Enhancing service providers’ engagement in PrEP delivery, uptake, and retention in Latin America & the Caribbean

Pre-exposure prophylaxis (PrEP) has proven to be highly effective in preventing HIV acquisition. Despite a steady rise in PrEP use, its adoption remains below the desired levels within diverse groups most vulnerable to HIV acquisition, across various settings and locations with eligible individuals not accessing it due to various country-, setting-, and individual-specific reasons and challenges.

Weaknesses in sexual health services have been identified among the challenges to optimal PrEP uptake, delivery and retention. These include knowledge of PrEP, lack of communication about, funding for, and access to and retention on PrEP, the intersection between PrEP-stigma, HIV-stigma, transphobia, homophobia, and disparities across gender, racial, and ethnic groups.

In addition, silo approaches to prevention and care services, as well as vertical disease management, add to the ineffective identification of individuals who would benefit from PrEP. The “purview paradox” remains a key barrier: HIV specialists often do not see HIV-negative patients, while primary care physicians, who often see unaffected patients, are not trained to provide PrEP.3

Improving PrEP delivery, uptake, and retention require tackling numerous challenges. Improving service providers’ s PrEP education through training that supports providers’ progression along the PrEP implementation cascade, moving from PrEP awareness to prescription would tackle one of these challenges and contribute to expanding PrEP access.

Consequently, International AIDS Society alongside Medicines Patent Pool are hosting this session to facilitate collaboration among current, previous and prospective PrEP users, service providers, and prevention experts to identify ways to enhance PrEP delivery and uptake by service providers, with a specific emphasis on enhancing PrEP education
6 October 2024
English
Chairs
Nelli Barriere

Nelli Barrière

International AIDS Society

Beatriz Grinsztejn

Fundação Oswaldo Cruz (Fiocruz)

Esteban Burrone

Esteban Burrone

Medicines Patent Pool

Speakers
Esteban Burrone

Esteban Burrone

Medicines Patent Pool

Beatriz Grinsztejn

Fundação Oswaldo Cruz (Fiocruz)

Welcome

Catherine Verde Hashim

AVAC

Status of PrEP worldwide and zooming on South America

Kelika Konda

USC/Universidad Peruana Cayetano Heredia

HIV pre-exposure prophylaxis engagement and adherence in Peru

Mayara Secco Torres Da Silva

Instituto Nacional de Infectologia Evandro Chagas (Fiocruz)

Service provider perspectives
Silas Holland

Silas Holland

MSD

Branca Pereira

Branca Pereira

ViiV Healthcare

Jared Baeten

Jared Baeten

Gilead

Industry perspectives

Beatriz Grinsztejn

Fundação Oswaldo Cruz (Fiocruz)

Esteban Burrone

Esteban Burrone

Medicines Patent Pool

Closing remarks