At Friends of Family Health Center, our unwavering commitment is to HIV prevention for those at risk. We foster a supportive and non-judgmental environment, ensuring that everyone feels respected and understood. Our community outreach program features the latest HIV preventive treatment options and a question hotline, empowering individuals to make informed decisions about their health.
Learn more: HIV Testing | PEP | DoxyPEP | PrEP | HIV Education Hotline
Human Immunodeficiency Virus is a virus that weakens a person’s immune system by destroying important cells that fight disease and infection. If left untreated, a person can begin to develop AIDS (Autoimmune Deficiency Syndrome). AIDS is the fourth stage of the HIV infection. Once a person has developed AIDS, their immune system becomes so weak that they can no longer fight off diseases. Although there are current on-going studies for a vaccine, there is currently no cure for HIV. HIV is considered a chronic disease. This means it requires lifelong treatment. An individual receiving proper HIV medical care, can live a long and healthy life. People can live with HIV for years without any signs and symptoms. Not every person with HIV will go on to develop AIDS.
In order for HIV to be transmitted it must get from the body of a HIV positive person into the body of another person.
HIV is found in:
Transmission can occur through:
Getting tested for HIV is crucial for maintaining your health and safeguarding your loved ones. We provide three types of tests depending on when you believe you were exposed to HIV. Remember that no HIV test can detect the virus immediately after exposure due to the window period—the time between exposure and test detection. The window period varies depending on the test type. If you suspect recent exposure, consider seeking post-exposure prophylaxis (PEP) promptly. Always consult your health care provider to determine the most suitable HIV test for your situation.
Nucleic Acid Test (NAT)—A NAT can usually tell if you have HIV infection 10 to 33 days after exposure. It is performed by a lab on blood from your vein. Results take 1 to 2 weeks.
Antigen/Antibody Test—An antigen/antibody test performed by a laboratory on blood from your vein can usually detect HIV infection 18 to 45 days after exposure. Lab results take 1 to 2 weeks.
*An antigen/antibody test done with blood from a finger prick takes longer to detect HIV (18 to 90 days after an exposure). These results take 30 minutes.
Antibody Test—An antibody test can usually detect HIV infection 23 to 90 days after an exposure. There are various Antibody Tests available. Most rapid tests and self-tests are antibody tests. In general, antibody tests that use blood from a vein detect HIV sooner after infection than tests done with blood from a finger prick or with oral fluid. Many antibody tests give results in 30 minutes or less.
OraQuick is a commonly available antibody test.
PEP (Post-Exposure Prophylaxis) is the use of antiretroviral drugs after a single high-risk event to stop HIV acquisition. PEP must be started as soon as possible to be effective—and always within 72 hours of a possible exposure.
Though not for the prevention of HIV, DoxyPEP is often intertwined. Doxycycline Post-Exposure Prophylaxis (DoxyPEP) means taking the antibiotic doxycycline after unprotected sexual activity to prevent getting a sexually transmitted infection (STI). This type of treatment only works at preventing bacterial STIs such as syphilis, gonorrhea, and chlamydia. Prevention is not 100%. Studies show that DoxyPEP can reduce syphilis and chlamydia transmission by 74%-88%, and gonorrhea by 55%-57%.
Further information:
HIV Meds Update: DoxyPEP - Doxycycline for STI Prevention
Don't Take Chances: Why Doxycycline is a Great
Bet Against STIs
DoxyPEP for
STI Prevention
PrEP (Pre-Exposure Prophylaxis) is a prescribed anti-retroviral (ARV) medication that is given to HIV-negative people in order to prevent HIV transmission. PrEP was first approved for use in the United States in 2012.
PrEP works by stopping HIV from taking hold and spreading throughout the body. By taking PrEP the individual reduces the chance of getting HIV from having sex without a condom, and from sharing needles or equipment to inject or use drugs. This medication can be taken orally or by injection. PrEP will not protect against STIs.
