Last week, the National HIV/AIDS Initiative at the O’Neill Institute for National and Global Health Law released three new publications. I previously discussed two of these publications in a blog post. This week, I will discuss the remaining publication, Big Ideas: Achieving Sufficient Scale of PrEP Use Is Critical to Ending the HIV Epidemic.
This brief explains how policy makers need to think differently about pre-exposure prophylaxis (PrEP) with a greater emphasis on achieving sufficient scale of PrEP use among priority groups, including Black and Latinx gay and bisexual men, transgender people, Black women and other women with an indication for PrEP, people who inject drugs, and people younger than 24 years old. In this brief, my co-author Jeffrey Crowley and I note that 40-50% coverage of PrEP among priority groups may be a reasonable benchmark for public health impact. In fact, a modeling study of men who have sex with men (MSM) with an indication for PREP found that if 40% of MSM were on PrEP and 62% of those on PrEP were highly adherent, it would avert one in three expected HIV transmissions over the next decade.
A greater focus on increasing the scale of PrEP use is needed to achieve population-level impact. The brief outlines four principles that can chart a path toward greater scale of PrEP use:
Expanded use of PrEP is rightfully a central pillar of the Ending the HIV Epidemic (EHE) Initiative in the United States. PrEP programs need to be able to effectively serve a larger volume of clients and need service models that make it easier for users and providers to maintain PrEP engagement. There is no time to waste.
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The views reflected in this blog are those of the individual authors and do not necessarily represent those of the O’Neill Institute for National and Global Health Law or Georgetown University. This blog is solely informational in nature, and not intended as a substitute for competent legal advice from a licensed and retained attorney in your state or country.