COMMUNITY MOBILIZATION FOR
PREP ACCESS AND
IMPLEMENTATION
THE CHICAGO STORY
UCHAPS
PHILADELPHIA
DECEMBER 14, 2014
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JESSICA TERLIKOWSKI
DIRECTOR OF PREVENTION TECHNOLOGY EDUCATION
PREP BARRIERS
• Common to those of other jurisdictions
• Uninformed/misinformed communities
• Uninformed/misinformed/biased providers
• Insurance coverage confusion
• Costs of:
Drug
Labs
Services
Programming
University of Chicago
Facebook/social media campaign
facebook.com/groups/prepchicago
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CBOs
Advocates
Researchers
Medical
providers
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HIV
planning
members
Chicago
PrEP
Working
Group
CBOs
Advocates
Researchers
Medical
providers
4
HIV
planning
members
Chicago
PrEP
Working
Group
AIDS FOUNDATION
OF CHICAGO
 My PrEP Experience – personal stories, resources
 Project Ready, Set, PrEP! (RSP!) –HIV workforce trainings and
community awareness efforts
 200+ training participants in 2014
 RSP+ – Prevention option pipeline trainings
 Midwest HIV Prevention and Pregnancy Planning Initiative –
sexual health needs, family planning desires (NEW)
 Illinois Insurance Plan Analysis of PrEP Coverage
 Advocacy/Media – proactive, reactive
 Mapping Pathways – toolkit to support planning successful ARVprevention implementation
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 Co-convene Chicago PrEP Working Group
CHICAGO DEPARTMENT
OF PUBLIC HEALTH
 Current HIV Prevention RFP includes 3 PrEP demonstration
projects – north, west, south sides, funding begins 2015
 Center PrEP Implementation Project – active referral of STI
clinic patients from Lakeview Specialty Clinic to Howard Brown
Health Center
 Expand active referral between CDPH STI clinics and
CORE, University of Chicago
 Training DIS staff, active referral for all rectal STI patients
 PrEP Policy brief – published December 2010
 Co-convene Chicago PrEP Working Group
CHICAGO HOUSE
 CEO Stan Sloan on PrEP – story on AFC’s “My PrEP
Experience” (Episcopal Priest and CEO of Chicago House
Shares His PrEP Experience )
 Developing social marketing strategy – PrEP awareness,
access, and adherence
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 Brochures in English/Spanish, palm cards – January 2015
 Chicago PrEP Working Group
CORE CENTER
 Cook County Health and Hospitals System
 ATN 110/113 – PrEP research/OLE/demonstration/safety
including 15 to 17 year old gay men (boys)
 PrEP Clinic – January 2015 (on site, partner sites)
 EPIC – Adherence study
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 18 to 29 year old gay men
 Randomized to standard PrEP care through clinic or
enhanced adherence via SMS, web support (study led by
Liu and Fuchs, SFDPH)
 Chicago PrEP Working Group
HOWARD BROWN
HEALTH CENTER
 Walk-In – 11/3 - patients able to see provider same day
 Active Referrals via CDPH’s Lakeview Specialty Clinic
 Successfully connected patients to primary care,
PrEP, and Medicaid/Market Place exchanges, most
were uninsured (ACA Navigator)
 PrEP Coordinator – case manager
 PrEP utilization among Black sexual minority, gender
variant pops (particularly over 24) - LOW
 Young gay men/trans
all races/ethnicities - LOW
 White gay men ages 25+ highest,
followed by Latino
 Chicago PrEP Working Group
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 PrEP clinic – (250+ patients actively using)
TEST POSITIVE
AWARE NETWORK
 PrEP education
 Incorporated into sero-discordant couples program,
treatment education programs
 Lifeline –new HIV prevention program for negative individuals
at elevated risk (men, women), PrEP info incorporated
 Referrals to Howard Brown Health Center
 PrEP resources – including provider list
 Positively Aware – www.positivelyaware.com
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 Chicago PrEP Working Group
UNIVERSITY
OF CHICAGO
 SHIPP – Sustainable Health Center Implementation Pilot,
Access Grand Boulevard, Black gay men, Black women
 PS-PrEP – Randomized clinical trial of PrEP linkage program
by DIS staff, UC and CDPH
 Facebook PrEP –educating community about PrEP and
disseminate information
 PrEP clinics
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 UC Infectious Disease Clinic
 Access Grand Boulevard
 Chicago PrEP Working Group
MATEC
 Trainings – including HIV workforce and clinical providers
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 Road shows – in the works, coupling info on PrEP and HIV
testing into updates on the flu and topics like Ebola
ILLINOIS DEPARTMENT
OF PUBLIC HEALTH
 Incorporation of PrEP into CTR programming
 Launch of state PrEP drug
assistance program –
demonstration project, coming soon
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 Chicago PrEP Working Group
MAPPING PATHWAYS
 Based on premise that “all science is local”
 Consideration of local contexts critical to successful ARVbased prevention implementation

3rd year of project
 Developing toolkit to facilitate community mobilization
around ARV-based prevention
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PEST
Actors
Visioning
Scenario planning
 Chicago meeting with UCHAPS + 2
 www.MappingPathways.org
JTERLIKOWSKI@AIDSCHICAGO.ORG
JIM PICKETT, JPICKETT@AIDSCHICAGO.ORG