Punjab govt, UN launch PREP to prevent HIV

LAHORE: The Health Department of Government of Punjab, in partnership with the United Nations in Pakistan, launched the Pre-exposure Prophylaxis Programme (PrEP) in Lahore.
PrEP is considered a ‘game changer’ in the prevention of HIV. Even though it has been more than 10 years since the first evidence of the efficacy of daily oral pre-exposure prophylaxis (PrEP) was published, much of the PrEP scale-up is still highly concentrated in a small number of countries.
Health Department, Government of Punjab in partnership with the United Nations in Pakistan, set a precedent in the country by launching community-based- PrEP for key populations and sero-discordant couples. PrEP does not replace condoms but offers an additional HIV prevention choice. Community-based PrEP dispensation is critical because CBOs working in Punjab have outreach programs and can play a pivotal role in creating awareness and ensuring stigma-free access to PrEP programmes.
With support from UNAIDS along with WHO and UNDP, the Government of Pakistan developed guidelines and standard operating procedures for community and health facility-based dispensation of PrEP.
The launch event was organized under the leadership of the Director General Health Services of the Health Department Punjab in partnership with UNAIDS, UNDP and WHO. Before the launch event, a training was held with ART Centre staff from around the Punjab province on ensuring effective and evidence-based PrEP services.
Dr. Awias Gohar, Project Director PACP shared that between 2010 and 2020, Pakistan has seen an increase of 84% in new HIV infections and unless we take bold steps today, we will not be able to halt further new infections and PrEP is a step in the right direction. Addressing the participants, he further emphasized that “PrEP offers a significant strategic opportunity to precision target prevention programmes for key populations. For the administering of PrEP to sero-discordant couples and key populations, formal linkages have been established between ART Centres and the outreach component of the current programme.
This approach utilizes outreach workers at the frontline to engage individuals who are at risk for HIV. Their main task is to connect members from the community to public health services, so that they can be reached by HIV prevention programs that will now include PrEP. Outreach workers disseminate HIV prevention packages, provide safe sex education materials and support for behaviour changes, and most importantly, refer the community for HIV testing and counselling and created linkages with ART treatment centres.” Asim Raza, Additional Secretary Coordination and vertical programs, primary and secondary Health Department of Punjab shared that “The Punjab AIDS Control Program is providing free of cost counselling, testing and treatment services for more than two decades to people living with HIV. Given the recent expansion, the program now has its network of centers expanded to all of the 36 districts of Punjab. The program has forty-five centers that are located in teaching and DHQ hospitals. -NNI