HIV Negative
At substantial risk of HIV Exposure
Willingness to use PrEP as prescribed
Creatinine Clearance
The majority of PrEP treatment costs are covered by most health insurance programs (including medical). It's as ordinary as paying for any other prescription for many folks. If you're uninsured or can't afford your out-of-pocket payments, the patient assistance programs listed below may be a great resource. The Federal Poverty Level (FPL) is used in each program to determine a person's income.
https://www.gileadadvancingaccess.com/copay-coupon-card
https://copays.org/funds/hiv-aids-and-prevention/
https://panfoundation.org/disease-funds/hiv-treatment-and-prevention/
https://www.mygooddays.org/patients/diseases-covered/hiv-aids-treatment-and-prevention
https://apretude.com/apretude-cost/
Primary Specialties
Family & Internal Medicine
Languages Spoken
English, Spanish (conversational), Tagalog (conversational)
Physician Bio
Dr. Andrade joined Friends of Family Health Center in 2019. She was soon after appointed Director of Medical Services for her outstanding dedication to the clinic. In 2020, she was appointed Director of QA/QI in addition to her Medical Director duties. In 2022 and 2023, Dr. Andrade was pivotal in leading and facilitating providers and staff through our conversion to the Epic electronic medical record system. She was later appointed Director of Clinical Informatics, for her advanced knowledge of the Electronic Health Record system and reporting.
Dr. Andrade was raised in Whittier, California. She is a first-generation college graduate and the first physician in her family. During her undergraduate education, she studied Molecular and Cell Biology, as well as Psychology, at UC Berkeley. She then attended the University of Washington School of Medicine earning her Doctorate degree. Dr. Andrade went on to complete her residency in Family Medicine at Long Beach Memorial Medical Center. During her residency, she obtained additional training in obstetrics and maternal care, and was Chief Resident of her class.
Having personally experienced a childhood without access to medical or dental care, Dr. Andrade is dedicated to providing care in underserved communities. Dr. Andrade encourages her patients to play an active role in their health. She focuses on preventative care services to adults and the elderly, HIV preventative care (PrEP, PEP), prenatal care, and women’s health.
Dr. Andrade speaks conversational Spanish and Tagalog, providing culturally competent care to our diverse patient population. Dr. Andrade is married with two children. When not in the office, she spends her time with her family and enjoys concerts, comedy shows, plays, running, baking, and then running some more to eat what she bakes.
Primary Specialties
Internal Medicine
Languages Spoken
English
Physician Bio
Dr. Alexander was born in London and moved to the U.S. with her parents as a baby. She grew up in La Mirada, California. She was a Pre-med and Sociology major at the University of California, Riverside. She went on to receive her Doctor of Medicine (M.D.) degree from the David Geffen School of Medicine at UCLA. She then completed her internship and residency training at White Memorial Medical Center in Los Angeles and received board certification in Internal Medicine.
Prior to joining the Friends of Family team, Dr. Alexander worked as a physician for immigrants in Texas. She also worked in the Department of Health Services in Los Angeles County. As a participant in the National Health Service Corps Program, Dr. Alexander is dedicated to serving communities in need with efficient and high-quality healthcare.
She loves spending time with her family, especially her baby brother who is 16 years younger than her and following in her footsteps to become a doctor. She enjoys traveling and has visited Singapore, Dubai, Belgium, Mexico, United Kingdom, India, Tanzania, and more to come! Dr. Alexander also enjoys flying airplanes and is currently taking flight lessons to get her private pilot's license.
Primary Specialties
Family Medicine
Languages Spoken
English and Spanish
Physician Bio
Thank you for choosing Friends of Family Health Center for your care. My career started about 15 years ago as an ICU nurse. I chose to continue my education so I can help educate and promote optimal health for those I care for. My role, as your provider, is to help guide and provide the needed information to promote your optimal health. I strive to continue to learn and keep abreast of the changes in healthcare. It is important for me to provide care where you, the patient, is the center of all of the decisions. When I am not at work, I enjoy spending time with my children and grandchildren. I enjoy traveling, learning about new cultures and trying new restaurants along with dancing and listening to music.
