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Advancing the Uptake and Use of PrEP in Indian Country


Learn more about PrEP and how to increase its uptake and use in Indian Country.

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About this Independent Study   

This activity was originally released on December 1, 2020 and is available for continuing education credit until December 1, 2022. Once registered, you must complete the course within 150 days, or you will be deactivated. To be reactivated, contact us.     

Through this eLearning course you will become familiar with the basics of PrEP, explore barriers and potential solutions to the uptake of PrEP, and learn strategies for incorporating PrEP into Tribal communities and practices. 

Who Should Take This Course

Clinical and community health staff, including: community health workers, health educators and navigators, case managers, physicians, nurses, and other clinic staff who work within or are associated with the Indian Health Service (IHS), Tribal, and urban system of care or who see American Indian/Alaska Native (AI/AN) people.  


After completing this eLearning course, you will be able to:

  • Discuss the unique cultural, social, and historical challenges of providing preventive HIV care in American Indian and Alaska Native communities
  • List three of five steps for recommending PrEP to community members
  • Describe how to integrate PrEP into clinical practice
  • Discuss ways to normalize the use of PrEP and increase acceptance of PREP by Tribal communities 

Continuing Education 

Continuing Nursing Education (CNE)

This activity is jointly provided by National Indian Health Board and Cardea.

Cardea Services is approved as a provider of nursing continuing professional development by Montana Nurses Association, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation.

Upon successful completion of this activity 1.5 contact hours will be awarded.

Continuing Medical Education (CME)

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the California Medical Association (CMA) through the joint providership of Cardea and National Indian Health Board. Cardea is accredited by the CMA to provide continuing medical education for physicians.

Cardea designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credit(s)TM. Physicians should claim credit commensurate with the extent of their participation in the activity.  

Successful completion of this continuing education activity includes the following

  • Attending the entire CE activity
  • Completing the online evaluation
  • Submitting an online CE Request

    Registration & Fees

    The eLearning course is free of charge. 


    There are no relevant financial relationships with ineligible​ companies for those involved with the ability to control​ the content of this activity.​ 


    The eLearning course was funded through a cooperative agreement with the Indian Health Service (National Indian Health Outreach and Education II: HIV/AIDS, U252IHS0013-03-03) with resources from the Minority HIV/AIDS Fund.  

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    Here is the course outline:

    1. Introduction

    Learn about the basics of PrEP.

    2. Recommending PrEP to Those We Serve

    Learn how to identify potential candidates for PrEP.

    3. Integrating PrEP Into Existing Tribe and Tribal Organization's Services

    Learn strategies for integrating PrEP into your existing clinical practice or organization.

    4. Helping Communities Members Decide if PrEP is Right For Them

    Learn how to hold conversations with community members about the option of PrEP.

    5. Evaluation and Certificate

    Complete a brief evaluation and select your certificate.


    The following certificates are awarded when the course is completed:

    CME for MD/DO Jointly Provided: Enduring Material
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