Preexposure Prophylaxis Monitoring in New York City: A Public Health Approach

The scale-up of preexposure prophylaxis (PrEP) represents a paradigm shift in HIV prevention that poses unique challenges for public health programs. Monitoring of PrEP implementation at the population level is a national priority, with particular significance in New York City (NYC) given the substa...

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Bibliographic Details
Published inAmerican journal of public health (1971) Vol. 108; no. S4; pp. S251 - S257
Main Authors Myers, Julie E, Edelstein, Zoe R, Daskalakis, Demetre C, Gandhi, Anisha D, Misra, Kavita, Rivera, Alexis V, Salcuni, Paul M, Scanlin, Kathleen, Udeagu, Chi-Chi, Braunstein, Sarah L
Format Journal Article
LanguageEnglish
Published United States American Public Health Association 01.11.2018
Subjects
Acquired immune deficiency syndrome
AIDS
AJPH s
Data collection
Disease prevention
Epidemics
Ethnicity
Health care access
Health surveillance
HIV
HIV/AIDS
Human immunodeficiency virus
Other Statistics/Evaluation/Research
Pharmacy
Population
Prescriptions
Prevention
Program implementation
Prophylaxis
Public health
Sexual Health
Surveillance
Surveillance systems
New York
United States > US
New York City New York
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Summary:The scale-up of preexposure prophylaxis (PrEP) represents a paradigm shift in HIV prevention that poses unique challenges for public health programs. Monitoring of PrEP implementation at the population level is a national priority, with particular significance in New York City (NYC) given the substantial HIV burden and the prominence of PrEP in state and local Ending the Epidemic program plans. We highlight the importance of local monitoring and evaluation of PrEP implementation outcomes and describe the experience at the NYC Health Department, which includes engaging communities, triangulating a variety of data sources regarding PrEP implementation, and leveraging those data to help guide programming. In NYC, we used data from national surveillance systems and incorporated PrEP-related indicators into existing local data collection systems to help illustrate gaps in PrEP awareness and use. Ultimately, ensuring that PrEP achieves the desired impact at the population level depends on identifying disparities through appropriate and accurate measurement, and addressing them through evidence-based programs.
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Peer Reviewed
J. E. Myers, Z. R. Edelstein, and S. L. Braunstein conceptualized, drafted, and critically revised the article. A. D. Gandhi, K. Misra, A. V. Rivera, P. M. Salcuni, K. Scanlin, and C.-C. Udeagu drafted and critically revised the article. D. C. Daskalakis critically revised the essay. All authors approved the final article.
CONTRIBUTORS
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.2018.304729