Preparing for PrEP Choice: Key Programmatic

Importance of PrEP in HIV prevention Background High Efficacy:
Effective in reducing the risk of HIV infection when taken consistently
Empowerment and Control:
PrEP empowers individuals to take control of their HIV prevention
Reduction of HIV Transmission Rates:
Significantly lowers the risk of HIV infection among high-risk individuals
Access to Healthcare:
Periodic health check-ups and HIV testing while on PrEP
Facilitates access to healthcare services and promote a more proactive approach to health management<br>

PrEP introduction in Zambia Background (2) PrEP program implementation guided by key strategic policy documents with goal of reducing new HIV infections to 18,000 from 30,000<br>

Policy and Regulatory Framework
Target Population Identification
High-risk groups driving the epidemic
AYP/AGYW, Key Population
Accessibility and Distribution
Geographical locations
border towns & highly urbanized towns
Integration with Other Services
Funding and Sustainability Community Engagement and Sensitization
Adherence Support
Capacity Building of local organizations to manage and sustain PrEP services
Confidentiality and Privacy
Addressing Stigma and Discrimination Country specific assessment Community engagement Programmatic considerations<br>

Development of PrEP guidelines & PrEP training materials

Training of providers in collaboration with the implementing partners

Awareness and demand creation
National AIDS Councils/Commisions and CSOs Consider approved PrEP options:
Oral
Injectable and
PrEP ring (Dapivirine Vaginal Ring)
Determine best service delivery models
Facilities
Community
providing PrEP in safe places
Equity Capacity building Delivery models Programmatic Considerations (2)<br>

Overall government leadership
MOH
NAC
National TWGs & Task force groups
Leadership from
CSOs
Funding agencies
Implementing partners
UN family Determine and define specific PrEP indicators
in line with Global HIV Prevention Coalition (GPC) and country priority

Develop data-capturing tools
Electronic/paper-based
DHIS2 tracker

Regular data quality audits

Performance review Leadership and Governance Monitoring and Evaluation Programmatic Considerations (3)<br>

Engaging with policymakers to support PrEP programs
Navigating regulatory requirements and approvals
Advocating for sustainable funding
Addressing legal and ethical considerations
Age of access to HIV services
Establishment of MAT clinic and Harm reduction services for PWIDs Planning for long-term sustainability
Exploring funding sources (government, NGOs, international donors)
Expanding successful models to new regions or populations
Integrating PrEP programs with broader public health initiatives
Considerations for community PrEP initiation
de-medicalizing of PrEP
Developing the HIV sustainability plan Policy and Advocacy Sustainability and scale-up Programmatic Considerations (4)<br>

Anticipate Challenges Low PrEP uptake
Low retention rates
Legal barriers to access HIV PrEP by the priority and Key population
Age of access
Criminalization of same-sex sexual acts and Intravenous drug use
PrEP services for KP not routinely captured in DHIS2<br>

Successful PrEP choice implementation requires:
Understanding the Local country’s HIV epidemic landscape
multi-sectoral/stakeholder involvement
Strengthening Key Health systems’ building blocks
Addressing the sustainability of the program Conclusion<br>