community mobilization for prep access and implementation the chicago story uchaps philadelphia...
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COMMUNITY MOBILIZATION FOR PREP ACCESS AND IMPLEMENTATION
THE CHICAGO STORY
UCHAPSPHILADELPHIADECEMBER 14, 2014
JESSICA TERLIKOWSKIDIRECTOR OF PREVENTION TECHNOLOGY EDUCATION
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PREP BARRIERS• Common to those of other jurisdictions
• Uninformed/misinformed communities
• Uninformed/misinformed/biased providers
• Insurance coverage confusion
• Costs of:
• Drug• Labs• Services• Programming
University of ChicagoFacebook/social media campaign
facebook.com/groups/prepchicago
Chicago PrEP
Working Group
Researchers
Medical providersAdvocates
CBOs
HIV planning members
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Co-convened spring 2014 AIDS Foundation of Chicago and Chicago
Department of Public Health Improve awareness of and access to PrEP in
Chicago for communities most in need 50+ members
Chicago PrEP
Working Group
Researchers
Medical providersAdvocates
CBOs
HIV planning members
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Stepping Up the Pace Toward HIV Elimination in Chicago – Making Science Work
4 Prongs Healthcare Access PrEP/PEP Centers of Excellence Media Campaign/Social Marketing –
awareness, drive demand HIV Workforce and Provider Trainings
My PrEP Experience – personal stories, resources
Project Ready, Set, PrEP! (RSP!) –HIV workforce trainings and community awareness efforts
200+ training participants in 2014 RSP+ – Prevention option pipeline trainings
Midwest HIV Prevention and Pregnancy Planning Initiative – sexual health needs, family planning desires (NEW)
Illinois Insurance Plan Analysis of PrEP Coverage
Advocacy/Media – proactive, reactive
Co-convene Chicago PrEP Working Group
Mapping Pathways – toolkit to support planning successful ARV-prevention implementation
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AIDS FOUNDATION OF CHICAGO
Current HIV Prevention RFP includes 3 PrEP demonstration projects – north, west, south sides, funding begins 2015
Center PrEP Implementation Project – active referral of STI clinic patients from Lakeview Specialty Clinic to Howard Brown Health Center
Expand active referral between CDPH STI clinics and CORE, University of Chicago
Training DIS staff, active referral for all rectal STI patients
PrEP Policy brief – published December 2010
Co-convene Chicago PrEP Working Group
CHICAGO DEPARTMENT OF PUBLIC HEALTH
CEO Stan Sloan on PrEP – story on AFC’s “My PrEP Experience” (Episcopal Priest and CEO of Chicago House Shares His PrEP Experience )
Developing social marketing strategy – PrEP awareness, access, and adherence
Brochures in English/Spanish, palm cards – January 2015 Chicago PrEP Working Group
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CHICAGO HOUSE
Cook County Health and Hospitals System
ATN 110/113 – PrEP research/OLE/demonstration/safety including 15 to 17 year old gay men (boys)
PrEP Clinic – January 2015 (on site, partner sites)
EPIC – Adherence study
18 to 29 year old gay men Randomized to standard PrEP care through clinic or
enhanced adherence via SMS, web support (study led by Liu and Fuchs, SFDPH)
Chicago PrEP Working Group
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CORE CENTER
PrEP clinic – (250+ patients actively using)
Walk-In – 11/3 - patients able to see provider same day Active Referrals via CDPH’s Lakeview Specialty Clinic
Successfully connected patients to primary care, PrEP, and Medicaid/Market Place exchanges, most were uninsured (ACA Navigator)
PrEP Coordinator – case manager PrEP utilization among Black sexual minority, gender
variant pops (particularly over 24) - LOW Young gay men/trans
all races/ethnicities - LOW White gay men ages 25+ highest,
followed by Latino Chicago PrEP Working Group 9
HOWARD BROWN HEALTH CENTER
PrEP education
Incorporated into sero-discordant couples program, treatment education programs
Lifeline –new HIV prevention program for negative individuals at elevated risk (men, women), PrEP info incorporated
Referrals to Howard Brown Health Center
PrEP resources – including provider list
Positively Aware – www.positivelyaware.com
Chicago PrEP Working Group
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TEST POSITIVEAWARE NETWORK
SHIPP – Sustainable Health Center Implementation Pilot, Access Grand Boulevard, Black gay men, Black women
PS-PrEP – Randomized clinical trial of PrEP linkage program by DIS staff, UC and CDPH
Facebook PrEP –educating community about PrEP and disseminate information
PrEP clinics
UC Infectious Disease Clinic Access Grand Boulevard
Chicago PrEP Working Group
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UNIVERSITY OF CHICAGO
Trainings – including HIV workforce and clinical providers
Road shows – in the works, coupling info on PrEP and HIV testing into updates on the flu and topics like Ebola
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MATEC
Incorporation of PrEP into CTR programming
Launch of state PrEP drug assistance program – demonstration project, coming soon
Chicago PrEP Working Group
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ILLINOIS DEPARTMENTOF PUBLIC HEALTH
Based on premise that “all science is local” Consideration of local contexts critical to successful ARV-
based prevention implementation 3rd year of project
Developing toolkit to facilitate community mobilization around ARV-based prevention PEST Actors Visioning Scenario planning
Chicago meeting with UCHAPS + 2 www.MappingPathways.org
MAPPING PATHWAYS
