The PrEP initiative has 3 core components focused on providers, users, and measuring impact. A PrEP steering committee will oversee efforts in these 3 areas:

Improved user knowledge and access

• Broad-based education campaign to reach into heavily impacted communities
• User hotline for information, resources
• Website as “one-stop shop” of local and national resources and information
• Affordability program including navigators to assist potential users with insurance and provider choice, access to co-pay/deductible/payment assistance
• Speakers bureau of PrEP users
• Programs to support PrEP adherence

Increased provider capacity

• Support for public-access PrEP clinics
• Training, resources for providers in diverse fields (primary care, Ob/Gyn, pediatrics, psychiatry)
• Warm line for providers
• Online tools
• Cultural humility training for providers

Tracking PrEP uptake and impact

• Measure PrEP use citywide (including demographics and behavior of PrEP users, duration of use, type of PrEP)
• Track potential negative consequences (e.g., breakthrough infections, resistance, social harms, STIs, difficulty accessing PrEP)
• Track potential benefit (e.g., impact on HIV incidence, access to comprehensive health services for PrEP users)
• Track sexual and injection behaviors over time
• Track PrEP- and HIV-associated stigma
• Measure cost to providers, payers, users

• San Francisco City Clinic PrEP Section
• PrEP Facts – San Francisco AIDS Foundation
• Pleaseprepme.org
• PrEP at Project Inform

• PrEP Flow Card
• Magnet SF
• The Stigma Project