PrEP (HIV pre-exposure prophylaxis)
PrEP (pre-exposure prophylaxis) gives HIV-negative people at substantial risk a protective antiretroviral regimen and a structured follow-up programme. BridgeERP HMS tracks the whole pathway — risk screening, eligibility, initiation, mandatory HIV re-testing at every visit, creatinine monitoring, dispensing and safe discontinuation — with the PrEP client record kept confidential to the PrEP team.
Where to find it
- Public Health → PrEP (Prevention) → PrEP Clients — the client register (model
hms.prep.client). - Public Health → PrEP (Prevention) → Follow-up Visits — each review visit (model
hms.prep.visit). - Public Health → PrEP (Prevention) → Configuration → Regimens — the regimen catalogue.
Client lifecycle
Each client moves through a clear status machine: Screening → Eligible → On PrEP → (On hold) → Discontinued / Seroconverted. A confirmed HIV-negative baseline is required before a client can be made eligible or started, and a regimen must be selected to start.
| Action | What it does |
|---|---|
| Mark Eligible | Confirms substantial risk + negative baseline HIV test. |
| Start PrEP | Activates the regimen (oral daily TDF/FTC, event-driven 2-1-1, or injectable CAB-LA). |
| Put on Hold / Resume | Pauses and restarts; resuming re-checks a negative HIV test. |
| Record Seroconversion | Stops PrEP and flags the client to be linked to ART/treatment. |
Follow-up visits & the HIV-retest safety rule
Every follow-up visit captures a mandatory HIV re-test, weight, creatinine, adherence, STI screen and the days of medication dispensed. If the HIV re-test is positive, the system automatically discontinues the client as a seroconversion — the single most important safety rule in a PrEP programme — and prompts linkage to ART.
Confidentiality
PrEP client, visit and risk-screen records are restricted by record rules to the PrEP Provider and PrEP Manager roles, so they are not visible to general clinical staff.
Printable summary
The PrEP Client Summary report prints the client’s regimen, baseline labs and full visit history on the facility letterhead.