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
PrEP Committee Resources

Resources for people interested in PrEP
- San Francisco City Clinic PrEP Section
- PrEP Basics Fact Sheet – by San Francisco Department of Public Health
- PrEP Facts – by San Francisco AIDS Foundation
- PleasePrEPMe.org
- PrEP at Project Inform
- PrEP Flow Card
- Magnet SF
- The Stigma Project
- PrEP for U.S. Women – by HIVE
- Lo Esencial de PrEP (en Español) – by San Francisco Department of Public Health
Resources for PrEP providers
- San Francisco City Clinic PrEP Section
- SFCC PrEP Navigation Services Protocol (v. 12/7/18) – by San Francisco City Clinic
- San Francisco Health Network Pre-Exposure Prophylaxis (PrEP) Management Guidelines, June 2016
- Provider PrEP Pocket Card – by Dr. Robert Grant and Dr. Lauren Wolchok
- Ask about PrEP (Prescribing PrEP: A Guide for Providers) – by San Francisco Department of Health
- PrEP Navigation Manual: Helping People Access Pre-Exposure Prophylaxis – by PleasePrEPMe.org and Project Inform
- Ayudando A Las Personas a Tener Acceso A La Profilaxis Anterior a la Exposición (en Español) -by PleasePrEPMe.org and Project Inform