV prevention,
treatment & advocacy
Community
Medical Providers
Regulatory Agencies

11. Initial Workgroup Meeting

12. From healthcare providers section

13. SanFrancisco – Magnet Program
Local clinic with PEP/PrEP Program
Developed with local community input
Established community advisory board
Barriers
◦ Navigation of healthcare benefits
◦ Medicare, ACA bronze plans, cost of ACA plans, time to benefit activation
◦ Reaching clients in need
◦ Individualized case management
Considerations
◦ How to do case management with large groups?
◦ Incorporating PrEP into other prevention messages
◦ Assisting clients obtain PrEP if cost is an issue

14. Philadelphia
Next Steps & Prioritizing
◦Thoughts?