PrEP1519 is the first demonstration study in Latin America exploring acceptability, use, and persistence of pre-exposure prophylaxis (PrEP) amongst adolescent men who have sex with men (MSM) and transgender women (TGW) aged 15-19 years. The study is ongoing in three cities in Brazil: Salvador, São Paulo, and Belo Horizonte
A member of the clinical team conducting a PrEP1519 telehealth consultation
During the COVID-19 pandemic, PrEP1519 study team ensured a contingency plan to minimize effects of the pandemic disruptions on people participating in the study, to initiate and continue accessing PrEP and other sexual health services. They use telehealth platforms such as text messages, online social media (Instagram and Facebook), and an artificial intelligence chatbot called Amanda Selfie to recruit participants, provide peer support and care. The team also provides discreet home delivery of condoms, lubricants, douches, HIV self-tests and medicines for PrEP. In addition, in-person appointments remain possible, when necessary.
Based on negative result of the HIV self-test, the clinical team prescribes and sends PrEP pills to participants by post.
Importance of maintaining HIV prevention services during the COVID-19 pandemic
Rapid test for syphilis at the PrEP1519 clinic. The clinical team also advises that the participant’s partner undergo STI and HIV testing.
The story of Miguel * a young MSM who joined the study in July 2019 highlights the importance of maintaining HIV prevention services during the COVID-19 pandemic. While Pedro was enrolled in the PrEP programme, he reported poor adherence to his PrEP medication. During the lockdown, he contacted the PrEP1519 team for an HIV test due to an acute viral infection. The test was facilitated under s conditions at a PrEP1519 clinic. He tested negative for HIV, but positive for syphilis and was treated on the same day. His partner, however, tested positive for HIV, after which Pedro was tested again for HIV. The second test confirmed that he was HIV- negative. Following his experience, Pedro is more convinced about adhering to his PrEP regiment.
* Name changed for anonimity
Pedro with the physician prescribing PrEP