If you are currently (or are considering) prescribing PrEP, this page has helpful guidelines, learning modules, and resources. If you are already confident in prescribing PrEP, you can have your practice listed on our "PrEP-Friendly Providers Map".
PHARMAC’s eligibility criteria for PrEP have changed recently. This means some of the information in the resources may be out of date. Please continue to refer to the resources below in the interim while clinical guidance is being updated
PrEP Information for Clinicians
Online Learning Modules for Primary Care
We have partnered with Redseed to develop a series of educational modules, aiming to provide relevant clinicians with the information and knowledge about how to appropriately prescribe PrEP, how to effectively manage STIs, and underlying factors to consider when engaging with MSM (men who have sex with men) clients.
Our modules have been endorsed by The Royal New Zealand College of General Practitioners and have been approved for up to 1 CME credit per module for Continuing Professional Development (CPD) purposes.
Each module will take around 1 hour to complete.
PrEP Basics
- HIV epidemiology in Aotearoa
- What PrEP is and the evidence for why it is used
- The difference between PrEP and PEP
- Identifying patients who would benefit from PrEP
- Special authority criteria
- Medical eligibility
- Conducting clinical and laboratory assessments during follow up visits
- Assisting patients to cease PrEP safely.
STI Management
- Links to the Aotearoa New Zealand STI Management Guidelines for use in primary care
- The epidemiology of sexually transmitted infections (STIs) in Aotearoa
- How to screen for STIs in different population groups
- How to manage STIs, including screening, treatment, contact tracing, notification, follow-up, and prevention
MSM Culture
- Unconscious bias and how it impacts on clinical interactions
- Stigma and discrimination faced by MSM communities
- Sexual practices and partnerships
- Health challenges for MSM
- Barriers to healthcare for MSM
- The role of healthcare providers in reducing these barriers, as well as sexual health recommendations for MSM
Prescribing PrEP in New Zealand - decision tool
This two-page PrEP tool provides key information for primary care providers: PrEP eligibility, access options, recommended assessment, patient education and monitoring requirements.
The full New Zealand PrEP guidelines provide comprehensive information to primary care providers for prescribing PrEP.
You can also download our resource about taking PrEP 2-1-1 (also known as event-driven or on-demand) which can be given to patients.
BPAC's HIV Pre-Exposure Prophylaxis (PrEP): A How-to Guide
This resource by bpac.org.nz provides a complete overview of prescribing PrEP in New Zealand - published in April 2019, this is one of the most recent guides for clinicians.
ASHM HIV Pre-exposure Prophylaxis Clinical Guidelines
The Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine‘s (ASHM) PrEP Guidelines were updated in 2019. They are designed to support the prescribing of PrEP, and to assist clinicians in their evaluation and HIV risk assessment of patients, as well of their monitoring of patients on PrEP. They were initially adapted from the 2014 US Centers for Disease Control‘s PrEP guidelines. Download the guidelines here.
Online Podcasts and Videos
PHARMAC HIV Update
This seminar covers epidemiology of HIV in NZ; screening, diagnosis, and treatment of STIs among the general population and men who have sex with men (MSM); prescribing PrEP in primary care; broader health issues among MSM; and how to have conversations with your patients about sexual health. View the videos here.
Goodfellow Unit Podcast on PrEP and Sexual Health Issues in Gay and Bisexual Men
Dr Massimo Giola talks about sexual health issues in gay, bisexual and other men who have sex with men. Massimo is a sexual health and general infectious disease physician for the Bay of Plenty DHB. He holds a PHD in HIV drugs pharmacokinetics and has served on the board of trustees for Burnett Foundation Aotearoa. Listen to the podcast here.
Resources
PrEP. How do you take it?
Download A4 PrEP Poster
Download A3 PrEP Poster
Slip it on before you slip it in.
Download A4 Condoms Poster
Download A3 Condoms Poster
Testing for HIV and other STIs keeps you and your partners safe.
Download A4 Testing Poster
Download A3 Testing Poster
There's no risk of HIV transmission. U=U. It's that simple.
Download A4 U=U Poster
Download A3 U=U Poster
Sometimes you just need someone to listen.
Download A4 Counselling Poster
Download A3 Counselling Poster