Towards HIV Elimination in Chicago: The City that Works Makes PrEP Work
PrEP and health care expansion through the Affordable Care Act offer an unprecedented opportunity to reduce US HIV infections. Achieving this goal requires a bold, strategic, and coordinated plan. To be successful, such an effort must maximize PrEP's public health potential by building upon existing efforts, establishing new partnerships, and mobilizing diverse stakeholders.
The AIDS Foundation of Chicago (AFC) convened the Chicago PrEP Working Group (CPWG), which in turn developed a five-year three-pronged plan, Towards HIV Elimination in Chicago 2015. The plan includes: 1) development of 20 Centers of PrEP Excellence to deliver expert programming to HIV-vulnerable communities; 2) implementation of a multi-faceted marketing campaign to enhance PrEP awareness and benefits of expanded HIV testing; and 3) increasing knowledge, skills, and capacity of the HIV workforce and health practitioners on PrEP, HIV testing, and health care access.
Multiple stakeholders and funders engaged in an ongoing manner through the AFC-convened CPWG. Collaborative, iterative plan development with the CPWG engendered community buy-in while creating a framework to support successful PrEP implementation. Financial resources for the Centers of Excellence, the social marketing campaign, and the provider trainings were raised collaboratively, with leadership coming from several CPWG organizational members. An initiative this large in scope requires central coordination as well as rigorous monitoring and evaluation.
AFC and the CPWG collaborative approach to developing this comprehensive PrEP implementation plan has applications for other jurisdictions looking to scale up PrEP for HIV-vulnerable communities. The process of developing the initiative is replicable.
Learning Areas:Advocacy for health and health education
Implementation of health education strategies, interventions and programs
Public health or related public policy
Describe the development of the Chicago PrEP Working Group and AFC’s three-pronged approach to scaling up PrEP in Chicago, specifically how each strategy aims to reduce HIV incidence. Identify resources to assist in local application of Chicago experience. Discuss ways in which creating dedicated space to information sharing and strategy development can advance a local PrEP implementation agenda.
Keyword(s): HIV/AIDS, Prevention
Qualified on the content I am responsible for because: For more than ten years, I have lead the AIDS Foundation of Chicago's education, training, and advocacy efforts on new and emerging HIV prevention options, including PrEP. I am co-founder and chair of the Chicago PrEP Working Group and am also a recognized leader on national issues regarding PrEP.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.