Differentiated service delivery (DSD) has the potential to improve access to and uptake and effective use of pre-exposure prophylaxis (PrEP) for HIV prevention. Particularly during COVID-19, impressive adaptations were made to PrEP service delivery in many countries to ensure continued access as well as new initiations – highlighting the benefits of simplified and differentiated PrEP service delivery. This satellite will showcase how a DSD approach to PrEP has expanded uptake and accelerated implementation in different contexts and populations. Building on the 2022 WHO technical brief Simplified and differentiated service delivery for PrEP, a series of case studies will illustrate adaptations before and during COVID-19, such as community-based PrEP services, including at-home delivery and pharmacy pickups, HIV self-testing, and virtual interventions. Additional adaptations include multi-month dispensing of PrEP, adjustments to the clinical package of care enabling reduced frequency of clinical consultations and streamlined clinic visits, telehealth clinical check-ins and/or virtual psychosocial support, and lay provider-led service provision. The benefits and barriers to different DSD for PrEP models will be considered in terms of acceptability by clients and ensuring accessibility, convenience, and quality of services. This session will convene implementers, advocates, policy makers and researchers to share their differentiated PrEP service delivery experiences towards increasing PrEP uptake, continuation, and effective use, as well as to ensure PrEP programme resilience going forward.

• Presentations
• Session recording (English)