HIV Care Continuum and Preexposure Prophylaxis Program in Federal Bureau of Prisons, United States

Abstract

In 2019, the US Department of Health and Human Services launched the Ending the HIV Epidemic in the US initiative (EHE) with the goal of reducing new HIV infections by 90% by 2030. This initiative identifies 4 pillars (diagnose, treat, prevent, and respond) to address the HIV epidemic in the United States. To advance the EHE goals, the Federal Bureau of Prisons (FBOP) has implemented interventions at all points of the HIV care continuum. The FBOP has addressed the EHE pillar of prevention through implementing preexposure prophylaxis, developing a strategy to decrease the risk of new HIV infection, and providing guidance to FBOP healthcare providers. This article describes the implementation of programs to improve the HIV care continuum and end the epidemic of HIV within the FBOP including a review of methodology to implement an HIV preexposure prophylaxis program.

Keywords: HIV infections; HIV/AIDS; United States; correctional facilities; pharmacists; preexposure prophylaxis; prisons; viruses.

Figure

Number and percentage of adults in custody of the US FBOP for >90 days as of June 2, 2023, who had been diagnosed with HIV, offered treatment, accepted treatment, or were virally suppressed. Virally suppressed was defined as CD4 <200 copies/mL on the most recent test. FBOP, Federal Bureau of Prisons.