Preparing for PrEP Choice: Key Programmatic

Transcript:Preparing for PrEP Choice: Key Programmatic:
Preparing for PrEP Choice: Key Programmatic Considerations Welcome to the era of PrEP choice Lloyd B. Mulenga BScHB,MBChB,MSc,MMed,PhD Director Infectious Diseases, Ministry of Health, Zambia I have no relevant financial relationships with ineligible companies to disclose Conflict of interest disclosure Background Key Programmatic considerations in PrEP choices Challenges Presentation Outline 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 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 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 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) 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) 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