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Key Considerations for Community-led Demand Creation for Pre-exposure Prophylaxis (PrEP) among Key PopulationsKey Considerations for Community-led Demand Creation for Pre-exposure Prophylaxis (PrEP) among Key Populations

In 2017, the International Treatment Preparedness Coalition (ITPC) embarked on an initiative to develop and implement innovative community-led demand creation solutions for access to and use of oral pre-exposure prophylaxis (PrEP) of HIV by key populations. This initiative included a preliminary literature review of global community perspectives on PrEP, the Community-led Consultative Think Tank Meeting on PrEP, and development of the Key Population Activist Toolkit on PrEP. This document includes the seven points that were developed from this consultative process and articulates key PrEP messages from key population networks and PrEP experts.

Key Population Activist Toolkit

This toolkit focuses on preventing HIV among key populations – sex workers, people who inject drugs, transgender people, and gay men and other men who have sex with men. Globally, key populations are 10-24 times more at risk of contracting HIV than adults in the general population In 2015, infections among key populations accounted for 36% of all new infections. There are three main aims of this toolkit:

  • To equip community activists with the knowledge and skills that they need around PrEP, advocacy and community mobilization so that they are able to mobilize their communities to demand PrEP
  • To enable community PrEP activists to advocate with their governments and service providers to allow key populations access to PrEP services
  • To ensure that these services are provided in a manner that is affordable, appropriate to their needs, and addresses access barriers.
Community-led Consultative Think Tank Meeting on PrEP Access and Use

To discuss key considerations of PrEP implementation across key population groups, and develop strategies and solutions on community-led KP demand creation, the International Treatment Preparedness Coalition (ITPC) hosted a global community-led consultation on PrEP. The two-day event brought together more than 45 participants from 20 different countries representing civil society, key populations, governments, and technical expert groups. Open discussions and working groups focused on key considerations of PrEP implementation across key population groups, and the development of innovative strategies to create better access to PrEP for communities.

What's out there on PrEP: a literature review

The role of community in the uptake of PrEP is vital as has been highlighted throughout this review. The discourse has been most prominent at global policy level, and as PrEP as a viable prevention strategy takes hold at country level, ensuring that PrEP is carefully integrated into existing HIV programmes in close partnership with KPs themselves will be the next challenge towards ensuring maximum community-led demand for PrEP. This literature review and subsequent steps in the ITPC’s community-led demand creation process upholds ITPC’s efforts to integrate the voice of community in the discourse on PrEP implementation and rollout.

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