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It outlines PrEP’s preventive role for HIV-negative individuals, eligibility considerations based on substantial HIV risk, and the two PrEP delivery options (daily and event-driven/on-demand). The kit describes strategic planning, site identification and assessment, service types, capacity building, and monitoring and evaluation, and supports cost and need estimation for key populations to strengthen safety and effectiveness through ongoing laboratory and HIV testing.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/tool-kit-for-the-establishment-of-prep-services-at-national-level-march-2022/401274/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/tool-kit-for-the-establishment-of-prep-services-at-national-level-march-2022/401274.png","ImageObject",300,407,{"name":92,"@type":93},"Jake","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-27",true,{"@type":102,"interactionType":103,"userInteractionCount":24},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is PrEP and what problem does it address?","Question",{"text":112,"@type":113},"PrEP is a prevention option for people at substantial risk of acquiring HIV, using ARVs prescribed to HIV-negative persons to protect against HIV infection.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What PrEP eligibility criteria are referenced in the toolkit?",{"text":117,"@type":113},"Eligibility is linked to substantial risk factors such as condomless vaginal or anal sex with multiple partners, STI diagnosis by testing or self-report, or use of post-exposure prophylaxis in the past six months.",{"name":119,"@type":110,"acceptedAnswer":120},"How should countries plan and implement PrEP services at the national level?",{"text":121,"@type":113},"Countries should consider cost-effectiveness, safety, and epidemiological impact, identify and assess sites, plan service integration into other health services, and use tools to estimate oral PrEP needs and implementation costs for key populations while supporting ongoing monitoring and capacity building.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},401274,1791240632,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":24,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":44,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},962084928904,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Tool kit for the establishment of PrEP  \nservices in the Caribbean  \nDeveloped under the PANCAP GF Project with the technical support of  \nPAHO  \nMARCH 2022  \nContents  \nIntroduction……………………………………………………………………………………….3  \nEstablishing PrEP Services at country level………………………………………….3  \nIdentification of Sites & Site Assessment…………………………………………….6  \nTypes of services to be considered within the context of PrEP………..7  \nGuidelines and other materials……………………………………………………………7  \nMonitoring and evaluation of PrEP Services………………………………………..7  \nCapacity Building for PrEP……………………………………………………………………8  \nReferences………………………………………………………………………………………….9  \nIntroduction  \nIn 2015 WHO recommended Pre-Exposure Prophylaxis (PrEP), a new and empowering prevention option for people at substantial risk of acquiring HIV, by prescribing ARVs to HIV negative persons, to protect against HIV infection. In general PrEP can protect an HIV negative partner in aserodiscordant relationship when the HIV partner is either not on ARVs or has not reached viral suppression. The World Health Organisation recommends PrEP to persons who had:  \n1. Vaginal or anal sexual intercourse without a condom with more than one partner, or  \n2. A sexually transmitted infection (STI) by laboratory testing or self-report or syndromic STI treatment, or  \n3. Used post exposure prophylaxis (nPeP)for sexual exposure in the past six months  \nSubstantial risk of HIV infection includes someone in a high HIV prevalence population or geographical location who has had any of the following risk factors in the past  \nThere are two types of options for PrEP which includes, daily PreP and Event Driven or PrEP on demand. The use of PrEP as part of combination HIV prevention approaches will support the reduction of HIV infections. PrEP is not taken for life, but if taken as prescribed, it can eliminate the risk of getting HIV infection. Persons taking PrEP are expected to continue to use a condom as it will not protect against other Sexually Transmitted infections (STIs) such as hepatitis C. As a result, condoms are still the best protection from STIs.  \nAmong the biomedical interventions, PrEP is one that requires high adherence in order to be effective, needs on-going monitoring for safety through laboratory tests and repeated HIV testing and its more costly that options such as condoms 1.  \nIn 2021 countries in the Caribbean region commenced implementing PEP services with support from the regional multi-country Global Fund Grants as well as through national grants. With the advances of the service in the region, this tool kit was developed by PAHO in collaboration with PANCAP, to support the standardization of services in the Caribbean region, aligned to WHO recommendations. It is anticipated that countries in the region will utilize the tool kit to support the implementation, scale-up and strengthening of PrEP services in the region.  \nEstablishing PrEP Services at country level  \nWhen a country decides to include PrEP in its national HIV programme, a range of implementation issues have to be considered, such as cost-effectiveness, safety, and epidemiological impact. The WHO developed several training modules and technical guidance for different audiences. It includes a strategic planning module for public health officials and policymakers responsible for deciding to whom to offer PrEP for HIV prevention as a priority, where PrEP services could be provided, and how PrEP could be integrated into other health services (1) . In this module, strategic decision-making practices are described on how to identify people at substantial risk of HIV who could benefit from being offered PrEP.  \nThere are a number of important considerations for countries when making a decision to include PrEP as part of the national HIV response. Issues such as cost-effectiveness, safety and  \n1 Model 5  \nepidemiological impact are important aspects that must be considered before setting up the service. The strategic planning p","cbCaioxAo2yRnmU5","https://ap.wps.com/l/cbCaioxAo2yRnmU5","pdf",508678,"English","# Introduction\n# Establishing PrEP Services at country level\n## Identification of Sites & Site Assessment\n## Types of services to be considered within the context of PrEP\n## Guidelines and other materials\n## Monitoring and evaluation of PrEP Services\n## Capacity Building for PrEP\n# References","[{\"question\":\"What is PrEP and what problem does it address?\",\"answer\":\"PrEP is a prevention option for people at substantial risk of acquiring HIV, using ARVs prescribed to HIV-negative persons to protect against HIV infection.\"},{\"question\":\"What PrEP eligibility criteria are referenced in the toolkit?\",\"answer\":\"Eligibility is linked to substantial risk factors such as condomless vaginal or anal sex with multiple partners, STI diagnosis by testing or self-report, or use of post-exposure prophylaxis in the past six months.\"},{\"question\":\"How should countries plan and implement PrEP services at the national level?\",\"answer\":\"Countries should consider cost-effectiveness, safety, and epidemiological impact, identify and assess sites, plan service integration into other health services, and use tools to estimate oral PrEP needs and implementation costs for key populations while supporting ongoing monitoring and capacity building.\"}]","Tool kit for the establishment of PrEP services at national level - March 2022 | PDF",1790518351,23]