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.
Figure 1
Identification and management of individuals for PrEP2U. HPV,…