Eswatini Supports Development of a PrEP Planning, Monitoring, and Evaluation Tool

With the encouragement of the World Health Organization and the U.S. President’s Emergency Plan for AIDS Relief, a number of countries are rolling out oral pre-exposure prophylaxis (PrEP) for HIV prevention.  This brief describes the application in Eswatini of the Excel-based PrEP Implementation planning, monitoring, and evaluation Tool (PrEP-it). Its modules address seven tasks: (1) target-setting, (2) capacity assessment and efficiency analyses, (3) tracking the cascade of PrEP delivery, (4) cost forecasting, (5) estimating impact, (6) antiretroviral forecasting, and (7) prioritizing geographic areas for PrEP delivery to adolescent girls and young women. PrEP-it reflects the input of stakeholders in Eswatini, Mozambique, Kenya, and Zimbabwe.

In June 2019, Eswatini became the first country to use the tool to set national PrEP targets. Before the availability of PrEP-it, Eswatini had attributed its slow progress in developing PrEP targets to a lack of guidance on evidence-informed approaches to target-setting.

An online software version of PrEP-it is expected in early 2021. The development of PrEP-it was funded by the U.S. Agency for International Development (USAID) through several projects: HP+, Optimizing Prevention Technology Introduction on Schedule (OPTIONS), and Efficiency and Accountability Technical Assistance to Partners II (EATAP-II). The online version 2.0 is funded by the USAID Preparing for Ring Opportunities through Market Introduction Support and Knowledge Exchange (PROMISE) project.

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