Gracias por eligir Friends of Family Health center para su cuidado medico, Mi carera comenzo como una enfermera en cuidado intensive have 15 anos. Decidi conuar mi educacion y recibirme como enfermera especialicada para poder promover la salud. Como su provedora, mi papel es dar la informacion corecta para que sus decisiones sean pasadas sobre informacion al dia y basada sobre estudios medicos. Es importante para mi poder compartir informacion para que usted pueda mejorar su salud, Cuando no estoy en la clinica, me gusta compartir tiempo con mis hijos y nietos Me gusta viajar, aprender sobre culturas nuevas, bailar, y probar restaurantes nuevos.
Dr. Nielsen is a Board-Certified Pediatric Physician, who offers a compassionate, modern and detail-oriented view into patient care and is passionate about the safety, health, and well-being of kids: “Children are the future!” She has extensive education from the University of California, Irvine in public health sciences and public health policy, where she competed collegiately in Cross Country and Track & Field. She then earned her medical degree at the University of Arizona, Tucson and received distinction in Integrative Medicine. She completed her Pediatric Residency at the Harbor UCLA Medical Center where she received awards in Advocacy and Humanism. After residency, she gained additional experience as an Attending Physician for Children’s Hospital of Los Angeles and Children’s Hospital of Orange County in both inpatient and outpatient settings. Outside of medicine, she enjoys running, hiking, curling, swimming and spending time with her family, friends, and pets.
Primary Specialty
Family Medicine
Languages Spoken
English, Mandarin, Taiwanese
Physician Bio
Dr. Liu is an experienced family doctor. Dr. Liu’s patients appreciate the warmth, professional integrity, and open communication that define her as a provider. Dr. Liu is determined to help her patients understand their own health so they can be well informed when making important health decisions. Dr. Liu treats diabetes, high blood pressure, depression, anxiety, lower back pain, trigger point injection, Diabetes, cholesterol, high blood pressure and urinary track infection, etc. Dr. Liu also performs pap smear and annual physical examination.
Education
Doctor Liu’s Education and training: Medical School - A.T. Still University, Kirksville, Doctor of Osteopathic Medicine, Highlands Regional Medical Center, Residency in Family Medicine, Moberly Regional Medical Center (Internship).
Primary Specialty
Family and Community Medicine
Languages Spoken
English and Spanish
Physician Bio
Dr. Bonilla is a dedicated physician who was born in West Covina, California, and has spent the majority of their life in Southern California. They pursued their passion for medicine at UC Riverside School of Medicine and further honed their skills during their residency at UC San Francisco in family and community medicine.
Dr. Bonilla's journey into the medical field was deeply rooted in their personal experiences. As a child, they played a vital role in interpreting for their parents and guiding them through the complexities of the healthcare system, especially during their grandmother's illness. This experience ignited a strong sense of purpose in Dr. Bonilla, motivating them to become a Doctor who could bridge the language and cultural gaps, particularly for the Spanish-Speaking community.
Today, Dr. Bonilla continues to be a compassionate advocate for their patients, driven by their commitment to providing quality care and support to those in need, especially within the Latino community. On his free time, he loves to plan his next trips, hang out with friends, enjoy new music, and try out new foods.
AIDS Healthcare Foundation. (2022, March 24). HIV Education is Prevention – Learn More on HIVCare.org. HIV Care.
Weiss R. A. (2000). Getting to know HIV. Tropical medicine & international health: TM &
IH, 5(7), A10–A15.
HIV Basics. HIV.gov. (2022, June 8). Retrieved June 9, 2022
(2022). Retrieved 2 June 2022, fom https://www.cdc.gov/hiv/default.html
Our mission is to provide access to affordable, quality medical, dental, and behavioral health care services to all residents of Southern California communities, especially the vulnerable populations.
