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In 2017, the International Treatment Preparedness Coalition (ITPC) embarked on an initiative to develop and implement innovative community-led demand creation solutions for access to and use of oral pre-exposure prophylaxis (PrEP) of HIV by key populations. This initiative included a preliminary literature review of global community perspectives on PrEP, the Community-led Consultative Think Tank Meeting on PrEP, and development of the Key Population Activist Toolkit on PrEP. This document includes the seven points that were developed from this consultative process and articulates key PrEP messages from key population networks and PrEP experts.
The role of community in the uptake of PrEP is vital as has been highlighted throughout this review. The discourse has been most prominent at global policy level, and as PrEP as a viable prevention strategy takes hold at country level, ensuring that PrEP is carefully integrated into existing HIV programmes in close partnership with KPs themselves will be the next challenge towards ensuring maximum community-led demand for PrEP. This literature review and subsequent steps in the ITPC’s community-led demand creation process upholds ITPC’s eﬀorts to integrate the voice of community in the discourse on PrEP implementation and rollout.