PREP DEPLOYMENT

The HIV epidemic in Guinea is considered to be concentrated among key populations and their networks.

These hard-to-reach key populations are an integral part of the national strategic framework targets. A one-day workshop on the strategy for making pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) available, organized as part of the FM NFM3 grant in 2021, led to the development of a global strategy for making PrEP available to key populations in Adapted Health Centers and Community Centers.

However, this strategy has not been documented or operationalized, and already appears obsolete as it does not take into account the latest WHO international recommendations published in 2022. This technical assistance aims to make PrEP available and effective in Guinea through a structured and participatory process. It has been requested by the Global Fund’s PR teams to support the country in the optimal deployment of PrEP services. Solthis’ technical experience is in line with its past experience, notably the DSD-SI technical assistance financed by the Global Fund to support the introduction, deployment and scaling-up of HIV self-testing for key populations in Guinea, as well as its previous experience with PrEP in Niger and Chad.

General objective
To support and accompany the Principal Recipients of the FM (UAGCP/PNLSH and Plan International Guinea) in deploying and preparing for the scaling-up of PrEP services for key populations in Guinea in 2 phases.

Specific objectives
Phase 1

• OS1: Carry out a situational analysis (including legal aspects) defining differentiated strategies adapted to each key population for PrEP provision.
• OS2: Develop operational standards and procedures and training guidelines for the rollout of PrEP to key target populations in 4 priority regions
• OS3: Draw up a budgeted operational plan and quantification of inputs for the rollout of a first phase of PrEP services in 4 priority regions for each key population.

Phase 2

• OS4: Evaluate PrEP rollout in 4 regions for key target populations to guide national scale-up
• OS5: Develop a budgeted operational plan and quantification of inputs for PrEP scale-up rollout and update the national strategy taking into account international recommendations and lessons learned from the first phase of rollout.