Programming Connection

The PEP Program 

Clinique médicale l'Actuel
Montreal, Quebec
2010

Required Resources

Human resources

  • A physician trained in prescribing and monitoring adherence to medication
  • Nurses trained in HIV and STI testing, counselling and risk assessment

Given that clients present themselves at the clinic after recent risky sex or drug use, it is very important that doctors and nurses administering the program are committed to providing harm reduction services with a nonjudgmental attitude. Currently, the nurses and physician at l’Actuel each spend about 10-15 hours per week working with clients who present themselves to the clinic as candidates for PEP treatment.

Service providers in community organizations who wish to implement a PEP program may consider partnering with a local clinic to assist in administering PEP.

Material resources

  • HIV and STI testing materials
  • Campaign materials to support word-of-mouth promotion of the service

Financial resources

The cost of the service is wrapped up into the overall operating cost of the clinic. It is considered a low-cost service because the medication is almost entirely covered by the Quebec health plan, with the exception of the $80.25 co-payment, which is paid for by the client (a “co-payment” is the amount paid by a medically insured person each time a medical service is accessed). In the event that a client is covered instead by private insurance, the client cost is usually 20% of the medication’s $1,750 total cost, or $350.