WE GIVE YOU THE TOOLS

SO YOU CAN IMPLEMENT THEM IN YOUR COMMUNITY

The introduction of PrEP (Pre-Exposure Prophylaxis) in recent years provides a new alternative to prevent new HIV infections. When taken consistently, PrEP can reduce the risk of HIV up to 92%. However, there is lack of knowledge about this treatment both from community members and service providers who serve them. PrEParándonos aims to fill this gap by educating service providers who can later develop strategies to reach those individuals who might benefit and desire PrEP.


OBJECTIVES OF THE TRAINING

The overall objective of PrEParándonos is to enhance/strengthen the capacity of community-based organizations (CBOs) to integrate and implement PrEP. This is accomplished by exploring, assesing, and understanding the challenges experienced by organizations and communities under acceptibility, accessibility, availability, adherence and awareness.

At the completion of PrEParándonos, attendees will be able to:

  • Understand the research that informs the effectiveness of PrEP.
  • Learn how to develop opportunities for PrEP community awareness and education
  • Conduct self-organizational/programmatic/community assessment aiming at assessing accessibility, availability, and acceptability around PrEP implementation
  • Understand the process of transforming findings into action items to address PrEP implementation
  • Sustain relationships for ongoing on-site technical assistance

THE A's IN ADDRESSING PrEP

AVAILABILITY: Ensuring adequate clinical capacity and delivery of PrEP is essential to its uptake and adherence
It is unknown how available PrEP is in many communities. Some healthcare providers, health departments and AIDS service organizations have begun compiling lists of PrEP providers for their clients. While most of the providers identified thus far are located in more urban areas, the availability of PrEP in more rural and suburban areas is still unknown.
ACCESSIBILITY: The degree to which PrEP is obtainable to as many people that are eligible considering the cost and proximity to resources
On both ends of the patient-provider relationship, a lack of accessible information and services impede PrEP uptake and prescription by both patients and providers. This lack of accessibility seems to be a large part of the reason behind PrEP’s slow take-off within many groups in need. It is crucial to engage with those populations who could benefit most from PrEP. In regards to healthcare providers, one of the greatest barriers to providers prescribing PrEP is a lack of knowledge on the existing PrEP research.
ACCEPTABILITY: Acceptance and motivation to see PrEP as a tool to prevent HIV infection, from both medical providers and community members
In order for an intervention such as PrEP to be successful, it must first be deemed acceptable as a means of prevention to both community members and service providers. In the case of community members, there is some evidence of its acceptability. In a racially/ethnically diverse sample of men who have sex with men (MSM) in Boston, 74% reported being more willing to use PrEP after being educated about its potential for preventing HIV infection. Of those who reported being willing to use PrEP, 78% of non-whites were likely to intend to use PrEP. Patients also report that doctors appear judgmental about their decision to get on PrEP and are unwilling to prescribe it.
ADHERENCE: Emphasizing the consistency in using PrEP to be an effective HIV prevention tool
Studies established correlations between HIV-related stigma and avoidance of testing, selective disclosure in situations where there may be negative consequences, and suboptimal adherence to drug treatment. This same stigma can be detrimental to PrEP’s acceptability. This guilt and lack of social support from key figures can affect PrEP uptake and adherence; adherence in particular is a key issue, as inconsistent use of PrEP decreases its effectiveness in HIV prevention.
AWARENESS: Disseminating the information so providers will recommend and community members will ask for PrEP
Prior knowledge of the drug appears to be one factor related to its uptake. PrEP awareness varies throughout many cities, as low as 19% in some places while only as high as 63% in others. Over 78% of providers in a New England study said a lack of awareness of PrEP was a barrier to prescribing it. In a PrEP readiness survey distributed by the Commission at the 2014 U.S. Conference on AIDS, only 68% of 69 respondents knew that PrEP was taken before exposure to the HIV virus. This result highlights the lack of knowledge and misinformation that exists regarding PrEP. A phenomenon of silence exists between healthcare providers and their patients regarding HIV risk. Research shows that many healthcare providers do not bring up HIV risk with their patients, and many individuals are reluctant to bring up risk behaviors with their providers. Because they are in a position to effect behavior change, nurse practitioners, physician assistants, and doctors have the opportunity to disseminate information on PrEP and recommend it to those who are eligible for it.

MEET THE TEAM

WHEN EXPERIENCE AND PASSION COUNTS

Proven leadership developing outreach programs, training and capacity building programs for CBOs and health departments that serves minorities in Chicago and New York.

- Luis Scaccabarrozzi - DIRECTOR OF HEALTH POLICY AND ADVOCACY

Hands-on experience in providing direct services to address homophobia in the Latino community through social marketing and CDCs interventions.

- BOLIVAR NIETO - DEPUTY DIRECTOR OF CAPACITY BUILDING ASSISTANCE PROGRAM

A pioneer in providing health education in Spanish in topics such HIV treatment, sexual health, gender identity and other concerns LGBT community

- CARLOS MALDONADO - SENIOR HEALTH EDUCATOR

Worked extensively with LGBQT youth of color and Latino gay and bisexual men addressing psychosocial needs and coordinating behavioral interventions.

