2018 - MOTION 2 -
PRE-exposure Profilaxis to all (Prep)
MOTION
Access to PrEP is a human rights issue, and so we propose that MSF should advocate that PrEP be made available to any person who feels they are at high risk, and any projects offering PrEP should expand their criteria as such, where feasible.
FAD in South Africa
BACKGROUND AND EXPLANATION
Pre exposure prophylaxis (PrEP) keeps HIV negative people from becoming infected with HIV.
PrEP is safe and effective at preventing HIV infection for people at high risk. It is highly effective for preventing HIV.
Currently, PrEP is only available to key populations, e.g. based on sexual orientation.
Prep is currently not available to all and we feel that MSF should provide access to PrEP to everyone who is sexually active.
This should include, but not be limited to:
- (LGBTIQA = Lesbian, Gay, Bisexual, Transgender, Intersex, Queer/Questioning and Allied).
- After 9’s (married men that are shy to say that they are having sex with other men).
- Transactional sex (is when money or gifts are exchanged for a sexual relationship) - no condom usage. Both the BLESSER and the BLESSEE
- Breastfeeding women
If PrEP can be available to ALL it will decrease:
- stigma of these groups
- HIV will be treated similar to any other chronic illnesses
- And most important we will be able to reduce HIV infection
Culture and Religion plays a big role in people not to use condoms. PrEP has less issues associated with it.
Fundamentally MSF should not discriminate on the services it offers based on gender/sexual orientation/etc. Therefore if MSF is offering PrEP, we should take the stance of offering it to ALL
FEEDBACK (Final draft)
Activities implemented/planned since the motion was voted:
MSF-SA has currently to studies on PREP ongoing. One in Khayelitsha and one in Eshowe. Both studies are focusing on and including adolescent girls exclusively.
A study including adolescent males is proposed for 2020.
The limited inclusion has been due to budget constraints.
Since the motion was voted in 2018, the SA government has given PREP to 11.175 people, which is not covering the needs.
There has been limited commitment to advocate for up-scaling the treatment. This is partly due to project feeling that the available treatment is not the most appropriate way to treat, and that further development of formulations of PREP should be prioritized.
The follow-up of this motion is on-going.
More on the association? https://www.insideocb.com/