The Midwest HIV Prevention and Pregnancy Planning Initiative (MHPPPI) works to improve sexual and reproductive health care for women living with and vulnerable to HIV. With an emphasis on new and emerging prevention technology tools such as pre-exposure prophylaxis (PrEP), the MHPPPI program trains and develops capacity among health care providers throughout the region on the latest in HIV prevention for women; strategies for assessing and affirming reproductive desires; and approaches for integrating HIV prevention into women’s reproductive health care in HIV-impacted communities.


Antiretroviral-based HIV prevention strategies, including HIV treatment, pre-exposure prophylaxis (PrEP), and post-exposure prophylaxis (PEP), enable people living with and vulnerable to HIV to greatly reduce new infections.

PrEP offers significant promise for preventing HIV. The Centers for Disease Control and Prevention (CDC) estimate that more than one million Americans are prime candidates for PrEP. As an option that can be used without a partner’s knowledge or approval, PrEP has the potential to reduce HIV acquisition among the nearly 468,000 U.S. women the CDC estimates would benefit from PrEP.

MHPPPI trainings and resources enable providers to effectively engage patients in discussions about their sexual practices; become comfortable and confident talking about prevention options women can control, including PrEP, PEP, treatment and female condoms; and strategize about how to promote this tool among women. MHPPPI seeks to ensure HIV-vulnerable women in its eight-state region are aware of PrEP, understand it is a safe and effective prevention option for them, and learn how they can gain access to this intervention.

Pregnancy planning

Pregnancy planning

Approximately 75% of people living with HIV (of all genders) are of reproductive age. It is estimated that half of male-female couples that include an HIV-positive partner want to have children, yet too few people living with HIV are aware that they can become pregnant and deliver a healthy baby with little HIV risk to the negative partner or the baby. However, provider-patient conversations about fertility desires are simply not occurring with great frequency. Providers need to understand latest advances in HIV prevention, including PrEP and treatment as prevention, to make safer conception and pregnancy possible and more accessible than ever before. MHPPPI trainings and resources support providers in meeting the reproductive needs and desires of couples affected by HIV.

Provider tool: Would you like to become pregnant in the next year?

  • Understanding and Integrating Advances in HIV Prevention

    Participants will learn about HIV prevention strategies pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP); who can use them; facilitators and barriers to care; and integrating these concepts into patient services.

  • Assessing and Supporting Reproductive Health Care Needs and Desires of People Living with HIV

    Participants will increase their understanding of the barriers to reproductive health care faced by people living with HIV and how to better meet their needs by learning effective strategies for initiating affirming conversations about fertility desires; safer conception strategies; and how to facilitate access to contraception and conception care, resources, supports and assistance.


Learn about available resources to support the reproductive health needs and desires of people living with HIV in your state. Access relevant clinical guidelines, warm lines and hotlines for clinical consultations on safer conception, PrEP, PEP and much more.

Order print resources >

Nationwide resources >



Statewide resources

Use this PrEP locator map to find a provider in your area

PrEP information from Planned Parenthood of Kansas and Mid-Missouri

PrEP services at KC CARE Clinic

PrEP services at Family Health CARE in Kansas City
PrEP information and resources from the Missouri Department of Health and Senior Services

PrEP Clinic at Washington University in St. Louis
Wednesday morning PrEP clinic
Rupa Patel, MD MPH | 314-454-8293
Please call or email anytime to get assistance with a patient or the PrEP process in Missouri

Gateway Apothecary Pharmacy
4473 Forest Park Ave, St. Louis, MO 63108
Pharmacy PrEP Program
Open 6 days a week and provides:
– paperwork assistance
– free medication delivery for PrEP patients
– free HIV testing to assist w/ PrEP evaluations and follow up
Stuart Federman | 314-381-1818
Please call or email anytime to get assistance with a patient pharmacy paperwork or the PrEP process in Missouri

Past trainings

Download the slides from our in-person training in Kansas City, Missouri.

“Understanding and Integrating Advances in HIV Prevention” | “Assessing and Supporting Reproductive Health Care Needs and Desires of People Living with HIV”

Nationwide Resources >


The Midwest HIV Prevention and Pregnancy Planning Initiative (MHPPPI) is led by the AIDS Foundation of Chicago. Project partners include Planned Parenthood of Illinois, Midwest AIDS Training and Education Center, Pediatric AIDS Chicago Prevention InitiativeEverThrive Illinois. We wish to offer our esteemed thanks to many other collaborators, including the Association of Reproductive Health Professionals. This project is made possible through U.S. Health and Human Services Office of the Assistant Secretary of Health National Prevention Partnership Award. For more information about MHPPPI, email Jessica Terlikowski, program director.