POWER – September 2017

POWER develops cost-effective and scalable models for implementation of ARV-based HIV prevention products for women.

• My PrEP decision support tool in production with additional demand creation tools in development.
• Final formative report completed.
• Cohorts in Cape Town, Johannesburg, and Kisumu launched.

My PrEP decision support tool in production with additional demand creation tools in development. In collaboration with Drs. Christine Dehlendorf and Nika Seidman of UCSF and Bedsider.org, POWER developed a digital PrEP decision support tool based on the My Birth Control tool. The decision support tool has been pre-tested at all three sites in Cape Town, Johannesburg, and Kisumu. Feedback from providers and young women has been integrated into the final version, which is currently in production and will be ready for use at the sites in the fall.

Additionally, a provider/patient flip chart, poster, and palm card are currently being developed as companion materials to the PrEP decision support tool to offer providers additional materials to help young women assess whether oral PrEP is right from them.

Final formative report completed. The POWER formative report was preliminarily completed in January 2017. As part of the mental models formative work, the team used a community-based survey to quantify key themes identified in the in-depth interviews with young women and men. Approximately 450 surveys were completed across the three POWER sites of Cape Town, Kisumu, and Johannesburg, and analysis was completed in the spring. The formative report was updated with the survey results and is available on PrEPWatch.

Cohorts in Cape Town, Johannesburg, and Kisumu launched. All three sites are enrolling young women into the POWER cohort, which integrates with three different health service models: a youth clinic in Johannesburg, a mobile van to reach youth in Cape Town (the Tutu Teen Tester), and a family planning clinic in Kisumu. As part of the cohort, young women are shown the educational video, “Get PrEPared: What African women need to know about PrEP,” developed for HPTN 082, and a brief motivational video developed in collaboration with McCann Global Health. In late 2017, the POWER cohorts will use the My PrEP decision support tool and provider flip charts as well.