A coordinated approach to scaling up access to HIV prevention products
BioPIC is pioneering an integrated and adaptable approach to introducing new HIV prevention products to people who need them, such as injectable lenacapavir (LEN) and cabotegravir (CAB) for PrEP.
Overview: Why Now?
The HIV response needs coordination and innovation in product delivery now.
The HIV prevention products that exist today hold the potential to curb incidence. But knowledgeable observers, drawing lessons from the slow roll out and low uptake of oral PrEP in the early years of its availability, know that coordination must be intensified. Without it, highly efficacious products never reach the populations that need it.
About the Project
The BioPIC collaboration involves civil society, donors, researchers, policy makers, implementers, product developers and normative agencies such as WHO and UNAIDS, and is made possible through the generous support of the Gates Foundation, and was established in partnership with AVAC and CHAI.
The BioPIC Framework
BioPIC developed the Adaptable Product Introduction Framework for all stakeholders involved in product introduction, from clinical research to rollout in low- and middle-income countries. The framework prioritizes activities that must begin in parallel to phase III clinical trials. Stakeholders with a role in early phase product development may also benefit from these considerations with better coordination around anticipated needs.
BioPIC Priorities
Plan to provide global and national bodies with needed evidence on safety and efficacy:
Plan in advance to obtain safety data for pregnant and breastfeeding women
Plan in advance and bolster systems to monitor resistance
Conduct research for additional populations not included in clinical trials
Streamline regulatory review and development of normative guidance
Understand resource needs and the impact of new PrEPproducts:
Model impact in different country contexts
Build consensus and methodology for monitoring, target-setting and evaluation
Conduct cost and payer analyses to inform budgeting
Coordinate and align product procurement
Enable programs to quickly move from small projects to scale:
Analyze delivery channel to identify opportunities and challenges prior to early implementation projects
Support the development guidance and tools at the earliest stage of implementation.
Consolidate implementation questions in fewer, larger-scale projects
Identify methods to support high uptake and continued use:
Engage and build community mechanisms to refine program design and implementation
Conduct human-centered design research to understand factors that encourage or inhibit uptake and continued use, tailored for providers, communities, and priority populations