SASI Releases New Report/Recommendations re: PrEP

SASI releases new report: WE HAVE THE TOOLS TO END HIV- Benefits, Barriers, and Solutions to Expanded Utilization of Pre-exposure Prophylaxis (PrEP) in the US Deep South

The benefits of PrEP to prevent HIV transmission are well established. It is critical that we overcome the multi-faceted barriers to achieving widespread PrEP utilization among vulnerable populations. The barriers are especially prohibitive in the US South where rates of poverty are higher than the national average, conservative attitudes about sex and HIV may heighten stigma concerns, where few states have expanded their Medicaid programs under the Affordable Care Act, and health outcomes are generally poor.


Federal Policy Recommendations

  • The Centers for Disease Control and Prevention (CDC) should work with the US Department of Health and Human Services, state health departments and community-based organizations to:

    • Develop best practices to reach at-risk persons who could benefit from PrEP;

    • Develop best practices to reach and train primary care medical providers on PrEP;

    • Develop a PrEP surveillance system to measure PrEP utilization.

  • The CDC should ensure that CDC funding focused on PrEP:

    • Allows for flexibility to pay for labs and provider time.

    • Is broadened to include smaller cities and rural areas in the South with heavy HIV burden.

  • Demonstration Projects are needed that are focused on:

    • PrEP uptake, adherence, and acceptability.

    • The efficacy and utilization of PrEP by and for women, including trans women, sex workers and women of color.

Pharmaceutical Company Policy Recommendations

  • Gilead Sciences should:

    • Continue its investment in community-based projects supporting PrEP education for high-risk populations;

    • Invest in a larger PrEP mass media campaign to raise awareness and contribute to the normalization of PrEP use for those at risk.

    • Invest in comprehensive education for primary care providers related to PrEP.

    • Improve its Medication Assistance Program (MAP) for PrEP specifically to allow persons under the age of 26 who are on their parent’s health insurance plan to access the PAP.

    • Expand the cap on its Co-payment Assistance Program (CAP) contribution from $3600 to match the out-of-pocket maximum cost for Affordable Care Act plans ($6,850 in 2016.)

    • Provide data on PrEP utilization broken down demographically by gender, race, age, geography and insurance status to identify patterns of and gaps in PrEP uptake.

State Policy Recommendations 

  • State governments, particularly those in the US South, should expand their Medicaid programs under the Affordable Care Act.

  • Fund PrEP clinics for vulnerable populations. 

State and Local Health Department Policy Recommendations

  • State and local health departments should:

    • Fund PrEP clinics for vulnerable populations;

    • Raise awareness about PrEP in communities at risk;

    • Work with community-based organizations to educate and engage communities at risk about PrEP.

    • Provide comprehensive PrEP education for primary care providers.


This entry was posted in Uncategorized. Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s