Factors influencing adolescent girls and young women’s uptake of community-based PrEP services following home-based HIV testing in Eastern Cape, South Africa: a qualitative study
Home-based service delivery has been used to improve access to HIV testing and antiretroviral initiation across sub-Saharan Africa, but it has yet to be leveraged to improve pre-exposure prophylaxis (PrEP) uptake. We interviewed 37 adolescent girls and young women (AGYW) in Eastern Cape, South Afric...
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| Veröffentlicht in: | AIDS and behavior 2022-11, Vol.26 (11), p.3726-3739 |
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| creator | Mudzingwa, Emily Krogstad de Vos, Lindsey Atujuna, Millicent Fynn, Lauren Mugore, Matinatsa Hosek, Sybil Celum, Connie Bekker, Linda-Gail Daniels, Joseph Medina-Marino, Andrew |
| description | Home-based service delivery has been used to improve access to HIV testing and antiretroviral initiation across sub-Saharan Africa, but it has yet to be leveraged to improve pre-exposure prophylaxis (PrEP) uptake. We interviewed 37 adolescent girls and young women (AGYW) in Eastern Cape, South Africa to explore why they chose to initiate PrEP or not following home-based HIV testing and referral for PrEP, and what influenced time to PrEP initiation. Participants reported that home visits provided a source of trusted information and a way to involve family members in their PrEP initiation decisions, motivating some to start PrEP. AGYW who initiated PrEP were more likely to qualitatively perceive themselves to be at high risk for HIV compared with those who never initiated PrEP. Integrating home-based HIV testing with PrEP education and referral may be a valuable way to reduce familial barriers and boost PrEP uptake among AGYW in South Africa.
Trial registration
: NCT03977181. Retrospectively registered on June 6, 2019. |
| doi_str_mv | 10.1007/s10461-022-03702-9 |
| format | Article |
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Trial registration
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Trial registration
: NCT03977181. Retrospectively registered on June 6, 2019.</description><subject>Adolescence</subject><subject>Adolescent girls</subject><subject>Adolescents</subject><subject>Antiretroviral agents</subject><subject>Antiretroviral drugs</subject><subject>Disease prevention</subject><subject>Girls</subject><subject>Health Psychology</subject><subject>Health services utilization</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Infectious Diseases</subject><subject>Medical tests</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Paper</subject><subject>Prophylaxis</subject><subject>Public Health</subject><subject>Qualitative research</subject><subject>Referrals</subject><subject>Teenagers</subject><subject>Womens health</subject><subject>Young adults</subject><subject>Young 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improve access to HIV testing and antiretroviral initiation across sub-Saharan Africa, but it has yet to be leveraged to improve pre-exposure prophylaxis (PrEP) uptake. We interviewed 37 adolescent girls and young women (AGYW) in Eastern Cape, South Africa to explore why they chose to initiate PrEP or not following home-based HIV testing and referral for PrEP, and what influenced time to PrEP initiation. Participants reported that home visits provided a source of trusted information and a way to involve family members in their PrEP initiation decisions, motivating some to start PrEP. AGYW who initiated PrEP were more likely to qualitatively perceive themselves to be at high risk for HIV compared with those who never initiated PrEP. Integrating home-based HIV testing with PrEP education and referral may be a valuable way to reduce familial barriers and boost PrEP uptake among AGYW in South Africa.
Trial registration
: NCT03977181. Retrospectively registered on June 6, 2019.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>35653046</pmid><doi>10.1007/s10461-022-03702-9</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0002-0095-4141</orcidid></addata></record> |
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| ispartof | AIDS and behavior, 2022-11, Vol.26 (11), p.3726-3739 |
| issn | 1090-7165 1573-3254 |
| language | eng |
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| source | Sociological Abstracts; SpringerLink Journals - AutoHoldings |
| subjects | Adolescence Adolescent girls Adolescents Antiretroviral agents Antiretroviral drugs Disease prevention Girls Health Psychology Health services utilization HIV Human immunodeficiency virus Infectious Diseases Medical tests Medicine Medicine & Public Health Original Paper Prophylaxis Public Health Qualitative research Referrals Teenagers Womens health Young adults Young women |
| title | Factors influencing adolescent girls and young women’s uptake of community-based PrEP services following home-based HIV testing in Eastern Cape, South Africa: a qualitative study |
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