PrEP Access Navigator (PAN): Creating a Comprehensive ‘Application Cheat Sheet’ for the Trillium Drug Program
The PrEP Access Navigator (PAN) seeks to address the significant barriers uninsured individuals aged 23-64 face when applying to Ontario’s Trillium Drug Program (TDP). By simplifying the complex application process, PAN aims to make Pre-exposure Prophylaxis (PrEP) more accessible, reducing financial, procedural, and digital obstacles. This innovative, patient-centric digital tool provides tailored guidance, empowering vulnerable populations to navigate the system with ease and efficiency, ultimately improving health outcomes and reducing HIV transmission rates.
Background
Accessing life-saving medications like PrEP is a challenge for many uninsured individuals in Ontario due to barriers associated with the Trillium Drug Program (TDP). Financial constraints, complicated paperwork, and a lack of digital support deter individuals from completing the application, leaving vulnerable populations at heightened risk of HIV transmission. The PrEP Access Navigator (PAN) seeks to address these challenges by functioning as a virtual "cheat sheet" that simplifies and personalizes the application process. By guiding users step-by-step, PAN ensures they receive the support they need to overcome application hurdles.
PAN’s development follows the Translational Research Framework from the University of Toronto, progressing through two phases: 'Understand' and 'Act.' During the 'Understand' phase, informal research and consultations with academic literature identified accessibility barriers. The 'Act' phase focuses on iterative development and usability testing, where 20 participants will provide feedback on PAN’s initial version during secure, Zoom-based prototyping interviews. This feedback will inform thematic analysis and guide improvements for subsequent versions.
Integration with existing networks, such as the AIDS Committee of Toronto (ACT) and pharmacies, is expected to enhance service efficiency and patient experience. PAN’s streamlined approach aims to increase PrEP uptake and reduce HIV transmission rates, demonstrating how digital tools can bridge healthcare accessibility gaps. Beyond addressing immediate barriers, PAN provides a replicable model for improving access to other healthcare services, setting a precedent for equitable, patient-focused digital interventions. Partnerships and further pilot testing will ensure PAN’s impact continues to grow.
