Prep for PrEP

From traveling to get an HIV test to perceived stigma about going to a clinic in the first place, there are lots of barriers preventing women from getting PrEP. Here are our recommendations to minimize these barriers.

Section Summary

1

Make
it as convenient as possible to get PrEP

2

Make
the testing moment seamless and celebratory

3

Empower
advocated within clinics

Funding tight? Do this:
Advocate within clinics

1

Make it as convenient as possible to get PrEP

In order to reduce barriers to testing (such as the long waiting times at public clinics, the perceived poor service, and the perceived stigma associated with visiting a public clinic), it is recommended to find or create locations where testing, prescription and pickup can be done in one place, ideally at one time, with one health care provider.

The most seamless flow through a clinic would be:

  • A woman is intrigued by the bright and visual V posters and pamphlets in the waiting room while waiting to be seen by the clinic staff.
  • She consults with the doctor/nurse and gets an HIV test during her appointment.
  • If the test is negative, she receives a Certificate of Negativity.
  • If required, she goes to get the other required tests*
  • She heads home, or waits in the clinic for the results (if necessary).
  • She receives an SMS when the results come through—she can go pick up her PrEP and Starter Kit from her nearest pharmacy.

*Ideally these should be rapid tests where she is able to pick up the PrEP and kit that very same day from the clinic without the long wait for results.

Start by asking to partner with private sector clinics or pharmacies that could legally conduct testing, prescription and pickup in a single location. Entice them with the brand, and the increased foot traffic from your social media and advertising campaign! You could also organize stand-alone activations, like a V-branded van that goes out to communities staffed with nurses and pharmacists. If none of this is feasible, just do your best to make it as seamless and as quick as possible to go from HIV negative test to prescription and starter kit pickup. For example, you could leverage your Ambassadors to remind and coach the women they recruit through each step, provide education at testing locations to minimize the time women have to spend in clinic, or make sure that pharmacies have starter kits on hand when they give out the prescription.

SUPPORTIVE FINDINGS FROM FORMATIVE RESEARCH

1. People are willing to go out of their way to visit (and to pay for) private clinics and pharmacies where they can receive better (and more discreet) service

2

Make the testing moment simple and celebratory

Piggyback on existing free testing days at pharmacies, churches, etc. by letting women know through the Ambassador network or website/social media profiles where and when they can access free HIV testing services. Or, partner with existing rewards and loyalty programs (such as Vitality Health Points and Clicks in South Africa) so women earn points for testing. Give them another reason or excuse to go into the clinic and get tested, and leverage the testing moment at private and stand-alone sites to provide more information about V to minimize the time spent in the clinic afterwards.

Capitalize on the great feel of a negative test by providing a V branded Certificate of Negativity that woman can keep in their wallets. This will associate V with the elation they felt when they found out they were negative, and will remind them to go through the next steps in the PrEP adherence journey each time they see it.

SUPPORTIVE FINDINGS FROM FORMATIVE RESEARCH

1. Testing often requires an incentive, an excuse to tell friends; or it needs to be tagged onto another reason as to why they’d be in the clinic.
2. HIV tests are a large barrier to PrEP adoption with people more fearful of the social stigma than the health impact.
3. A negative HIV test brings a wave of relief, but doesn’t offer confidence for the next test.

3

Empower advocates within clinics

Ensure that all patient-facing staff are trained to share the benefits of V (and are brought into the cause) so that they can use any available moment to tell potential users about V. Give them swag to wear outside the clinic, and some may even make great Ambassadors!

Educational pamphlets, videos and posters can be used in the waiting room to educate people on PrEP and drive them to ask the nurse or doctor about it. Having materials in their space to act as visual triggers can also help health care workers remember to talk about it as they manage numerous other demands on their time.

Note that some women may be experiencing physical abuse or be fearful/mistrusting—ensure they are treated with respect, made to feel safe and cared for, and even ask if they would prefer a male or female provider.

SUPPORTIVE FINDINGS FROM FORMATIVE RESEARCH

1. Health care providers need their own set of reminders, cues and incentives to talk about products
2. Health care providers crave a novel approach to engage a difficult audience (i.e. they are wary of anything that looks too medical or boring).


So, how do we do this?

Below you will find the key activities required to implement V. Under the V lite section, we’ve described hacks or adaptations for the more budget-conscious.

IF FUNDING IS TIGHT AND YOU'RE ONLY GOING TO DO ONE THING:

Prioritize empowering advocates in the clinic!

Make it as convenient as possible to get PrEP

V Pro

  • Organize V activations at pharmacies, clinics, or in mobile vans that allow testing, prescription and pickup at the same place at the same time.
  • Sponsor free testing days if you can, and advertise them on social media and with posters.

V Lite!

  • Ask if you can show up on free testing days to promote V so testing and education can happen at the same time. Advertise these on social media.
  • Ask your Ambassadors to remind and encourage woman they recruit to go through each step. They could suggest the women text them when they get the test, or get their prescription, and send them a text reminder back to do the next step.

Make the testing moment simple and celebratory

V Pro

  • Produce the V-brand Certificates of Negativity and hand them out to testing facilities around town. Make sure to include the website or Facebook page, so woman can get more information if they are curious.

V Lite!

  • Still make the certificates, just use cheaper paper, print them yourself, and make them smaller.

Empower advocates within the clinic

V Pro

  • Print the posters, flipcharts and pamphlets to share with clinic staff.
  • Train staff around using V educational materials and products, as well as how to engage with young women. And don’t just train clinic staff, get them excited. Host informal gatherings, show them the research and mission behind the brand and product to create buy-in.
  • Share the swag you made for the Ambassadors with nurses and clinic staff as well. Just ask them to wear the t-shirts when they are outside of work so the V brand doesn’t get overly associated with a medical environment.

V Lite!

  • Even if you don’t have a budget for all the materials, give the powerpoint training to nurses and help them practice how to talk about V.
  • If you can print one thing, print the double-sided pamphlets to leave out in clinic waiting rooms so curious women can learn more, or take home to consider.

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