This resource came to exist through the PrEP clinic at UCSF 360 when we started doing PrEP counseling there. It was created by Dr. Bob Grant,  K. Rivet Amico, & me (Carlo Hojilla). We based it off the integrated next step counseling that was part of the iPrEx study.

Our goal was to make PrEP implementation attractive to providers and make it seem easy, so we came up with the ABCs concept.

Our message to providers is that PrEP is easy to implement and incorporate into their practices. If they are unsure about doing it, or who PrEP is right for, they can find out by using our resource. Some are wary of taking on PrEP counseling because of time constraints, structural barriers, and uncertainty of what actually doing it would be like.

Whoever wants PrEP should be able to get it. A common concern of providers is that people will go out and have sex like crazy if they get on PrEP. This is not true.

The ABCs of Combination Prevention Counseling shows how to go about counseling for risk reduction and medication adherence. It is an easy framework to introduce PrEP to patients through counseling.

If used, it will open lot of doors for both patients and providers. Counseling for PrEP is not burdensome, scary thing. It can be a simple conversation. It is my hope that more providers will be more willing to do this with their patients.

Carlo Hojilla is a nurse and PhD candidate at the University of California, San Francisco School of Nursing. His work focuses on the implementation of novel biomedical HIV prevention strategies, specifically HIV pre-exposure prophylaxis (PrEP), to target high-risk and marginalized substance-using men who have sex with men (MSM). Carlo is particularly interested in research on the intersection of substance use and HIV because of the deep-rooted structural and psychosocial factors that shape the co-occurring substance use epidemic in MSM.