- MICHAEL DIAZ - BEHAVIORAL SPECIALIST

Served the LGBTQ community from various roles such as prevention program manager and capacity building provider with a focus in program sustainability.

- DEMARKIS BONNER - CBA SPECIALIST




Training Schedule

The training lasts 2 days and meets from 10:00am to 5:00pm. An e-mail confirmation will be sent upon registration, with detailed information of venue and other instructions. Before the training, please complete this survey, so that the training tailors attendees' needs.
  • 8:30am - 9:00am
  • CONFERENCE ROOM

Registration and Pre-Test


  • 9:00am - 9:30am
  • CONFERENCE ROOM

INTRODUCTIONS, GROUP CULTURE, AND ICEBREAKER


  • 9:30am - 11:00am
  • CONFERENCE ROOM

MODULE 1: WHAT IS HIV?

Goal: To engage participants on a brief refresher/review on fundamental knowledge on HIV. Topic rages from anatomy of the virus, impact on the body, to modes of transmission.


  • 11:00am - 11:15am
  • HALL ROOM

BREAK


  • 11:15am - 12:30pm
  • CONFERENCE ROOM

MODULE 2: ENVIRONMENTAL AND PERSONAL RISK

Goal 1: To exemplify how the environment plays an important role when it comes to risk, from epidemiological data to sexual networks’ risk, and
Goal 2: To enhance participants’ skills on how to self-assess their own HIV risk.


  • 12:30pm - 1:30pm
  • CONFERENCE ROOM

LUNCH


  • 1:30pm - 2:30pm
  • CONFERENCE ROOM

MODULE 3: PrEP RESEARCH

Goal: To explore, in a timeline way, the beginnings and latest findings from both, a clinical and implementation perspective of what we now know as PrEP.


  • 2:30pm - 2:45pm
  • CONFERENCE ROOM

BREAK


  • 2:45pm - 4:00pm
  • CONFERENCE ROOM

MODULE 4: ACCEPTABILITY AND ADHERENCE

Goal: to review current CDC PrEP guidelines discuss how welcoming are WE (and our communities) of this new prevention alternative, the importance of dosage and Adherence, and some suggested frameworks to address barriers to using PrEP at the individual and community level.


  • 4:00pm - 5:00pm
  • HALL ROOM

MODULE 5: ACCESIBILITY AND AVAILABILITY

Goal: This section explores issues such as location (pharmacy/doctor/CBO), information, non-discrimination (I desire it but health provider says it is not for me), and costs associated with starting PrEP as well as empowering individuals to assess PrEP providers, their capacity, and specific local criteria such as insurance requirements used to access PrEP. Local experts will be invited to provide examples and customized information.

  • 9:00am - 9:30am
  • CONFERENCE ROOM

WELCOMING TO DAY 2 AND REVIEW


  • 9:30am - 11:00am
  • CONFERENCE ROOM

SESSION 1: PrEParándonos WORKSHOP MATERIALS REVIEW

Goal: A review and questions and answer process around the materials presented (and given) to implement the PreParandonos Workshop.


  • 11:00am - 11:15am
  • HALL ROOM

BREAK


  • 11:15am - 12:30pm
  • CONFERENCE ROOM

SESSION 2: ASSESSING ORGANIZATIONAL AND COMMUNITY PREP READINESS.

Goal: This session addresses the importance of assessing awareness and acceptability at the organization and community level. Using the PrePárandonos assessment surveys (part of the training package), participants will come up with key infrastructural needs and community-wide strategies to enhance PrEP readiness.


  • 12:30pm - 1:30pm
  • CONFERENCE ROOM

LUNCH


  • 1:30pm - 2:30pm
  • CONFERENCE ROOM

SESSION 3: FUNDAMENTALS OF COMMUNITY MAPPING

Goal: This session supports the community readiness assessment component. Facilitators will briefly describe the benefits and the different steps of conducting a community mapping with an emphasis on mapping PrEP stigma.


  • 2:30pm - 2:45pm
  • CONFERENCE ROOM

BREAK


  • 2:45pm - 4:00pm
  • CONFERENCE ROOM

SESSION 4: FUNDAMENTALS OF MARKETING

Goal: Because raising awareness about PrEP is key, during this session, facilitators will go over key marketing concepts and processes on how to best translate community assessment results into targeted social marketing campaigns; from choosing population, to media outlets used, to message framing, and evaluation processes.


  • 4:00pm - 4:30pm
  • HALL ROOM

SESSION 5: CAPACITY BUILDING ASSISTANCE

Goal: During this session, participants will get information on the Capacity Building Assistance Network and the different services available to help in the preparation-implementation process: from infrastructure (including 3rd party billing) to program implementation and evaluation.


  • 4:30pm - 5:00pm
  • HALL ROOM

CLOSING

- Post Test
- Overall Training of Facilitators Evaluation