No-Cost, High Impact: The Power of Free STI Clinics in Driving PrEP Usage
In 2023, in response to rising syphilis rates and persistent disparities in STI outcomes, we launched a free, community-based STI clinic to expand access to testing and treatment. Prior to this, our services were primarily focused on providing PrEP and HIV care to the LGBT population. In 2024 alone, the clinic served 871 patients—69% of whom identified as ethnic minorities, a population disproportionately impacted by barriers to healthcare access, including PrEP.
Given that three out of four new HIV diagnoses occur among minority populations, we leveraged the STI clinic as a public health intervention to increase PrEP awareness and uptake through routine testing encounters. This presentation will share outcome data demonstrating how integrated STI services supported early treatment, improved linkage to PrEP, and facilitated the identification and rapid initiation of care for individuals newly diagnosed with HIV.
We also highlight the critical role of HIV prevention specialists—trained in culturally responsive care and motivational interviewing—in conducting patient intake, sexual health assessments, and PrEP education. Our findings offer a replicable model for improving HIV prevention outcomes in diverse communities. By aligning STI testing with HIV prevention strategies and removing access barriers, we can advance health equity and reduce HIV transmission at the community level.