Expanding Long-Acting ART and Long-Acting PrEP to a Low-Barrier HIV Treatment Setting

Investigators describe their pilot program to utilize LA-ART and LA-PrEP for persons experiencing homelessness at a community health center.

Social determinants of health pose challenges to achieving goals for HIV treatment and prevention. Long-acting antiretroviral therapy (LA-ART) and LA-preexposure prophylaxis (LA-PrEP) are highly effective interventions that are yet to be widely applied in settings outside of HIV clinics and for people experiencing homelessness. To expand use of LA-ART and LA-PrEP for people experiencing homelessness, a community resource center in San Francisco adapted LA-ART and LA-PrEP guidelines from Ward 86 to pilot their use for persons living with HIV (PLWH) and persons at risk for HIV. Monetary gift cards were provided to incentivize on-time injections and laboratory assessments.

Over a 2-year period, 18 PLWH were enrolled (14 viremic, [median CD4 cou…

Reviewing Author

Keith Henry, MD

Disclosures

Consultant/Advisory BoardViiV Advisory Board

Editorial BoardsJAIDS: Journal of Acquired Immune Deficiency Syndromes

Keith Henry, MD

Disclosures

Consultant/Advisory BoardViiV Advisory Board

Editorial BoardsJAIDS: Journal of Acquired Immune Deficiency Syndromes

Expanding Long-Acting ART and Long-Acting PrEP to a Low-Barrier HIV Treatment Setting

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Reviewing Author