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People who experience marginalisation (eg, gender-diverse people, racially minoritised communities) continue to have poor access to HIV pre-exposure prophylaxis (PrEP).1 Innovative programmes increase the uptake of PrEP using peers and partnerships with communities, for example, the ‘Princess PrEP Programme’ in Thailand.2
A partnership between the local clinical team and Terrence Higgins Trust (THT)-South, supported by the Public Health commissioner and the University of Brighton, co-designed a community HIV-PrEP service: PrEP2U. In April 2022, we started providing HIV-PrEP weekly (Thursday afternoon) at THT-South in the centre of Brighton. THT-South actively seek out key populations and are responsible for STI/HIV testing; the clinical team assess the need for HIV-PrEP, provide medication, vaccination (hepatitis A/B, human papillomavirus) and renal monitoring (figure 1). To date, 37 individuals have accessed PrEP2U and 30 (81%) started HIV-PrEP for the first time.
We have co-designed and delivered a community-based HIV-PrEP service through a successful partnership which we intend to replicate in other settings.
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Handling editor Anna Maria Geretti
Contributors DR and MD led the production of this manuscript. DR, MT, KN, RF, SN and MD all contributed to the final manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.