Implementation Framework & Guidance for Pre-Exposure Prophylaxis of HIV Infection - PrEP

Sep 27, 2026

Uploaded by Rowan

Implementation Framework & Guidance for Pre-Exposure Prophylaxis (PrEP) of HIV Infection provides a structured approach to planning, governance, and delivery of PrEP services. It defines what PrEP is, how it works, who should use it, and summarizes key evidence. The framework covers leadership, prioritization steps, service minimum standards, human resources, regulation of antiretroviral medicines, procurement and supply chain, and pharmacovigilance. Clinical guidance and PrEP usage address effectiveness, counselling, procedures, special populations, side effects, resistance, discontinuation, and the relationship to PEP.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages47

Reading Time1 h 58 min

AccessFree to download

Acronyms

Foreword

Acknowledgements

Chapter 1: Introduction

1.1 What is PrEP

1.2 How Does PrEP Work

1.3 Who Should Take PrEP

1.4 Summary of Key Evidence

Chapter 2: Implementation Framework

2.1 Purpose

2.2 Vision

2.3 Guiding Principles

2.4 Leadership and Governance

2.5 Steps in Prioritising and Implementing PrEP Services

2.6 Programming PrEP Services

2.7 Service Delivery Minimum Standards

2.8 Human Resources

2.9 Regulation of importation, marketing and/or control of antiretroviral medicines for PrEP

2.10 Procurement and Supply Chain

2.11 Pharmacovigilance

Chapter 3: Clinical Guidance

3.1 How well does PrEP work?

3.2 PrEP Drugs and Effectiveness

3.3 Counselling

3.4 Clinical Procedure Schedule

Chapter 4: PrEP Usage

4.1 PrEP Drugs and Effectiveness

4.2 PrEP for Pregnant and Breastfeeding Women

4.3 Sero-discordant couples

4.4 PrEP for Adolescents and Young People

4.5 PrEP and Hepatitis B Infection

4.6 Drug interaction

4.7 Side Effects

4.8 Drug Resistance

4.9 Discontinuation of PrEP

4.10 Post-Exposure Prophylaxis (PEP)

Chapter 5: Advocacy, Education, and Demand Generation

5.1 Primary and Secondary Audience Profiles

5.2 Community Engagement

5.3 Communication Approach

Implementation Framework & Guidance for Pre-Exposure Prophylaxis of HIV Infection Table of Contents Acronyms ....................................................................................................................................... v Foreword......................................................................................................................................vii Acknowledgements ..................................................................................................................... ix Chapter 1: Introduction ............................................................................................................... 1 1.1 What is PrEP ................................................................................................................................................ 1 1.2 How Does PrEP Work ................................................................................................................................. 1 1.3 Who Should Take PrEP ............................................................................................................................... 1 1.4 Summary of Key Evidence ......................................................................................................................... 1 Chapter 2: Implementation Framework ....................................................................................4 2.1 Purpose ........................................................................................................................................................ 4 2.2 Vision ............................................................................................................................................................ 4 2.3 Guiding Principles ....................................................................................................................................... 4 2.4 Leadership and Governance ..................................................................................................................... 4 2.5 Steps in Prioritising and Implementing PrEP Services ........................................................................... 5 2.6 Programming PrEP Services ...................................................................................................................... 6 2.7 Service Delivery Minimum Standards ...................................................................................................... 7 2.8 Human Resources....................................................................................................................................... 7 2.9 Regulation of importation, marketing and/or control of antiretroviral medicines for PrEP ............. 9 2.10 Procurement and Supply Chain .............................................................................................................. 9 2.11 Pharmacovigilance ................................................................................................................................... 9 Chapter 3: Clinical Guidance...................................................................................................... 10 3.1 How well does PrEP work?....................................................................................................................... 10 3.2 PrEP Drugs and Effectiveness ................................................................................................................. 10 3.3 Counselling ................................................................................................................................................ 11 3.4 Clinical Procedure Schedule .................................................................................................................... 15 Chapter 4: PrEP Usage ............................................................................................................

FAQs

What is PrEP and who should take it?

The document explains what PrEP is, how it works, and which populations should take PrEP. It also includes a summary of key evidence to support appropriate use.

How does the implementation framework guide PrEP service delivery?

It provides guidance on purpose and vision, guiding principles, leadership and governance, and step-by-step prioritization and implementation of PrEP services. It also covers service delivery minimum standards, human resources, regulation of antiretroviral medicines, procurement and supply chain, and pharmacovigilance.

What clinical and usage guidance does the document provide for PrEP?

It addresses how well PrEP works, PrEP drugs and effectiveness, counselling, and a clinical procedure schedule. It also covers PrEP for specific groups, drug interactions, side effects, drug resistance, discontinuation of PrEP, and guidance related to post-exposure prophylaxis (PEP).

Sep 27, 2026

Uploaded by Rowan