HIV Prevention for Providers
The Detroit Health Department uses principles of academic detailing to increase provider awareness and prescribing of safe and evidence-based methods to prevent HIV.
Academic detailing is a form of provider education and outreach that leverages one-on-on opportunities to discuss a doctor’s current practices, review new or updated clinical recommendations, and answer real-time questions or concerns.
Any providers in Detroit, Hamtramck, or Highland Park can schedule a 15-minute session with our HIV Physician Detailer to learn more about the latest HIV prevention recommendations.
Miglena Mihaylova, CHES, [email protected], 313.402.2871
Key HIV prevention messages during detailing sessions include:
- Taking a thorough sexual history as a part of comprehensive medical care
- Screening and treating sexually active patients for STDs
- Prescribing pre-exposures prophylaxis (PrEP)
Sexual History Basics
Taking a thorough, culturally appropriate sexual history as a routine part of medical allows clinicians to assess HIV risk and identify screening and treatment opportunities in sexually active patients.
The 5 P’s of a sexual history:
- Partners: Who do you have sex with (i.e. men, women, both, non-binary, trans, etc.)?
- Practices: What types of sex have you had? Do you top or bottom?
- Protection: Do you use condoms? Do you get tested? How do you prevent STDs?
- Past: Have you ever had an STI?
- Pregnancy: Do you have plans to conceive or father a child?
- HIV Risk Assessment Questionnaire
- Best Practices in Patient-Provider Communications with Sexual and Gender Minorities
Screening and Treatment Guidelines
Testing for STDs may be indicated by symptoms or a sexual history evaluation. The Detroit Health Department recommends that providers adhere to the latest screening and treatment guidelines from CDC.
STDs are a required reportable condition, and should be reported to DHD within 24 hours using the MI Disease Surveillance System or these forms.
Prescribing Basics for PrEP
Pre-exposure prophylaxis, also known as PrEP, is a once daily pill that can be taken by people who are HIV negative to prevent HIV infection.
It is safe and can reduce risk of HIV by more than 90% when taken regularly.